دوره 14، شماره 1 - ( 12-1404 )
جلد 14 شماره 1 صفحات 74-65 |
برگشت به فهرست نسخه ها
Ethics code: IR.MAZUMS.IMAMHOSPITAL.REC. 1402.101
Clinical trials code: 1
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Zarrinkamar M, Alinejad E, Kashi Z, Geran M, Khosravi P, Arab R K et al . Assessment of Poor Glycemic Control and Associated Factors in Type 2 Diabetes Patients at Comprehensive Health Centers, Qaemshahr City, Iran, in 2023. Iran J Health Sci 2026; 14 (1) :65-74
URL: http://jhs.mazums.ac.ir/article-1-1056-fa.html
URL: http://jhs.mazums.ac.ir/article-1-1056-fa.html
Assessment of Poor Glycemic Control and Associated Factors in Type 2 Diabetes Patients at Comprehensive Health Centers, Qaemshahr City, Iran, in 2023. علوم بهداشتی ایران. 1404; 14 (1) :65-74
چکیده: (30 مشاهده)
Background and Purpose: Between 40% and 60% of patients worldwide have poorly controlled diabetes. Although blood glucose control is the main goal of treatment, it is not achieved in most patients. Identifying factors related to poor control is essential for effective management. To investigate the prevalence of poor glycemic control and its associated factors in patients with type 2 diabetes living in Qaemshahr City, Iran, in 2023.
Materials and Methods: A cross-sectional descriptive-analytical study was conducted employing multistage sampling. Data were collected from 642 patients with type 2 diabetes using fasting blood glucose (FBG) and HbA1c measurements. The diabetes self-care activities questionnaire and the Morisky medication adherence scale (MMAS-8) were used to assess self-care and medication adherence, respectively. Data were analyzed using SPSS software, version 19, with descriptive and inferential statistics. First, the data’s normality was assessed using the Kolmogorov-Smirnov test. For variables that did not follow a normal distribution, the nonparametric Mann-Whitney test was used; for qualitative variables, the chi-square test was used. The significance level was set at P<0.05.
Results: A total of 642 participants took part in this study. The prevalence of controlled blood glucose was 45.3%. Significant associations were found between glycemic control and education level, residence, insurance type, medication type, glucometer use, and regular visits to physicians and health caregivers (P<0.05). Medication adherence was high in 194 patients (30%), while optimal self-care was observed in only 52(8%). Self-care was significantly associated with HbA1c levels (P=0.001), family size, living arrangements, and the presence of diabetic complications. No significant association was observed between self-care and age, gender, or education level.
Conclusion: Despite good medication adherence in some patients, the low rate of optimal self-care underscores the need for continuous education and counseling to improve comprehensive diabetes management and prevent complications. Sole reliance on medication adherence is insufficient to ensure health outcomes.
Materials and Methods: A cross-sectional descriptive-analytical study was conducted employing multistage sampling. Data were collected from 642 patients with type 2 diabetes using fasting blood glucose (FBG) and HbA1c measurements. The diabetes self-care activities questionnaire and the Morisky medication adherence scale (MMAS-8) were used to assess self-care and medication adherence, respectively. Data were analyzed using SPSS software, version 19, with descriptive and inferential statistics. First, the data’s normality was assessed using the Kolmogorov-Smirnov test. For variables that did not follow a normal distribution, the nonparametric Mann-Whitney test was used; for qualitative variables, the chi-square test was used. The significance level was set at P<0.05.
Results: A total of 642 participants took part in this study. The prevalence of controlled blood glucose was 45.3%. Significant associations were found between glycemic control and education level, residence, insurance type, medication type, glucometer use, and regular visits to physicians and health caregivers (P<0.05). Medication adherence was high in 194 patients (30%), while optimal self-care was observed in only 52(8%). Self-care was significantly associated with HbA1c levels (P=0.001), family size, living arrangements, and the presence of diabetic complications. No significant association was observed between self-care and age, gender, or education level.
Conclusion: Despite good medication adherence in some patients, the low rate of optimal self-care underscores the need for continuous education and counseling to improve comprehensive diabetes management and prevent complications. Sole reliance on medication adherence is insufficient to ensure health outcomes.
نوع مطالعه: پژوهشي |
موضوع مقاله:
مدیریت خدمات بهداشتی درمانی
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