The Relationship between Self-Care Behaviors and HbA1c 
in Diabetic Patients

A. Mahmoodi, M.Sc.,; M. Alavi, Ph.D.,; N. Mosavi, B.Sc.,

Volume 20, Issue 3 (12-2012) Avicenna J Nurs Midwifery Care 2012, 20(3): 20-30 | Back to browse issues page

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A. Mahmoodi, M.Sc., M. Alavi, Ph.D., N. Mosavi, B.Sc.. The Relationship between Self-Care Behaviors and HbA1c in Diabetic Patients. Avicenna J Nurs Midwifery Care 2012; 20 (3) :20-30
URL: http://nmj.umsha.ac.ir/article-1-1119-en.html

The Relationship between Self-Care Behaviors and HbA1c in Diabetic Patients

A. Mahmoodi, M.Sc.

, M. Alavi, Ph.D.

, N. Mosavi, B.Sc.

Abstract: (15207 Views)

Introduction & Objective:Self-care is one of the most important factors in controlling diabetes. Sometimes self-care is not possible due to certain barriers which inhibit the patient^’s role in controlling the disease. This study aims to identify the barriers against self-care in diabetic patients and to find their associations with diabetes control.

Materials & Methods: The subjects of our study were 225 patients with type II diabetes who were selected randomly. Data gathering devices were demographic and self-care behavior questionnaires with 34 questions about the barriers of self-care behavior scaling from low(1) to high (5). All cases were tested for HbA₁c before entering into the study.

Results: The findings of this study showed that there are different barriers against self-care behavior including high costs of care/management, busy lifestyle, depressive effect of the treatment, forgetfulness, unawareness of the self-care programs, having no tendency toward the program, unawareness of blood glucose test interpretation and disbelief in self-care results. Among the mentioned barriers, cost of management/care (r=0.24) and depression (r=0.21) had significant associations with higher HbA₁c levels.

Conclusion: The result of the study indicates that one of the important factors in successful treatment of diabetic patients is to help them to be active in their self-care. Therefore health care team not only should train them to do self-care properly but also they should guide the patients to remove the barriers to reach the best results.

Keywords: Diabetes / HbA1c / Self-care

Persian Full-Text [PDF 175 kb] (4121 Downloads)

Type of Study: Original Research | Subject: Nursing
Accepted: 2016/02/14 | Published: 2016/02/14

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