Tol Azar, Sharifirad Gholamreza, Shojaezadeh Davoud, Tavasoli Elahe, Azadbakht Leila
Department of Health Education and Promotion, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2013 Feb 28;2:12. doi: 10.4103/2277-9531.108009. eCollection 2013.
Considering the effect of socio-economic factors on the emergence of chronic diseases and the importance of this aspect of diseases for policy makers and authorities of health care organizations, this study tried to investigate the role of these factors in type 2 diabetes and its consequences, which can be used in health policy making for preventing from this disease.
This descriptive-analytical study was conducted on 384 diabetic patients who were admitted to a diabetes center in the city of Isfahan. The participants were selected using simple random sampling. A questionnaire with 42 questions was used for gathering the data which were analyzed using chi-square and Fisher's statistical tests.
The studied population consisted of 52.1% male and 47.9% female participants. There was a statistically significant relationship between diabetes complications, age group, educational level, job status, relationship with family members, number of family visits and the reassurance provided by the family, type of leisure time activities, health status, years with diabetes, smoking, type of treatment, fried food consumption and income (P < 0.001), sense of security and communication in living environment (P < 0.002) and daily intake of vegetables (P < 0.02).
It seems that the application of supportive resources and secondary strategies is an essential issue in the patients with chronic diseases, particularly diabetes. Empowering strategies can induce basic changes in order to increase positive expectations, hope, self-esteem and self- confidence in patients; this is the exact strategy which must be used to efficiently control diabetes and its different types of complications among patients.
考虑到社会经济因素对慢性病发生的影响以及疾病的这一方面对医疗保健组织的政策制定者和当局的重要性，本研究试图调查这些因素在2型糖尿病及其后果中的作用，这可用于预防该疾病的卫生政策制定。
本描述性分析研究对384名入住伊斯法罕市糖尿病中心的糖尿病患者进行。参与者采用简单随机抽样选取。使用一份包含42个问题的问卷收集数据，并使用卡方检验和费舍尔统计检验进行分析。
研究人群中男性占52.1%，女性占47.9%。糖尿病并发症、年龄组、教育水平、工作状况、与家庭成员的关系、家庭探访次数和家庭给予的安心感、休闲活动类型、健康状况、患糖尿病年限、吸烟情况、治疗类型、油炸食品摄入量和收入之间存在统计学上的显著关系（P < 0.001），生活环境中的安全感和沟通（P < 0.002）以及蔬菜的每日摄入量（P < 0.02）。
似乎应用支持性资源和二级策略对于慢性病患者，尤其是糖尿病患者来说是一个至关重要的问题。赋权策略可以引发根本性变化，以增加患者的积极期望、希望、自尊和自信；这正是必须用于有效控制患者糖尿病及其不同类型并发症的策略。
