Exploring the Relationship between Attitudes and Blood Glucose Control among Patients with Type 2 Diabetes Mellitus in Chamchamal Town, Kurdistan, Iraq
DOI:
https://doi.org/10.21928/uhdjst.v7n1y2023.pp82-91Keywords:
Attitude, Type 2 diabetes mellitus, Blood glucose control, Diabetic complications, Self-care managementAbstract
Background: Diabetes mellitus type 2 is an endocrine disorder characterized by a progressive elevation in blood glucose levels. It is a persistent and incapacitating illness that may result in mortality if not properly managed. Objectives: The objective of this research is to explore the relationship between the attitudes of individuals with type 2 diabetes mellitus and their ability to regulate blood glucose levels. In particular, the study aims to investigate the potential correlation between participants’ attitudes and their capacity to manage blood glucose levels following their participation in an educational program. Moreover, the research seeks to analyze the association between individuals’ attitudes and diabetes control. Ultimately, the study intends to evaluate the levels of participants’ attitudes through appropriate measures. Materials and Methods: The study is designed as a cross-sectional investigation and utilizes data from a diabetic outpatient center in Chamchamal. The study population consists of outpatients from the evening public clinic and chronic disease control center. Participants are required to complete questionnaires on their diabetes attitude. The study was conducted between August 11, 2019, and January 5, 2022. To explore the efficacy of the attitude with diabetes control, we used a correlation coefficient test and a t-test with P-value of 0.05 as our alpha level of significance. Results and Conclusion: The study found that the majority of patients with type 2 diabetes mellitus had low levels of educational attainment, were married and had insufficient monthly income. In addition, 85% of the patients reported not smoking, and 48.3% were classified as overweight. These findings highlight the need for health-care providers to consider sociodemographic factors in the management of diabetes mellitus.
References
R. M. Anderson and M. M. Funnell. “Patient empowerment: Myths and misconceptions”. Patient Education and Counseling, vol. 79, no. 3, pp. 277-282, 2010.
M. P. Fransen, C. von Wagner and M. L. Essink-Bot. “Diabetes self-management in patients with low health literacy: Ordering findings from literature in a health literacy framework”. Patient Education and Counseling, vol. 88, no. 1, pp. 44-53, 2012.
A. G. Brega, A. Ang, W. Vega, L. Jiang, J. Beals, C. M. Mitchell, K. Moore, S. M. Manson, K. J. Acton, Y. Roubideaux and Special Diabetes Program for Indians Healthy Heart Demonstration Project. “Mechanisms underlying the relationship between health literacy and glycemic control in American Indians and Alaska Natives”. Patient Education and Counseling, vol. 88, no. 1, pp. 61- 68, 2012.
G. Danaei, M. M. Finucane, Y. Lu, G. M. Singh, M. J. Cowan, C. J. Paciorek, J. K. Lin, F. Farzadfar, Y. H. Khang, G. A. Stevens, M. Rao, M. K. Ali, L. M. Riley, C. A. Robinson and M. Ezzati. “National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: Systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants”. Lancet, vol. 378, no. 9785, pp. 31-40, 2011.
A. Bener, E. J. Kim, F. Mutlu, A. Eliyan, H. Delghan, E. Nofal, L. Shalabi and N. Wadi. “Burden of diabetes mellitus attributable to demographic levels in Qatar: An emerging public health problem”. Diabetes and Metabolic Syndrome, vol. 8, no. 4, pp. 216-220, 2014.
World Health Organization. “Diabetes”. Available from: https://www. who.int/news-room/fact-sheets/detail/diabetes [Last accessed on 2023 Feb 28].
L. Adam, C. O'Connor and A. C. Garcia, “Evaluating the Impact of Diabetes Self-Management Education Methods on Knowledge, Attitudes and Behaviors of Adult Patients with Type 2 Diabetes Mellitus,” Canadian Journal of Diabetes, vol. 42, no. 5, pp. 470- 477, 2018.
R. E. Soccio, R. M. Adams, M. J. Romanowski, E. Sehayek, S. K. Burley and J. L. Breslow. “The cholesterol-regulated StarD4 gene encodes a StAR-related lipid transfer protein with two closely related homologues, StarD5 and StarD6”. Proceedings of the National Academy of Sciences U S A, vol. 99, no. 10, pp. 6943- 6948, 2002.
A. van Puffelen, M. Kasteleyn, L. de Vries, M. Rijken, M. Heijmans, G. Nijpels, F. Schellevis and Diacourse Study Group. “Self-care of patients with Type 2 diabetes mellitus over the course of illness: Implications for tailoring support”. Journal Diabetes and Metabolic Disorders, vol. 19, no. 1, pp. 81-89, 2020.
L. Mulala. “Diabetes Self-care Behaviors and Social Support among African Americans in San Francisco”. Doctoral Dissertation, University of San Francisco; 2017. Available from: https://www. proquestdissertationspublishing [Last accessed on 2023 Mar 02].
