Impact of COVID-19 Outbreak in Healthcare of People with Type 2 Diabetes: Evidence from a Cross-Sectional Study
DOI:
https://doi.org/10.3889/oamjms.2022.10753Keywords:
Type 2 diabetes, COVID-19 pandemic, Impact, Healthcare, AlbaniaAbstract
Objective
The aim was to assess the impact of the COVID-19 outbreak on the health care of type 2 diabetes patients and identify the correlated factors.
Research Design and Methods
A cross-sectional study was carried out from November 2020 to February 2021. The study enrolled 400 adults with type 2 diabetes aged 40–65 with at least one other chronic illness receiving health services in primary care in Vlore, Albania. A short questionnaire based on literature, taking into account the situation of the COVID-19 pandemic, was used for the data collection. The administration of the questionnaire was done by trained nurses. All participants gave their written informed consent before administering the questionnaire. Two-tailed Pearson correlation and linear regression were used to test the correlations.
Results
Among 400 patients with type 2 diabetes in the study, 53.0% were female and 47.0% were men. Most of the participants were married (n = 303) with a high level of education (54.3%). Treatment was mainly with oral medications (58.0%). Based on body mass index, 63.0% of participants were overweight. Employment status (p = 003), the type of treatment, oral medication vs insulin (p = 001), body mass index (p = 001), and living alone (p = 008) were the more correlated factors.
Conclusions
Care of type 2 diabetic patients due to the COVID-19 pandemic is closely associated with social determinants of health and the resources of healthcare settings. The need to address innovative approaches to care including self-care, social support, and e-health is recommended.
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References
World Health Organization. Director-General’s Opening Remarks at the Media Briefing on COVID19-March 2020. Geneva: World Health Organization; 2020.
Wilmink G, Summer I, Marsyla D, Sukhu S, Grote J, Zobel G, et al. Real-time digital contact tracing: Development of a system to control COVID-19 outbreaks in nursing homes and long-term care facilities. JMIR Public Health Surveill. 2020;6(3):e20828. https://doi.org/10.2196/20828 PMid:32745013 DOI: https://doi.org/10.2196/20828
Bedford J, Enria D, Giesecke J, Heymann DL, Ihekweazu C, Kobinger G, et al. WHO strategic and technical advisory group for infectious hazards. COVID-19: Towards controlling of a pandemic. Lancet. 2020;395(10229):1015-8. https://doi.org/10.1016/S0140-6736(20)30673-5 PMid:32197103 DOI: https://doi.org/10.1016/S0140-6736(20)30673-5
Meier K, Glatz T, Guijt MC, Piccininni M, Van der Meulen M, Atmar K, et al. Public perspectives on protective measures during the COVID-19 pandemic in the Netherlands, Germany and Italy: A survey study. PLoS One. 2020;15(8):e0236917. https://doi.org/10.1371/journal.pone.0236917 PMid:32756573 DOI: https://doi.org/10.1371/journal.pone.0236917
Güner R, Hasanoğlu I, Aktaş F. COVID-19: Prevention and control measures in community. Turk J Med Sci. 2020;50(SI-1):571-7. https://doi.org/10.3906/sag-2004-146 PMid:32293835 DOI: https://doi.org/10.3906/sag-2004-146
Ortega-García JA, Ruiz-Marín M, Cárceles-Álvarez A, Campillo I López F, Claudio L. Social distancing at health care centers early in the pandemic helps to protect population from COVID-19. Environ Res. 2020;189:109957. https://doi.org/10.1016/j.envres.2020.109957 PMid:32980026 DOI: https://doi.org/10.1016/j.envres.2020.109957
World Health Organization. Diabetes Key Facts. Geneva: World Health Organization. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes (2) [Last accessed on 2018 Oct 30].
Kamberi F, Lalo R. Exploring concerns and knowledge of women about diabetes across them lifespan are essential to provide scientific guidelines for the prevention of diabetes. EC Gynaecol. 2019; 8.1:1-2.
International Diabetes Federation Europe. Belgium: International Diabetes Federation Europe. Available from: https://www.idf.org/our-network/regions-members/europe/members/120-albania.html [Last accessed on 2022 Jun 30].
American Diabetes Association. Arlington County, Virginia: American Diabetes Association; 2019. Available from: https://www.diabetes.org/diabetes/complications [Last accessed on 2022 Jun 30].
Huang I, Lim MA, Pranata R. Diabetes mellitus is associated with increased mortality and severity of disease in COVID-19 pneumonia-a systematic review, meta-analysis, and metaregression. Diabetes Metab Syndr. 2020;14(4):395-403. https://doi.org/10.1016/j.dsx.2020.04.018 PMid:32334395 DOI: https://doi.org/10.1016/j.dsx.2020.04.018
Lim S, Bae JH, Kwon HS, Nauck MA. COVID-19 and diabetes mellitus: From pathophysiology to clinical management. Nat Rev Endocrinol. 2021;17(1):11-30. https://doi.org/10.1038/s41574-020-00435-4 PMid:33188364 DOI: https://doi.org/10.1038/s41574-020-00435-4
Health Systems. Country Reports. Geneva: World Health Organization.
Ramaj A, Kamberi F. Influence of education training in Type 2 diabetes patients in the improvement of lifestyle and biochemical characteristics: A randomized controlled trial. Front Nurs. 2019;4:293-300. DOI: https://doi.org/10.2478/FON-2019-0046
Institute of Statistics, Institute of Public Health, and ICF. Albania Demographic and Health Survey 2017-18. Tirana, Albania: Institute of Statistics, Institute of Public Health, and ICF; 2018. Available from: https://www.shendetesia.gov.al/wpcontent/uploads/2019/01/health-strategy-2020_eng.pd [Last accessed on 2022 Jun 30].
