Morowatisharifabad M, Mazloomy Mahmoodabad S, Baghianimoghadam M, Rouhani Tonekaboni N
Dept. of Health Education. School of Health, Yazd Shahid Sdooghi University of Medical Sciences and Health Services, Iran.
J Res Health Sci. 2009 Jun 28;9(1):37-44.
Adequate self-care in diabetes causes quality of life promotion and decreases the number of inpatient cases. The health locus of control theory is used to assess adherence to diabetes regimen in some studies in developed countries. The purpose of this study was to determine the status of diabetes locus of control in a sample of diabetic patients in Iran and investigation of it's relationship to adherence to diabetes regimen.
This analytical and cross-sectional study was carried out on 120 patients referred to Yazd Diabetes Research Center. The Iranian versions of Diabetes Locus of Control scale and Diabetes Selfcare Activities scale were used for data collection.
Men were more internal locus of control and women were more chance locus of control. The attributions of external locus of control increased by age, while the internal locus of control increased by education level and chance locus of control decreased by education level. A positive association between internal locus of control and adherence to diabetes regimen was found and there was a negative association between chance locus of control and adherence to diabetes regimen.
Findings suggest that interventions aimed at improving internal locus of control may improve adherence to diabetes regimen but different diabetic patients have different attribution styles and interventional programs to enhance diabetes self-care will be more successful if patient's locus of control is addressed.
糖尿病患者进行充分的自我护理可提高生活质量并减少住院病例数。在一些发达国家的研究中，健康控制点理论被用于评估糖尿病治疗方案的依从性。本研究的目的是确定伊朗糖尿病患者样本中糖尿病控制点的状况，并调查其与糖尿病治疗方案依从性的关系。
本分析性横断面研究对转诊至亚兹德糖尿病研究中心的120名患者进行。使用伊朗版的糖尿病控制点量表和糖尿病自我护理活动量表收集数据。
男性的内控点更多，女性的机遇控制点更多。外控点的归因随年龄增加，而内控点随教育水平增加，机遇控制点随教育水平降低。发现内控点与糖尿病治疗方案依从性呈正相关，机遇控制点与糖尿病治疗方案依从性呈负相关。
研究结果表明，旨在改善内控点的干预措施可能会提高糖尿病治疗方案的依从性，但不同的糖尿病患者有不同的归因方式，如果考虑患者的控制点，增强糖尿病自我护理的干预方案将更成功。