V. Mogre, A. Natalie, T. Flora, H. Alix and P. Christine. “Barriers to self-care and their association with poor adherence to self-care behaviours in people with Type 2 diabetes in Ghana: A cross sectional study”. Obesity Medicine, vol. 18, p. 100222, 2020.
M. A. Powers, J. Bardsley, M. Cypress, P. Duker, M. M. Funnell, A. H. Fischl, M. D. Maryniuk, L. Siminerio and E. Vivian. “Diabetes self-management education and support in Type 2 diabetes: A joint position statement of the American diabetes association, the American association of diabetes educators, and the academy of nutrition and dietetics”. Diabetes Education, vol. 43, no. 1, pp. 40- 53, 2017.
American Diabetes Association. “Classification and diagnosis of diabetes: Standards of medical care in diabetes-2020. Diabetes Care, vol. 43, no. Suppl 1, pp. S14-S31, 2020.
F. Moosaie, F. D. Firouzabadi, K. Abouhamzeh, S. Esteghamati, A. Meysamie, S. Rabizadeh, M. Nakhjavani and. A. Esteghamati. “Lp(a) and Apo-lipoproteins as predictors for micro-and macrovascular complications of diabetes: A case-cohort study”. Nutrition Metabolism and Cardiovascular Diseases, vol. 30, no. 10, pp. 1723-1731, 2020.
M. Baghianimoghadam and A. Ardekani. “The effect of educational intervention on quality of life of diabetic patients Type 2, referee to diabetic research centre of Yazd”. The Horizon of Medical Sciences, vol. 13, no. 4, pp. 21-28, 2008.
A. Steinsbekk, L. Ø. Rygg, M. Lisulo, M. B. Rise and A. Fretheim. “Group based diabetes self-management education compared to routine treatment for people with Type 2 diabetes mellitus. A systematic review with meta-analysis”. BMC Health Services Research, vol. 12, no. 1, pp. 213, 2012.
J. J. Gagliardino, C. González and J. E. Caporale. “The diabetes-related attitudes of health care professionals and persons with diabetes in Argentina”. Revista Panamericana de Salud Pública, vol. 22, no. 5, pp. 304-307, 2007.
M. Reisi, H. Fazeli, M. Mahmoodi and H. Javadzadeh. “Application of the social cognitive theory to predict self-care behavior among Type 2 diabetes patients with limited health literacy”. Journal of
Health Literacy, vol. 6, no. 2, pp. 21-32, 2021.
J. S. Wooldridge and K. W. Ranby. “Influence of relationship partners on self-efficacy for self-management behaviors among adults with Type 2 diabetes”. Diabetes Spectrum, vol. 32, no. 1, pp. 6-15, 2019.
S. S. Bains and L. E. Egede. “Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low income population with Type 2 diabetes”. Diabetes Technology and Therapeutics, vol. 13, no. 3, pp. 335-341, 2011.
M. Reisi, H. Fazeli, M. Mahmoodi and H. Javadzadeh. “Application of the social cognitive theory to predict self-care behavior among Type 2 diabetes patients with limited health literacy”. Journal of Health Literacy, vol. 6, no. 2, pp. 21-32, 2021.
J. S. Wooldridge and K. W. Ranby. “Influence of relationship partners on self-efficacy for self-management behaviors among adults with Type 2 diabetes”. Diabetes Spectrum, vol. 32, no. 1, pp. 6-15, 2019.
S. S. Bains and L. E. Egede. “Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low income population with Type 2 diabetes”. Diabetes Technology and Therapeutics, vol. 13, no. 3, pp. 335-341, 2011.
K. Mulcahy, M. Maryniuk, M. Peeples, M. Peyrot, D. Tomky, T. Weaver and P. Yarborough. “Diabetes self-management education core outcomes measures”. Diabetes Educator, vol. 29, no. 5, pp. 768-803, 2003.
M. L. Zanetti, L. M. Otero, M. V. Biaggi, M. A. Santos, D. S. Péres and F. P. de Mattos Guimarães. “Satisfaction of diabetes patients under follow-up in a diabetes education program”. Revista Latino Americana de Enfermagem, vol. 15, pp. 583-589, 2007.
C. A. Bukhsh, T. M. Khan, M. S. Nawaz, H. S. Ahmed, K. G. Chan, L. H. Lee and B. H. Goh. “Association of diabetes-related self-care activities with glycemic control of patients with Type 2 diabetes in Pakistan”. Patient Preference and Adherence, vol. 12, pp. 2377- 2386, 2018.
C. Y. Osborn, S. S. Bains and L. E. Egede. “Health literacy, diabetes self-care, and glycemic control in adults with Type 2 diabetes”. Diabetes Technology and Therapeutics, vol. 12, no. 11, pp. 913- 919, 2010.
K. Hawthorne, Y. Robles and R. Cannings-John. “Glycemic control and self-care behaviors in Hispanic patients with Type 2 diabetes: A pilot intervention study”. Journal of Transcultural Nursing, vol. 23, no. 3, pp. 289-296, 2012.
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Copyright (c) 2023 Hawar Mardan Mohammed, Samir Yonis Lafi
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