The relationship between self-care activities, social support, and glycemic control in primary healthcare patients with type 2 diabetes.

IF 1.3 Q4 ENDOCRINOLOGY & METABOLISM

Diabetology International Pub Date : 2023-01-01 DOI:10.1007/s13340-022-00598-7

Hala Mohamed El-Radad, Hazem A Sayed Ahmed, Nahed Amen Eldahshan

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引用次数: 5

Abstract

Objective: Egyptian studies in assessing the relationship between diabetes self-care, social support, and glycemic control in primary healthcare (PHC) are limited. Therefore, this study aimed to assess this relationship, and to evaluate the associated factors of diabetes self-care, social support, and glycemic control in Egyptian PHC patients with type 2 diabetes (T2DM).

Methods: A cross-sectional study was conducted on 320 T2DM patients at four PHC settings in Port Said city, affiliated with the General Authority of Healthcare. A semi-structured questionnaire was used to collect data, including demographic characteristics, socioeconomic status scale, disease profile, the Arabic versions of the Summary of Diabetes Self-Care Activities, and the received social support scales. Data were collected from January 2020 to June 2020.

Results: Diabetes self-care activities, and self-monitoring of blood glucose had a very weak negative correlations with glycated hemoglobin (HbA1c) levels (rho = - 0.125, p = 0.025, rho = - 0.112, p = 0.044, respectively). Receiving social support on following a meal correlated positively and very weakly with HbA1c levels (rho = 0.145, p = 0.010). Hardly positive correlation was found between receiving emotional support on feelings about diabetes, and following a specific diet (rho = 0.169, p = 0.002). Diabetes self-care activities were positively associated with higher education levels, and elevated BMI. Received social support was negatively associated with having coronary artery disease, and marital status e.g. divorced and widow. Increased age, and female gender were the predictors of good glycemic control.

Conclusion: Diabetes self-care activities were linked with reduced HBA1c levels. Further studies are needed to evaluate the buffering effect of social support on glycemic outcomes in PHC patients with T2DM.

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初级保健2型糖尿病患者自我保健活动、社会支持与血糖控制的关系

目的:埃及在初级保健(PHC)中评估糖尿病自我保健、社会支持和血糖控制之间关系的研究是有限的。因此，本研究旨在评估这种关系，并评估埃及PHC合并2型糖尿病(T2DM)患者糖尿病自我护理、社会支持和血糖控制的相关因素。方法:对塞得港市隶属于卫生保健总局的四家初级保健机构的320例T2DM患者进行横断面研究。采用半结构化问卷收集数据，包括人口统计学特征、社会经济地位量表、疾病概况、阿拉伯语版《糖尿病自我护理活动摘要》和获得的社会支持量表。数据收集时间为2020年1月至2020年6月。结果:糖尿病自我护理活动、自我血糖监测与糖化血红蛋白(HbA1c)水平呈极弱负相关(rho = - 0.125, p = 0.025, rho = - 0.112, p = 0.044)。餐后获得社会支持与HbA1c水平呈极弱正相关(rho = 0.145, p = 0.010)。在糖尿病感受方面接受情感支持与遵循特定饮食之间几乎没有正相关(rho = 0.169, p = 0.002)。糖尿病自我保健活动与高等教育水平和高BMI呈正相关。接受社会支持与患冠状动脉疾病和婚姻状况(如离婚和寡妇)呈负相关。年龄增加和女性是血糖控制良好的预测因素。结论:糖尿病自我护理活动与降低HBA1c水平有关。需要进一步的研究来评估社会支持对PHC合并T2DM患者血糖结局的缓冲作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetology International ENDOCRINOLOGY & METABOLISM-

CiteScore

3.90

自引率

4.50%

发文量

期刊介绍： Diabetology International, the official journal of the Japan Diabetes Society, publishes original research articles about experimental research and clinical studies in diabetes and related areas. The journal also presents editorials, reviews, commentaries, reports of expert committees, and case reports on any aspect of diabetes. Diabetology International welcomes submissions from researchers, clinicians, and health professionals throughout the world who are interested in research, treatment, and care of patients with diabetes. All manuscripts are peer-reviewed to assure that high-quality information in the field of diabetes is made available to readers. Manuscripts are reviewed with due respect for the author''s confidentiality. At the same time, reviewers also have rights to confidentiality, which are respected by the editors. The journal follows a single-blind review procedure, where the reviewers are aware of the names and affiliations of the authors, but the reviewer reports provided to authors are anonymous. Single-blind peer review is the traditional model of peer review that many reviewers are comfortable with, and it facilitates a dispassionate critique of a manuscript.