Relationship between self care management with glycemic control in type 2 diabetic patients

Abstract

Background: The purpose of this study was to investigate the relationship between self-care management and HbA1c level of the patients with type 2 diabetes in YAZD. Methods: This study was a cross-sectional study. The number of 376 diabetic patients referred to the Diabetes Research Center in Yazd entered the study. The data collection tool was a summary of Diabetes Self Care Activity questionnaire (SDSCA), which was collected through interviews with patients. Data analysis was performed using SPSS software V 16 and kruskalwallis and independent sample t tests. Results: The results showed that of 376 patients, 218 (%58) were women and 158 (%42) were male. The mean age of the participants in the study was 54.5 ± 10.9 years old and the mean duration of the disease was 9.53 ± 8.39 years. The mean HbA1C in the patients was 7.93% ± 1.38%. The mean of BMI was 28.93 ± 6 kg/ m 2 . The mean of self-care score in the patients under study was 30.53 ± 11.4. There was a significant relationship between the mean of self-care score, BMI, age and HbA1C ( P value <0.05). Conclusions: According to the results of the study, it can be concluded that the level of self-care in patients with controlled diabetes mellitus (HbA1C <7%) is more than patients with uncontrolled diabetes mellitus (HbA1c ≥9%).

Interplay of self-care, self-efficacy, and health deviation self-care requisites: a study on type 2 diabetes patients through the lens of Orem’s self-care theory

“…This suggested that SCB depended on various factors besides marital status. However, Abate et al [ 36 ] and Modaresi et al [ 37 ] reported significant associations between marital status and SCB, which contradicted our findings. This inconsistency might be due to the differences in the sample characteristics and the proportion of single and married patients.…”

“…Although patients became more experienced and empowered in self-care over time, the chronicity of the disease caused physical and psychological complications and reduced the patient’s adherence to self-care activities. However, Modaresi et al [ 37 ] found a significant association between SCB and duration of disease in diabetic patients, which differed from our findings. This difference might be explained by the shorter duration of disease (< 1 year) and the lower mean age of the participants (2.2 years) in Modaresi’s study.…”

“…This was in line with our results, Ishak et al [ 33 ] also did not find a significant association between SCB and treatment type -with or without insulin-. However, Modaresi et al [ 37 ] found a significant relationship between SCB and treatment type, which opposed our findings. This difference might be due to the different assessment tools or patient characteristics, such as in Modaresi’s study, 45.7% of patients used insulin injections, while only 9.1% did so in our study, and the rest used diet and oral medications.…”

“…The self-care scores decreased with increasing age, but the difference was not statistically significant among the age groups in terms of SCB. This was in line with Modaresi et al’s [ 37 ] findings. In the present study, there was no significant association between SCB and duration of disease; longer disease duration did not result in better SCB in patients.…”

Holistic care management of diabetes mellitus: An integrative review

“…Self-management start from the patients and for the patients, it gives meaningful experience to the patients that would give a positive impact to controlled the diabetes. [ 21 22 ] Those also give positive impact to the healthcare teams that had more self-confidence in supplying patients and families with support and touch. Health care support encourages regular contact and interaction with patients, families, and providers in health care in order to facilitate better management results.…”