Document Type : Original Article
Authors
- . Siamak Mohebi
- . Mahmoud Parham
- . Gholamreza Sharifirad
- . Zabihollah Gharlipour
- . Abolfazl Mohammadbeigi 1
- . Fatemeh Rajati 2
1 Department of Epidemiology and Biostatistics, Faculty of Health, Neurology and Neurosciences Research Center, Qom University of Medical Sciences, Qom
2 Department of Health Education and Promotion, School of Health, Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran
Abstract
BACKGROUND: Social support is one of the most effective factors on the diabetic self‑care. This
study aimed to assess social support and its relationship to self‑care in type 2 diabetic patients in
Qom, Iran.
STUDY DESIGN: A cross‑sectional study was conducted on 325 diabetics attending the Diabetes
Mellitus Association.
METHODS: Patients who meet inclusion and exclusion criteria were selected using random sampling
method. Data were collected by the Summary of Diabetes Self‑Care Activities and Multidimensional
Scale of Perceived Social Support, with hemoglobin A1
C test. Data were analyzed using descriptive
statistics and independent t‑test, analysis of variance, Pearson correlation, and linear regression
test, using 0.05 as the critical significance level, provided by SPSS software.
RESULTS: The mean and standard deviation of self‑care and social support scores were
4.31 ± 2.7 and 50.32 ± 11.09, respectively. The mean level of glycosylated hemoglobin (HbA1
C) of
patients was 7.54. There was a significant difference between mean score of self‑care behaviors
and social support according to gender and marital status (P < 0.05). The regression analysis
showed that disease duration was the only variable which had a significant effect on the level
of HbA1
C (P < 0.001). Pearson correlation coefficient indicated that self‑care and social support
significantly correlated (r = 0.489, P > 0.001) and also predictive power of social support was 0.28.
Self‑care was significantly better in diabetics with HbA1
C ≤7%. Patients who had higher HbA1
C felt
less, but not significant, social support.
CONCLUSIONS: This study indicated the relationship between social support and self‑care behaviors
in type 2 diabetic patients. Interventions that focus on improving the social support and self‑care of
diabetic control may be more effective in improving glycemic control.
Keywords
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