Health Behaviour Research Centre, University College London, London, WC1E 7HN, United Kingdom.
Patient Educ Couns. 2010 Aug;80(2):227-32. doi: 10.1016/j.pec.2009.11.008. Epub 2009 Dec 24.
Research demonstrates that patients have a poor understanding of glycosylated haemoglobin A1c (HbA1c) and that this impacts on effective diabetes self-management. This study attempted to replicate these findings in a UK outpatient sample of people with diabetes.
83 participants were recruited and asked to fill in a questionnaire assessing their understanding of HbA1c, diabetes self-care behaviours and diabetes-specific self-efficacy in relation to carrying out these self-care behaviours.
Only 26.5% of the participants were classified as having a good understanding of HbA1c. Correlational and univariate analyses indicated that this level of understanding was related to demographic variables, HbA1c levels and certain aspects of self-care and self-efficacy. A series of multiple regressions found that understanding was a significant predictor of HbA1c levels.
The majority of participants seemed to have a poor understanding of HbA1c and this was related to aspects of their diabetes management, self-efficacy and HbA1c levels.
These findings provide support for the application of programmes and initiatives aimed at improving patients understanding of clinical disease markers.
研究表明，患者对糖化血红蛋白（HbA1c）的理解很差，这会影响糖尿病的有效自我管理。本研究试图在英国门诊糖尿病患者样本中复制这些发现。
招募了 83 名参与者，并要求他们填写一份问卷，评估他们对 HbA1c 的理解、糖尿病自我护理行为以及与执行这些自我护理行为相关的糖尿病特定自我效能感。
只有 26.5%的参与者被归类为对 HbA1c 有良好的理解。相关和单变量分析表明，这种理解水平与人口统计学变量、HbA1c 水平以及某些自我护理和自我效能方面有关。一系列多元回归发现，理解是 HbA1c 水平的一个重要预测因素。
大多数参与者似乎对 HbA1c 的理解很差，这与他们的糖尿病管理、自我效能感和 HbA1c 水平有关。
这些发现为应用旨在提高患者对临床疾病标志物理解的计划和举措提供了支持。