National Health Report, Health Status of the Albanian Population. Botimet Barleti; 2014. ISBN: 978-9928-4257-1-3. Available from: https://www.ishp.gov.al/wp-content/uploads/2015/04/Healthreport-English-version.pdf [Last accessed on 2022 Jun 30].
Shapo L, McKee M, Coker R, Ylli A. Type 2 diabetes in Tirana City, Albania: A rapid increase in a country in transition. Diabet Med. 2014;21:77-83. https://doi.org/10.1046/j.1464-5491.2003.01093.x PMid:14706059 DOI: https://doi.org/10.1046/j.1464-5491.2003.01093.x
World Health Organization. Body Mass Index-BMI. Geneva: World Health Organization. Available from: https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthylifestyle/body-mass-index-bmi [Last accessed on 2022 Jun 30].
Avci DK. Evaluation of the relationship between loneliness and medication adherence in patients with diabetes mellitus: A cross-sectional study. J Int Med Res. 2018;46(8):3149-61. https://doi.org/10.1177/0300060518773223 PMid:29756487 DOI: https://doi.org/10.1177/0300060518773223
Ramezankhani A, Azizi F, Hadaegh F. Associations of marital status with diabetes, hypertension, cardiovascular disease and all-cause mortality: A long term follow-up study. PloS One. 2019;14(4):e0215593. https://doi.org/10.1371/journal.pone.0215593 PMid:31009512 DOI: https://doi.org/10.1371/journal.pone.0215593
Grabia M, Markiewicz-Żukowska R, Puścion-Jakubik A, Bielecka J, Nowakowski P, Gromkowska-Kępka K, et al. The nutritional and health effects of the COVID-19 pandemic on patients with diabetes mellitus. Nutrients. 2020;12(10):3013. https://doi.org/10.3390/nu12103013 PMid:33008059 DOI: https://doi.org/10.3390/nu12103013
Ruiz-Roso MB, Knott-Torcal C, Matilla-Escalante DC, Garcimartín A, Sampedro-Nuñez MA, Dávalos A, et al. COVID-19 lockdown and changes of the dietary pattern and physical activity habits in a cohort of patients with Type 2 diabetes mellitus. Nutrients. 2020;12(8):2327. https://doi.org/10.3390/nu1208232 PMid:32759636 DOI: https://doi.org/10.3390/nu12082327
Cornejo-Pareja IM, Gómez-Pérez AM, Fernández-García JC, Millan RB, Luque AA, De Hollanda A, et al. Coronavirus disease 2019 (COVID-19) and obesity. Impact of obesity and its main comorbidities in the evolution of the disease. Eur Eat Disord Rev. 2020;28(6):799-815. https://doi.org/10.1002/erv.2770 PMid:32974994 DOI: https://doi.org/10.1002/erv.2770
Zhou Y, Chi J, Lv W, Wang Y. Obesity and diabetes as highrisk factors for severe coronavirus disease 2019 (Covid-19). Diabetes Metab Res Rev. 2021;37(2):e3377. https://doi.org/10.1002/dmrr.3377 PMid:32588943 DOI: https://doi.org/10.1002/dmrr.3377
Karatas S, Yesim T, Beysel S. Impact of lockdown COVID-19 on metabolic control in Type 2 diabetes mellitus and healthy people. Prim Care Diabetes. 2021;15(3):424-7. https://doi.org/10.1016/j.pcd.2021.01.003 PMid:33441263 DOI: https://doi.org/10.1016/j.pcd.2021.01.003
Sciberras J, Camilleri LM, Cuschieri S. The burden of Type 2 diabetes pre-and during the COVID-19 pandemic-a review. J Diabetes Metab Disord. 2020;19:1357-65. https://doi.org/10.1007/s40200-020-00656-4 PMid:33102262 DOI: https://doi.org/10.1007/s40200-020-00656-4
Nouhjah S, Jahanfar S. Challenges of diabetes care management in developing countries with a high incidence of COVID-19: A brief report. Diabetes Metab Syndr. 2020;14(5):731-2. https://doi.org/10.1016/j.dsx.2020.05.012 PMid:32473905 DOI: https://doi.org/10.1016/j.dsx.2020.05.012
Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943-50. https://doi.org/10.2337/diacare.23.7.943 PMid:10895844 DOI: https://doi.org/10.2337/diacare.23.7.943
Mukona DM, Zvinavashe M. Self-management of diabetes mellitus during the Covid-19 pandemic: Recommendations for a resource limited setting. Diabetes Metab Syndr. 2020;14(6):1575-8. Selfmanagement of diabetes mellitus during the Covid-19 pandemic: Recommendations for a resource limited setting. Diabetes Metab Syndr. 2020;14(6):1575-8. https://doi.org/10.1016/j.dsx.2020.08.022 PMid:32858475 DOI: https://doi.org/10.1016/j.dsx.2020.08.022
Doupis J, Avramidis K. Managing diabetes during the COVID-19 pandemic. Eur Endocrinol. 2020;16(2):85-7. https://doi.org/10.17925/EE.2020.16.2.85 PMid:33117436 DOI: https://doi.org/10.17925/EE.2020.16.2.85
Armeni E, Paschou SA, Peppa M. Managing diabetes in ageing patients during the COVID-19 pandemic. Maturitas. 2021;145:89-90. https://doi.org/10.1080/17446651.2021.1927708 PMid:34096441 DOI: https://doi.org/10.1016/j.maturitas.2020.11.002
Morgan L. Challenges and opportunities in managing Type 2 diabetes. Am Health Drug Benefits. 2017;10(4):197-200. PMid:28794823
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Copyright (c) 2022 Fatjona Kamberi, Vjollca Ndreu, Enkeleda Sinaj, Ilirjana Zekja, Jerina Jaho (Author)
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