Factors related to health behaviors and glycemic control among diabetes mellitus type 2 patients

 Abstract

Diabetes mellitus is a chronic disease that difficult to cure and found to be a major problem worldwide, and found the number of uncontrolled diabetic patients was still high.

Objectives

The purpose of this match case-control study was to determine the factors related to glycemic control among diabetes mellitus type 2 patients who were treated at the hospital in Kanchanaburi province, Thailand.

Methods

210 diabetic patients aged 35-60 years who’d received care in outpatient clinic were recruited. The study was conducted from December 1st 2013 to January 31st 2014. After matching by sex and age, 105 persons with good glycemic control (HbA1c < 7%) were assigned into the case group, and 105 persons with poor glycemic control (HbA1c ≥ 7%) were assigned into the control group. Data were collected by self-administered questionnaires for perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, self-efficacy, and healthy behaviors including dietary consumption, compliance with treatment, physical activity, and stress management. Statistical analysis was performed by using descriptive statistics, chi-square for a univariate analysis and stepwise logistic regression for multivariate analysis. All of which were done by the SPSS program.

Results

Results showed that factors related to glycemic control in patients with type 2 diabetes mellitus were perceived susceptibility (ORadj = 2.03, p < 0.05), perceived barriers (ORadj = 2.29, p < 0.05).

Conclusion

This finding also suggested that an intervention conducted for patients should be primarily focused on perceived susceptibility and perceived barriers.

Keywords

Glycemic control, diabetes mellitus type 2, healthy behavior, the health beliefs model, self-efficacy

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Copyright 2012 TẠP CHÍ Y DƯỢC HỌC VIỆT NAM XUẤT BẢN BẰNG TIẾNG ANH

Giấy phép số 2477/GP-BTTTT ngày 19/12/2012.

Tổng biên tập: PGS.TS Nguyễn Thị Kim Tiến - Bộ trưởng Bộ Y tế

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