|
Relationship between self-care behaviors and glycosylated hemoglobin level in diabetic patients
|
Ali Maleka *    1, Sadegh Khosravi2 , Abdorrahman Charkazi3 , Bagher Pahlavanzaded4 , Zahra Khosravi5 , Mehdi Khosravi6 |
1- B.Sc in Public Health, Galikesh Health Center, Golestan University of Medical Sciences, Gorgan, Iran. , alimalaka62@yahoo.com
2- B.Sc in Public Health, Galikesh County Health Center, Golestan University of Medical Sciences, Gorgan, Iran.
3- Assistant Professor, Department of Public Health, School of Health and Allied Health Sciences, Golestan University of Medical Sciences, Gorgan, Iran.
4- Ph.D in Biostatistics, Department of Public Health, School of Health, Golestan University of Medical Sciences, Gorgan, Iran.
5- B.Sc in Public Health, Galikesh Health Center, Golestan University of Medical Sciences, Gorgan, Iran.
6- M.Sc in Microbiology, Galikesh Health Center, Golestan University of Medical Sciences, Gorgan, Iran. |
|
|
Abstract: (4073 Views) |
Background and Objective: Diabetes is one of the most common chronic diseases and also the biggest health problem in all countries. The world health organization has called it a silent epidemic. Self-care is one of the most important factors in controlling blood sugar in diabetics’ patients. This study was done to determine the relationship between self-care and glycosylated hemoglobin level diabetic patients in rural area in Golestan Province, northern Iran.
Methods: This descriptive-analytical study was done on 239 male and female patients with type 2 diabetes (56.92±10.70 years) in rural area in Golestan Province, northern Iran during 2016. Data collection tool were a standard diabetes self-care questionnaire with demographic variables and HbA1C test. Completion of data and sampling was done by referring to the health center and calling patients.
Results: There was no significant relationship between glycemic controls with any of the self-care items studied. Mean of HbA1c was 8.23±1.85%. 97 patients (40.6%) had good blood sugar control (less than 7.5%). Patient's self-care had a mean of 3.58, of which the highest score was related to the dietary regimen (6.60) and the lowest was related to self-monitoring of blood glucose (0.88) and regular physical activity (2.3).
Conclusion: Self-care of the patients was moderate. Interventions to increase self-care of patients are recommended in this area. |
|
Keywords: Diabetes Mellitus Type 2 [MeSH], Diabetes Self – Care , Glycemic Control [MeSH]
Article ID: Vol22-58 |
|
|
Full-Text [PDF 273 kb]
(12079 Downloads)
|
|
Type of Study: Original Articles |
Subject:
Health System
|
|
|
|
|
|
|
| References |
1. Vosoghi Karkazloo N, Abootalebi Daryasari Gh, Farahani B, Mohammadnezhad E, Sajjadi A. [The study of self-care agency in patients with diabetes (Ardabil)]. Mod Care J. 2012; 8(4): 197-204. [Article in Persian] [ Article] 2. Parizad N, Hemmati Maslakpak M, Khalkhali HR. [Promoting Self-Care in Patients with Type 2 Diabetes: Tele-Education]. Hakim Health Sys Res. 2013; 16(3): 220-27. [Article in Persian] [ View at Publisher] 3. Abbaspour S, Shamaeiyan N, Hasanzadeh M, Zandi Z, Sepehri A. [Self-care behaviors among diabetic patients referred to a selected hospital clinic in Torbat-e-Heydarieh]. J Torbat Heydariyeh Uni Med Sci. 2013; 1(1): 65-70. [Article in Persian] [ View at Publisher] 