General self-efficacy and diabetes management self-efficacy of diabetic patients referred to diabetes clinic of Aq Qala, North of Iran

被引：33

作者：

Dehghan H. ^{[1
]}

Charkazi A. ^{[2
]}

Kouchaki G.M. ^{[1
]}

Zadeh B.P. ^{[3
]}

Dehghan B.A. ^{[4
]}

Matlabi M. ^{[5
]}

Mansourian M. ^{[6
,7
]}

Qorbani M. ^{[8
,9
]}

Safari O. ^{[10
]}

Pashaei T. ^{[11
]}

Mehr B.R. ^{[12
]}

机构：

[1] Golestan University of Medical Sciences, Laboratory Sciences Research Center, Gorgan

[2] Golestan University of Medical Sciences, Environmental Health Research Center, Gorgan

[3] School of Allied Medical Sciences, ShahidBeheshti University of Medical Sciences, Department of Biostatistics, Tehran

[4] Golestan University of Medical Sciences, AleJalil Hospital, AqQala Health Center, AqQala

[5] School of Health, Gonabad University of Medical Sciences, Public Health Department, Gonabad

[6] Iran University of Medical Sciences, Health Management and Economics Research Center, Tehran

[7] Iran University of Medical Sciences, Department of Health Education and Promotion, Tehran

[8] Alborz University of Medical Sciences, Non-communicable Diseases Research Center, Karaj

[9] Tehran University of Medical Sciences, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran

[10] School of Medicine, Alborz University of Medical Sciences, Departments of Pediatrics, Karaj

[11] Kurdistan University of Medical Sciences, Social Determinants of Health Research Center and Public Health Department, Sanandaj

[12] Abadan School of Medical Sciences, Abadan

来源：

Journal of Diabetes & Metabolic Disorders | / 16卷 / 1期

关键词：

Aq Qala; Diabetes; Diabetes self-efficacy; Glycemic control;

D O I：

10.1186/s40200-016-0285-z

中图分类号：

学科分类号：

摘要：

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 A1C test. Data were analyzed using descriptive statistics and analytical techniques include independent t-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 HbA1C 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 (P < 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 (P < 0.001), so that for each year of having the disease, the level of hemoglobin A1C 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. © 2017 The Author(s).

引用

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