转诊至伊朗北部阿格卡拉糖尿病诊所的糖尿病患者的一般自我效能感和糖尿病管理自我效能感
General self-efficacy and diabetes management self-efficacy of diabetic patients referred to diabetes clinic of Aq Qala, North of Iran.
作者信息
Dehghan Hajar, Charkazi Abdurrahman, Kouchaki Ghorban Mohammad, Zadeh Bagher Pahlevan, Dehghan Bibi Azizieh, Matlabi Mohammad, Mansourian Morteza, Qorbani Mostafa, Safari Omid, Pashaei Tahereh, Mehr Babak Rastegari
机构信息
Laboratory Sciences Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
Environmental Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
出版信息
J Diabetes Metab Disord. 2017 Feb 15;16:8. doi: 10.1186/s40200-016-0285-z. eCollection 2017.
BACKGROUND
Self-efficacy is one of the factors involved in successful self-care of diabetic patients. The aim of this study was to evaluate general self-efficacy and diabetes management self-efficacy and to determine their association with glycemic control in diabetic individuals, referred to the diabetes clinic of Aq Qala city, North of Iran.
METHODS
In this cross-sectional study, 251 type 2 diabetes mellitus patients were enrolled using census method. Data collection tools consisted of Sherer General Self-Efficacy Scale (SGSES) and Diabetes Management Self-Efficacy Scale (DMSES) with minor demographic adjustments and hemoglobin AC test. Data were analyzed using descriptive statistics and analytical techniques include independent -test, Spearman correlation coefficient and linear regression were applied for further data analysis.
RESULTS
The mean and standard deviation age of subjects was 56.17 ± 10.45 years. The mean level of HbAC of studied subject was 8.35 ± 2.02%. There was a negative correlation between age and general self-efficacy and diabetes self-efficacy while, there was a positive correlation between general self-efficacy and diabetes self-efficacy ( < 0.001). Results of the regression analysis showed that duration of the disease was the only variable which had a significant effect on the level of hemoglobin A1C ( < 0.001), so that for each year of having the disease, the level of hemoglobin AC increased by 0.084% (CI 95% = 0.048-0.121).
CONCLUSIONS
General self-efficacy and diabetes self-efficacy does not affect glycemic control in diabetic individuals. The duration of the disease is the only affecting variable on glycemic control by its worsening in diabetic individuals. Interventions are recommended to help glycemic control in individuals who are having this disease for longer periods. Moreover, further studies on the affecting factors on poor glycemic control of diabetic patients as well as the role of time variable, are recommended.
背景
自我效能感是糖尿病患者成功进行自我护理的因素之一。本研究旨在评估一般自我效能感和糖尿病管理自我效能感，并确定它们与伊朗北部阿格卡拉市糖尿病诊所的糖尿病患者血糖控制之间的关联。
方法
在这项横断面研究中，采用普查方法招募了251例2型糖尿病患者。数据收集工具包括经过轻微人口统计学调整的谢勒一般自我效能量表（SGSES）和糖尿病管理自我效能量表（DMSES）以及糖化血红蛋白检测。数据采用描述性统计进行分析，并应用独立样本t检验、Spearman相关系数和线性回归等分析技术进行进一步数据分析。
结果
受试者的平均年龄和标准差为56.17±10.45岁。研究对象的糖化血红蛋白平均水平为8.35±2.02%。年龄与一般自我效能感和糖尿病自我效能感之间呈负相关，而一般自我效能感和糖尿病自我效能感之间呈正相关（P<0.001）。回归分析结果显示，疾病持续时间是唯一对糖化血红蛋白水平有显著影响的变量（P<0.001），即每患糖尿病一年，糖化血红蛋白水平升高0.084%（95%置信区间=0.048-0.121）。
结论
一般自我效能感和糖尿病自我效能感不会影响糖尿病患者的血糖控制。疾病持续时间是糖尿病患者血糖控制的唯一影响变量，其病情恶化会影响血糖控制。建议采取干预措施帮助病程较长的患者控制血糖。此外，建议进一步研究糖尿病患者血糖控制不佳的影响因素以及时间变量的作用。
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