PDF(Pubmed)
Abstract：
BACKGROUND: Self-care practices in diabetes patients are crucial to keep the illness under control and prevent complications. Effective management of diabetes will be a difficult task without an adequate understanding of the current level of practice related to diabetes self-care. Therefore, this study aims to assess the factors affecting the self-care behaviors of patients with type II diabetes and the role of demographic variables in Iran.
METHODS: The present study is a descriptive-analytical study that was designed and conducted in 2022. This study population was type II diabetic patients at the Diabetes Research Center of Ayatollah Taleghani Hospital in Kermanshah who were selected by available sampling method of 280 samples. Data collection tools included demographic characteristics questionnaire and standard self-care questionnaire for the Glasgow and Toobert diabetic patients. Data were analyzed using SPSS-23 software, independent t-tests, one-way analysis of variance, and stepwise regression.
RESULTS: The mean of self-care scores was 2.07 ± 2.08 and indicated an unfavorable condition. The highest mean scores of self-care were in the field of regular use of medications, and the lowest scores were in the field of blood-glucose testing. The mean scores of self-care were significantly different based on marital status, occupation status, residence, type of treatment, duration of diabetes, years, smoking status (P < 0.05). Regression results showed that the variables predictors; type of treatment, smoking status, the complication of diabetes, education level status, place of residence explained 515% of the variance of self-care.
CONCLUSIONS: The study showed that the extent to which individuals adhere to type II diabetes recommended management is substantially low. Improving awareness of patients and the community at large is imperative, especially on the diet, exercise, blood-glucose testing, foot care, and no smoking.
METHODS: The present study is a descriptive-analytical study that was designed and conducted in 2022. This study population was type II diabetic patients at the Diabetes Research Center of Ayatollah Taleghani Hospital in Kermanshah who were selected by available sampling method of 280 samples. Data collection tools included demographic characteristics questionnaire and standard self-care questionnaire for the Glasgow and Toobert diabetic patients. Data were analyzed using SPSS-23 software, independent t-tests, one-way analysis of variance, and stepwise regression.
RESULTS: The mean of self-care scores was 2.07 ± 2.08 and indicated an unfavorable condition. The highest mean scores of self-care were in the field of regular use of medications, and the lowest scores were in the field of blood-glucose testing. The mean scores of self-care were significantly different based on marital status, occupation status, residence, type of treatment, duration of diabetes, years, smoking status (P < 0.05). Regression results showed that the variables predictors; type of treatment, smoking status, the complication of diabetes, education level status, place of residence explained 515% of the variance of self-care.
CONCLUSIONS: The study showed that the extent to which individuals adhere to type II diabetes recommended management is substantially low. Improving awareness of patients and the community at large is imperative, especially on the diet, exercise, blood-glucose testing, foot care, and no smoking.
摘要：
背景：糖尿病患者的自我护理实践对于控制疾病和预防并发症至关重要。如果不充分了解与糖尿病自我护理相关的当前实践水平，有效管理糖尿病将是一项艰巨的任务。因此,本研究旨在评估影响伊朗II型糖尿病患者自我护理行为的因素以及人口统计学变量的作用.
方法：本研究是一项描述性分析研究，于2022年设计和进行。本研究人群是克尔曼沙阿亚图拉·塔莱加尼医院糖尿病研究中心的II型糖尿病患者，他们是通过现有的280个样本抽样方法选择的。数据收集工具包括格拉斯哥和Toobert糖尿病患者的人口统计学特征问卷和标准自我护理问卷。数据采用SPSS-23软件进行分析。独立t检验，单向方差分析，和逐步回归。
结果：自我护理平均评分为2.07±2.08，表明情况不利。自我护理平均得分最高的是经常使用药物，得分最低的是血糖检测领域.根据婚姻状况，自我护理的平均得分有显著差异，职业状况,residence,治疗类型,糖尿病的持续时间，年,吸烟状况(P<0.05)。回归结果表明，变量预测因子；治疗类型，吸烟状况,糖尿病的并发症，教育水平状况,居住地解释了515%的自我护理差异。
结论：研究表明，个人坚持II型糖尿病推荐治疗的程度相当低。提高患者和整个社区的意识势在必行，尤其是在饮食方面，锻炼,血糖检测,足部护理,不吸烟。
方法：本研究是一项描述性分析研究，于2022年设计和进行。本研究人群是克尔曼沙阿亚图拉·塔莱加尼医院糖尿病研究中心的II型糖尿病患者，他们是通过现有的280个样本抽样方法选择的。数据收集工具包括格拉斯哥和Toobert糖尿病患者的人口统计学特征问卷和标准自我护理问卷。数据采用SPSS-23软件进行分析。独立t检验，单向方差分析，和逐步回归。
结果：自我护理平均评分为2.07±2.08，表明情况不利。自我护理平均得分最高的是经常使用药物，得分最低的是血糖检测领域.根据婚姻状况，自我护理的平均得分有显著差异，职业状况,residence,治疗类型,糖尿病的持续时间，年,吸烟状况(P<0.05)。回归结果表明，变量预测因子；治疗类型，吸烟状况,糖尿病的并发症，教育水平状况,居住地解释了515%的自我护理差异。
结论：研究表明，个人坚持II型糖尿病推荐治疗的程度相当低。提高患者和整个社区的意识势在必行，尤其是在饮食方面，锻炼,血糖检测,足部护理,不吸烟。
