|The Relationship of Self-efficacy and Demographic Characteristics with Blood Glucose Control in Iranian Older Adults with Diabetes Type II: A cross-sectional Study|
|Shirin Azadi1, Faranak Jabbarzadeh1, Nasser Aghamohammadzadeh2, Parvin Sarbakhsh3, Fariborz Roshangar1|
|1Department of Nursing ,Tabriz Faculty of Nursing and Midwifery, Tabriz, Iran
2Endocrine Research Center of Tabriz University of Medical Sciences, Tabriz, Iran
3Department of Statistics and Epidemiology, School of Public Health, Tabriz University of Medical SciencesTabriz, Iran
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Keywords : Self-Efficacy, Glycosylated Hemoglobin, Demographic Characteristics, Diabetes Type II
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Objectives: The present study was conducted to investigate the relationship of self-efficacy and demographic characteristics with blood glucose control in older patients with diabetes type II presenting to an endocrinology clinic in the northwest of Iran and divided into a controlled and an uncontrolled group.
Materials and Methods: This descriptive cross-sectional study was conducted using random sampling. A total of 290 eligible volunteers participated in the research from November to March 2016. The Diabetes Management Self-Efficacy Scale (DMSES) and demographic information form were completed by face-to-face interviews. Based on the HbA1C level, the patients were assigned to controlled (HbA1c<7) and uncontrolled (HbA1c>7) groups. Data were analyzed in SPSS.
Results: The results showed a significant difference between the two groups in the mean self-efficacy scores, after adjusting for the blood glucose control confounding variables (P≤0.05). Moreover, all the dimensions of participants' self-efficacy scores had significant relationships with the glycosylated hemoglobin level (P≤0.05). In terms of personal details, variables including the time since diagnosis with diabetes, education and economic status had significant relationships with blood glucose control (P≤0.05).
Conclusions: Also, the economic status, education and time since diagnosis with diabetes affected diabetes control. Performing interventions to improve the self-efficacy and well-being of these patients thus improves their self-care and blood glucose control.
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