4. Mahmoodi A, Alavi M, Mosavi N. [The Relationship between Self-Care Behaviors and HbA1c in Diabetic Patients]. Avicenna J Nurs Midwifery Care. 2012; 20(3): 20-30. [Article in Persian] [ View at Publisher] 5. Ghavami H, Ahmadi F, Mehin S, Meamarian R, Entezami H. [Assessment of the Relation between Diabetic Neuropathy & HbA1C Concentration]. Razi j Med Sci. 2007; 13(53): 141-47. [Article in Persian] [ View at Publisher] 6. Jahanlou AS, Ghofranipour F, Vafaei M, Kimiagar M, Heydarnia A, et al. [Assessment of health belief model structures along with HbA1C in diabetic patients with optimum and unfavorable diabetes control]. Hormozgan Med J. 2008; 12(1): 37-42. [Article in Persian] [ View at Publisher] 7. Tol A, Majlessi F, Rahimi A, Shojaezadeh D, Mohebbi B. [Determinate relation between perceived social support and relevant factors with HbA1C in type 1 diabetic patients]. Hospital. 2012; 10(4): 53-60. [Article in Persian] [ View at Publisher] 8. Kheradmand A, Ranjbarzade A, Hassanpour K, Bidi F. [Effectiveness of Educational Program on Knowledge, Attitude, Self Care and Life Style in patients with type II diabetes]. J Sabzevar Uni Med Sci. 2013; 19(4): 336-44. [Article in Persian] [ View at Publisher] 9. Compeán Ortiz LG, Gallegos Cabriales EC, González González JG, Gómez Meza MV. Self-Care Behaviors and Health Indicators in Adults with Type 2 Diabetes. Rev Lat Am Enfermagem. 2010 Jul-Aug; 18(4): 675-80. DOI: 10.1590/s0104-11692010000400003 [ DOI] [ PubMed] 10. 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 Jul; 23(7): 943-50. DOI: 10.2337/diacare.23.7.943 [ PubMed] 11. Hamadzadeh S, Ezatti ZH, Abedsaeidi ZH, Nasiri N. [Coping Styles and Self-Care Behaviors among Diabetic Patients]. Iran J Nurs. 2013; 25(80): 24-33. [Article in Persian] [ Article] 12. Mohebi S, Parham M, Mozafarion Pour E, Kamran A. Self-care Assessment in Patients with Diabetes in Qom city in 2013. Arch Hyg Sci. 2014; 3(4): 167-76. [ Article] 13. Shabibi P, Mansourian M, Abedzadeh MS, Sayehmiri K. [The Status of Self-Care Behaviors in Patients with Type 2 Diabetes in the City of Ilam in 2014]. J Ilam Univ Med Sci. 2016; 24 (2) :63-71. DOI: 10.18869/acadpub.sjimu.24.2.63 [Article in Persian] [ View at Publisher] [ DOI] 14. Abdoli S, Ashktorab T, Ahmadi F, Parvizi S. [Barriers to and Facilitators of Empowerment in People with Diabetes]. Endocrin Metabol. 2009; 10(5): 455-64. [Article in Persian] [ View at Publisher] 15. Karimi H, Hosseinian Z, Ahanchian M. [Knowledge management in Medical Education]. J Med Educ Dev. 2014; 7(16): 94-106. [Article in Persian] [ View at Publisher] 16. Anbari K, Ghanadi K, Kaviani M, Montazeri R. [The self care and its related factors in diabetic patients of Khorramabad city]. Yafte. 2012; 14(4): 49-57. [Article in Persian] [ View at Publisher] 17. Jafarian Amiri S, Zabihi A, Babaieasl F, Eshkevari N, Bijani A. [Self Care Behaviors in Diabetic Patients Referring to Diabetes Clinics in Babol City, Iran]. J Babol Uni Med Sci. 2010; 12(4): 72-78. [Article in Persian] [ View at Publisher] 18. Hordern MD, Dunstan DW, Prins JB, Baker MK, Singh MAF, Coombes JS. Exercise prescription for patients with type 2 diabetes and pre-diabetes: a position statement from Exercise and Sport Science Australia. J Sci Med Sport. 