Jahanlou Alireza Shahab, Alishan Karami Nader
Health Education Unit, Cardiovascular Research Center, Hormozgan University of Medical Sciences, Hormozgan, Iran.
Acta Med Iran. 2011;49(3):153-8.
Illiteracy in studies on quality of life (QOL) and self-efficacy (SE) of diabetic patients has been ignored. Illiteracy and diabetes have high rates in developing countries. The aim of this study was to identify the effect of literacy level on health outcomes. To achieve this, we studied health outcomes such as SE, self-management behaviors and Health-Related Quality of Life (HRQOL) in diabetic patients. A cross-sectional study was carried out in an Iranian urban federally-funded diabetes clinic (with 1400 diabetes patients) in Bandar Abbas, a city located in south of Iran. 256 Non Insulin Dependent Diabetic Mellitus patients were chosen during June, July and August 2007. Patients were grouped as illiterates, low-literates and literates. SE and QOL were measured by standard questionnaires. HbA1C was measured by calorimetric method. Data was collected with interview. Data analysis was carried out with one way ANOVA Post Hoc, and bivariate analysis method. Literacy level among the three groups from the view points of age, physical domain, psychological domain, environmental domain and SE were significant. There was no significant difference for the level of HbA1C among three groups. Literacy level does not have any effects on glycemic control. There is a strong relationship between self-efficacy and QOL domains.
糖尿病患者生活质量（QOL）和自我效能感（SE）研究中的文盲问题一直被忽视。在发展中国家，文盲率和糖尿病发病率都很高。本研究的目的是确定识字水平对健康结果的影响。为了实现这一目标，我们研究了糖尿病患者的自我效能感、自我管理行为和健康相关生活质量（HRQOL）等健康结果。在伊朗南部城市阿巴斯港一家由联邦政府资助的城市糖尿病诊所（有1400名糖尿病患者）进行了一项横断面研究。在2007年6月、7月和8月期间选取了256名非胰岛素依赖型糖尿病患者。患者被分为文盲组、低识字组和识字组。自我效能感和生活质量通过标准问卷进行测量。糖化血红蛋白（HbA1C）通过比色法测量。通过访谈收集数据。采用单因素方差分析事后检验和双变量分析方法进行数据分析。从年龄、身体领域、心理领域、环境领域和自我效能感的角度来看，三组之间的识字水平存在显著差异。三组之间的糖化血红蛋白水平没有显著差异。识字水平对血糖控制没有任何影响。自我效能感与生活质量领域之间存在密切关系。
