Hammad Sawsan, Darawad Muhammad, Hourani Eman, Demeh Waddah
Dept. of Community Health Nursing, Faculty of Nursing, the University of Jordan, Amman, Jordan.
Dept. of Clinical Nursing, Faculty of Nursing, the University of Jordan, Amman, Jordan.
Iran J Public Health. 2015 Nov;44(11):1482-91.
We explored the level of Jordanian patients' knowledge, diabetes related distress, self-management activities and these effects on the A1C level.
This descriptive cross-sectional correlational design (conducted in 2013) was utilized to recruit 289 diabetic patients from outpatient diabetes clinics, using self-reported questionnaires (Diabetes Knowledge Test, Diabetes Distress Scale, and Diabetes Self-Management Questionnaire) in addition to chart review for selected variables.
Participants' had mean glycated hemoglobin of 7.88%. Good glycemic control was significantly associated with higher self-management activities (r= -.147), high income (r= -.171), older age (r= -.252), shorter duration of illness (r= .153), and low levels of distress. Despite these relationships only age, duration of illness and income significantly predicted A1C (F (5, 284) = 11.57, P<.001, R (2) = .17). Further, diabetes knowledge, diabetes-related distress, and self-management could not predict A1C level.
Only diabetes-related distress and self-management correlated with patients' A1C, with no predictive power. Thus, further research is required to shed the light on the large unexplained components of the A1C variance.
我们探究了约旦患者的知识水平、糖尿病相关困扰、自我管理活动以及这些因素对糖化血红蛋白（A1C）水平的影响。
本描述性横断面相关性设计（于2013年开展）通过自我报告问卷（糖尿病知识测试、糖尿病困扰量表和糖尿病自我管理问卷），并结合对选定变量的病历审查，从门诊糖尿病诊所招募了289名糖尿病患者。
参与者的糖化血红蛋白平均水平为7.88%。良好的血糖控制与较高的自我管理活动（r = -0.147）、高收入（r = -0.171）、年龄较大（r = -0.252）、病程较短（r = 0.153）以及低困扰水平显著相关。尽管存在这些关系，但只有年龄、病程和收入能显著预测糖化血红蛋白水平（F(5, 284) = 11.57，P <.001，R(2) = 0.17）。此外，糖尿病知识、糖尿病相关困扰和自我管理无法预测糖化血红蛋白水平。
只有糖尿病相关困扰和自我管理与患者的糖化血红蛋白相关，但无预测能力。因此，需要进一步研究以阐明糖化血红蛋白变异中大量无法解释的部分。
