Relationship between perceived social support and self-care behavior in type 2 diabetics: A cross-sectional study.
Relationship between perceived social support and self-care behavior in type 2 diabetics: A cross-sectional study.
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DOI：
10.4103/jehp.jehp_73_17
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发表时间：
2018
影响因子：
1.4
通讯作者：
Rajati F
中科院分区：
文献类型：
--
作者：
Mohebi S;Parham M;Sharifirad G;Gharlipour Z;Mohammadbeigi A;Rajati F
社会支持是影响糖尿病患者自我护理的最主要因素之一。本研究旨在评估伊朗库姆地区2型糖尿病患者的社会支持及其与自我护理的关系。对参加糖尿病协会的325名糖尿病患者进行了横断面研究。采用随机抽样的方法选择符合纳入和排除标准的患者。采用《糖尿病自我护理活动总结表》、《领悟社会支持多维度量表》和《糖化血红蛋白测验》收集数据。数据分析采用描述性统计和独立t检验、方差分析、皮尔逊相关和线性回归检验，采用SPSS软件提供的0.05作为临界显著性水平。生活自理和社会支持得分的平均值和标准差分别为4.31±2.7和50.32±11.09。糖化血红蛋白(HbA1C)平均为7.54。不同性别和婚姻状况的自理行为和社会支持均分差异有统计学意义(P<；0.05)。回归分析显示，病程是唯一对HbA1C水平有显著影响的变量(P<；0.001)。皮尔逊相关系数显示，自理与社会支持显著相关(r=0.489，P>；0.001)，社会支持的预测力为0.28。糖化血红蛋白≤为7%的糖尿病患者的自我护理能力明显好于对照组。糖化血红蛋白水平较高的患者感受到的社会支持较少，但并不显著。本研究揭示了2型糖尿病患者社会支持与自理行为的关系。注重改善糖尿病控制的社会支持和自我护理的干预措施在改善血糖控制方面可能更有效。
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. A cross-sectional study was conducted on 325 diabetics attending the Diabetes Mellitus Association. 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 A1C 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. 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 (HbA1C) 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 HbA1C (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 HbA1C ≤7%. Patients who had higher HbA1C felt less, but not significant, social support. 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.