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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/110774


    Title: Lower risk of end stage renal disease in diabetic nurse
    Authors: 潘正欽;Pan, Cheng-Chin;黃秀玲;Huang, Hsiu-Ling;Ch, Ming-Chih;Chen, Ming-Chih;Kun, Chuan-Yu;Kung, Chuan-Yu;龔佩珍;Kung, Pei-Tseng;周文鈺;Chou, Wen-Yu;蔡文正;Tsai, Wen-Chen
    Contributors: 健康產業管理學系
    Date: 2017-12
    Issue Date: 2018-04-03 09:36:52 (UTC+8)
    Abstract: Objectives: As professional medical caregivers, nurses have extensive medical knowledge and information
    than general population. However, they may use their professional knowledge and networks to seek prompt
    health services. In this study, we aimed to determine susceptibility of nurses with diabetes to developing
    end-stage renal disease requiring dialysis compared to diabetes patients in the general population.
    Methods: This retrospective longitudinal study extracted data of nurses with newly diagnosed diabetes and
    general patients with diabetes from the National Health Insurance Database between 1998 and 2006 and
    follow-up to December 2009, satisfied the participant inclusion criteria was 518,058. Nurses and general
    population were matched with propensity score method in a 1:10 ratio. Basic characteristics and health status
    were similar between groups. Cox proportional hazards model was used to compare relative risks and
    dialysis factors between groups.
    Results: Nurses were younger than general population with diabetes (42.01 years vs. 59.29 years) and had
    lower risk of dialysis (adjusted hazard ratio = 0.36, 95% confidence interval 0.16-0.81). Nurses with Diabetes
    Complications Severity Index (DCSI)≧3 had dialysis risk up to 83.53 times higher than that of the
    reference group (DCSI < 3). DCSI was the only variable determined to be a related factor affecting dialysis
    risk in nurses with diabetes.
    Conclusions: Nurses with diabetes have lower risk of dialysis. This suggests that nurses may have more
    knowledge regarding chronic disease control and change their lifestyles than general diabetes patients. Results
    of this study may serve as a reference for developing health education.
    Relation: BioMedicine
    Appears in Collections:[健康產業管理學系] 期刊論文

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