Mansour-Ghanaei Roya, Joukar Farahnaz, Soati Fatemeh, Khanegha Atefeh Ghanbari
Gastrointestinal & Liver Diseases Research Center (GLDRC), Guilan University (Medical Sciences) Rasht, Iran.
Int J Clin Exp Med. 2013 Jun 26;6(6):470-7. Print 2013.
This survey was designed to determine the association between knowledge, locus of control and health belief with self-management, Hb A1c level and Number of attendances in type 1 diabetic patients in Rasht, Guilan Province - North of Iran. Data was derived from chart reviews of 92 patients. Patients' glycosylated hemoglobin level and their number of health care attendances during the last 6 months were recorded. The four part questionnaires covered patients' demographic data, knowledge, perceived control and health belief of diabetes. A blood sample was taken from each patient. There was no significant relationship between demographic data such as gender, age, marital status, education, occupation, duration of the disease, place of living and family history with knowledge, health belief and locus of control (P > 0.05). Also the results didn't show any significant association between the complicated group and their knowledge and health belief (P > 0.05) while it was significantly related to their locus of control (P < 0.004). The majority of the samples had poor knowledge (59.8%), health belief (71.7%) and locus of control (62%). There was no significant relationship between patients' knowledge, health belief and locus of control with their glycosylated hemoglobin level, number of referrals and self-management. It is suggested by the present survey that locus of control, health belief and knowledge of patients are not found to have no practical effect upon diabetic self-management behavior or outcomes, according to the variables used and care for the diabetic patients must be tailored to individual requirements.
本次调查旨在确定伊朗北部吉兰省拉什特市1型糖尿病患者的知识、控制点和健康信念与自我管理、糖化血红蛋白水平及就诊次数之间的关联。数据来源于对92例患者的病历回顾。记录了患者的糖化血红蛋白水平及其在过去6个月内的医疗就诊次数。这份四部分的问卷涵盖了患者的人口统计学数据、糖尿病知识、感知控制和健康信念。从每位患者身上采集了血样。性别、年龄、婚姻状况、教育程度、职业、病程、居住地点和家族史等人口统计学数据与知识、健康信念和控制点之间无显著关系(P>0.05)。此外,结果显示并发症组与其知识和健康信念之间无显著关联(P>0.05),而与他们的控制点显著相关(P<0.004)。大多数样本的知识水平较差(59.8%)、健康信念较差(71.7%)以及控制点较差(62%)。患者的知识、健康信念和控制点与糖化血红蛋白水平、转诊次数和自我管理之间无显著关系。本次调查表明,根据所使用的变量,未发现患者的控制点、健康信念和知识对糖尿病自我管理行为或结果没有实际影响,对糖尿病患者的护理必须根据个体需求进行调整。