2012 Jan; 15(1): 25-31. DOI: 10.1016/j.jsams.2011.04.005 [ DOI] [ PubMed] 19. Afkhami Ardakani M, Rashidi M. [Type 2 Diabetes and Its Risk Factors]. J Rafsanjan Univ Med Sci. 2005; 4(4): 348-65. [Article in Persian] [ View at Publisher] 20. Sharifirad G, Entezari MH, Kamran A, Azadbakht L. The effectiveness of nutritional education on the knowledge of diabetic patients using the health belief model. J Res Med Sci. 2009 Jan-Feb; 14(1): 1-6. [ PubMed] 21. Dashtian M, Eftekhar Ardebili H, Karimzadeh Shirazi K, Shahmoradi M, Azam K. [Predicting Factors Affecting Medication Adherence and Physical Activity in Patients with Type-2 Diabetes Mellitus Based on the Theory of Planned Behavior]. Sch Public Health Inst Public Health Res. 2017; 15(2): 133-46. [Article in Persian] [ View at Publisher] 22. Mashrouteh M, Khanjani N, Gozashti MH. [Evaluation of Compliance with Drug Regimens in Diabetic Patients Referred to the Endocrinology Clinic of Afzalipour Hospital, Kerman, Iran]. J Health Develop. 2012; 1(3): 182-92. [Article in Persian] [ View at Publisher] 23. Nelson KM, McFarland L, Reiber G. Factors influencing disease self-management among veterans with diabetes and poor glycemic control. J Gen Intern Med. 2007 Apr; 22(4): 442-47. DOI: 10.1007/s11606-006-0053-8 [ DOI] [ PubMed] 24. Nwasuruba C, Khan M, Egede LE. Racial/ethnic differences in multiple self-care behaviors in adults with diabetes. J Gen Intern Med. 2007 Jan; 22(1): 115-20. DOI: 10.1007/s11606-007-0120-9 [ DOI] [ PubMed] 25. Shirazi M, Anousheh M. [Review of history and changes in self care education to diabetic patients in the world, Iran and the nurses position in this field]. Iran J Med Educ. 2011; 10(5): 972-81. [Article in Persian] [ View at Publisher] 26. Mahmoudi A. [Effects of self care planning on reduction of A1C hemoglobin in adults with diabetes mellitus]. Med Sci J Islam Azad Univ Tehran Med Branch. 2006; 16(3): 171-76. [Article in Persian] [ View at Publisher] 27. Dailey G. Fine-tuning therapy with basal insulin for optimal glycemic control in type 2 diabetes: a review. Curr Med Res Opin. 2004 Dec; 20(12): 2007-14. DOI: 10.1185/174234304X15183 [ DOI] [ PubMed] 28. Mahmood Kh, Aamir AH. Glycemic control status in patients with type-2 diabetes. J Coll Physicians Surg Pak. 2005 Jun; 15(6): 323-25. [ PubMed] 29. Saaddine JB, Cadwell B, Gregg EW, Engelgau MM, Vinicor F, Imperatore G, et al. Improvements in diabetes processes of care and intermediate outcomes: United States, 1988–2002. Ann Intern Med. 2006 Apr; 144(7): 465-74. DOI: 10.7326/0003-4819-144-7-200604040-00005 [ DOI] [ PubMed] 30. Beard, E, Clark, M, Hurel, S, Cooke, D. Do people with diabetes understand their clinical marker of long-term glycemic control (HbA1c levels) and does this predict diabetes self-care behaviours and HbA1c? Patient Educ Couns. 2010; 80(2): 227-32. DOI: 10.1016/j.pec.2009.11.008 [ Article] [ DOI] 31. Al-Khawaldeh OA, Al-Hassan MA, Froelicher ES. Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. J Diabetes Complications. 2012 Jan-Feb; 26(1): 10-16. DOI: 10.1016/j.jdiacomp.2011.11.002 [ DOI] [ PubMed] |
|
| Send email to the article author |
|
|
|
Maleka A, Khosravi S, Charkazi A, Pahlavanzaded B, Khosravi Z, Khosravi M. Relationship between self-care behaviors and glycosylated hemoglobin level in diabetic patients. J Gorgan Univ Med Sci 2020; 22 (4) :84-91 URL: http://goums.ac.ir/journal/article-1-3697-en.html
|
