| Abstract | Cilj istraživanja: Cilj ovog istraživanja je dobiti uvid u stavove i navike bolesnika s dijabetesom u tijeku pandemije COVID-19 i utvrditi utjecaj preporučenih mjera ograničenja na nacionalnoj razini na bolesnike i njihovu brigu o šećernoj bolesti. Ispitanici i metode: U istraživanju je sudjelovalo ukupno 102 ispitanika. Svi uključeni ispitanici liječe se od šećerne bolesti u Centru za dijabetes KBC-a Split. Ispitanici su ispunili anketni upitnik koji je sadržavao pitanja o općim podacima ispitanika i ispitanikove šećerne bolesti, stavove o COVID-19 pandemije te o njihovih prehrambenim i životnim navikama tijekom COVID-19 pandemije. Rezultati: Medijan vrijednosti HbA1c iznosi 6,8 mmol/L, a unutar posljednjih mjesec dana, razinu HbA1c mjerilo je 10,78% (N=11) ispitanika. O principima prehrane za osobe sa šećernom bolešću educirano je 94,12% (N=96) ispitanika, a pridržava ih se 65,69% (N=67). Usluge liječnika obiteljske medicine 30,39% (N=31) ispitanika smatra manje dostupnima u odnosu na vrijeme prije početka COVID-19 pandemije. Da su im usluge liječnika dijabetologa manje dostupne nego prije početka COVID-19 pandemije smatra 53,92% (N=55) ispitanika, dok 25,49% (N=26) ispitanika smatra da je ukupna medicinska skrb lošija nego u vrijeme prije COVID-19 pandemije. Samo 21,57% (N=22) ispitanika bilo je upoznato s načinom rada Centra za dijabetes u vrijeme provođenja upitnika. Uslijed straha od COVID-19 infekcije, 28,43% (N=29) ispitanika izbjegavalo je javljanje liječniku. Prije početka pandemije, 74,51% (N=76) ispitanika izlazilo iz kuće svaki dan, dok je tijekom pandemije 27,45% (N=28) ispitanika izlazilo svaki dan. Tijekom pandemije 26,47% (N=27) ispitanika počelo je jesti više, a 39,22% (N=40) je počelo kuhati više. Od skupina namirnica, ispitanici su najznačajnije povećali unos povrća (28,43%, N=29), voća (35,29%, N=36) te kolača, slastica i slatkiša (25,49%, N=26). Zaključak: Većina ispitanika nije upoznata s načinom rada Centra za dijabetes tijekom COVID-19 pandemije i smatra da su usluge liječnika dijabetologa manje dostupne u odnosu na vrijeme prije COVID-19 pandemije. Gotovo polovina ispitanika smanjila je razinu tjelesne aktivnosti u odnosu na vrijeme prije COVID-19 pandemije. Potrebne su preporuke za bolesnike sa šećernom bolešću za situacije poput COVID-19 pandemije. |
| Abstract (english) | Aim: The aim of this study was to get insight in attitude and practices of patients with diabetes during the COVID-19 pandemic and to determine influence of quarantine measures on national level on patients and their diabetes care. Patients and methods: There were 102 participants included in the study. All of the participants are being treated due to diabetes mellitus in the Center for diabetes of the University Hospital of Split. Participants have filled a questionarre with questions regarding basic information about them and their diabetes mellitus diagnosis, their stance on the COVID-19 pandemic and their nutritive and life habits during the pandemic. Results: The median value of HbA1c is 6.8 mmol/L. In the last month, the value of HbA1c was measured by 10.78% (N=11) of participants. Participants were mostly educated (94,12%, N=96) about the principles of the diabetic diet, while 65.69% (N=67) were abiding it. 30.39% (N=31) of participants consider GP services less available than before the COVID-19 pandemic and 53.92% (N=55) consider diabetologists' services less available. 25.49% (N=26) of the participants consider their complete medical care worse than it was before the pandemic. Only 21.57% (N=22) participants knew how the Centre for diabetes worked during that time. Due to the fear of COVID-19 infection, 28.43% (N=29) of the participants have been avoiding seeing a doctor. 74.51% (N=76) participants have been leaving their house every day before the pandemic, while during the pandemic, 27.45% (N=28) have been going outside every day. During the pandemic, 26.47% (N=27) of the participants have started eating more, while 39.22% (N=40) have started cooking more. Regarding different food groups, participants have most significantly increased vegetable (28.43%, N=29), fruit (35.29%, N=36) and cake, biscuit and sweets intake (25.49%, N=26). Conclusion: Most of the participants are not familiar with the Centre for diabetes' concept of work during the COVID-19 pandemic. Almost half of the participants were found to have reduced their physical activity compared to the pre-pandemic period. Guidelines for patients in situations like COVID-19 pandemic should be made. |
