Volume 7, Number 4, December 2017
|Number of page(s)||9|
|Published online||13 November 2017|
Lower risk of end stage renal disease in diabetic nurse
Department of Urology, Hengchun Tourism Hospital, Ministry of Health and Welfare, Pingtung 946, Taiwan
2 Department of Aged Welfare & Social Work, Toko University, Chiayi 613, Taiwan
3 Department of Health Services Administration, China Medical University, Taichung 404, Taiwan
4 Department of Orthopedics, Hengchun Tourism Hospital, Ministry of Health and Welfare, Pingtung 946, Taiwan
5 Department of Nursing, Hengchun Tourism Hospital, Ministry of Health and Welfare, Pingtung 946, Taiwan
6 Department of Healthcare Administration, Asia University, Taichung 413, Taiwan
* Corresponding author. Department of Health Services Administration, China Medical University, No. 91, Hsueh-Shih Road, Taichung 404, Taiwan. e-mail: firstname.lastname@example.org (W.-C. Tsai).
Received: 28 May 2017
Accepted: 3 August 2017
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.
Key words: Nurse with Diabetes / Dialysis / National Health Insurance / KAP / Cohort Study
© Author(s) 2017. This article is published with open access by China Medical University
Open Access This article is distributed under terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided original author(s) and source are credited.