بررسی ارتباط رفتارهای خود مراقبتی با میزان هموگلوبین ای وان سی بیماران دیابتی

Authors

  • اعظم محمودی,
  • دکتر موسی علوی,
  • نفیسه موسوی,
Abstract:

Introduction & Objective:Self-care is one of the most important factors in controlling diabetes. Sometimes self-care is not possible due to certain barriers which inhibit the patient’s role in controlling the disease. This study aims to identify the barriers against self-care in diabetic patients and to find their associations with diabetes control. Materials & Methods: The subjects of our study were 225 patients with type II diabetes who were selected randomly. Data gathering devices were demographic and self-care behavior questionnaires with 34 questions about the barriers of self-care behavior scaling from low(1) to high (5). All cases were tested for HbA1c before entering into the study. Results: The findings of this study showed that there are different barriers against self-care behavior including high costs of care/management, busy lifestyle, depressive effect of the treatment, forgetfulness, unawareness of the self-care programs, having no tendency toward the program, unawareness of blood glucose test interpretation and disbelief in self-care results. Among the mentioned barriers, cost of management/care (r=0.24) and depression (r=0.21) had significant associations with higher HbA1c levels. Conclusion: The result of the study indicates that one of the important factors in successful treatment of diabetic patients is to help them to be active in their self-care. Therefore health care team not only should train them to do self-care properly but also they should guide the patients to remove the barriers to reach the best results.

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Journal title

volume 20  issue 3

pages  20- 30

publication date 2012-12

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