The effect of the motivation process to change behavior in diabetes risk group Nong Yao Subdistrict, Phanom Sarakham District, Chachoengsao Province
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Abstract
Background and Significance: Diabetic ketoacidosis (DKA) is a common emergency in patients with diabetes and a major cause of hospitalization. Investigating risk factors within the context of a community hospital can provide insights into relevant determinants and contribute to the development of effective preventive measures.
Objective: To examine the association between personal, clinical, health behavior, and complication-related risk factors and the occurrence of DKA.
Methods: A retrospective analytical study was conducted among 176 patients with type 2 diabetes, comprising 44 patients with DKA and 132 without DKA. Data were collected from medical records between October 2022 and September 2024. Statistical analyses included descriptive statistics, chi-square test, t-test, and logistic regression.
Results: Significant risk factors for DKA included HbA1c ≥12% (OR = ∞, p<0.001), fasting blood glucose ≥400 mg/dL (OR = ∞, p<0.001), irregular medication use (OR = 10.82, p<0.001), concurrent infection (OR = 8.57, p<0.001), history of DKA (OR = 7.68, p<0.001), and insulin therapy (OR = 3.63, p=0.001).
Conclusion and Recommendations: Poor glycemic control and irregular medication use were key risk factors for DKA. Screening systems for high-risk patients and personalized preventive care programs should be developed to reduce DKA incidence effectively.
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