ارتباط خودکارآمدی با سطح هموگلوبین گلیکوزیله در نوجوانان مبتلا به دیابت نوع یک مراجعه کننده به مرکز دیابت پارسیان مشهد در سال 1394

نوع مقاله : مقاله پژوهشی

نویسندگان

1 مربی، گروه کودکان، دانشکده علوم پزشکی اسفراین، اسفراین، ایران

2 مربی، گروه داخلی جراحی، دانشکدة علوم پزشکی اسفراین، اسفراین، ایران

3 دانشجوی دکترا، گروه داخلی جراحی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه:یکی از بهترین معیارها جهت ارزیابی کنترل مناسب قندخون، اندازه گیری سطح هموگلوبین گلیکوزیله می باشد.جهت دست یابی به سطح مناسب از HbA1c راهکارهای غیردارویی همچون ارتقای خودکارآمدی توصیه می شود.در نتایج مطالعات قبلی تناقض در ارتباط بین خودکارآمدی با سطح HbA1c وجود دارد،لذا این مطالعه با هدف تعیین ارتباط خودکارآمدی با سطح HbA1c در نوجوانان مبتلا به دیابت نوع یک مراجعه کننده به مرکز دیابت پارسیان مشهدانجام شد.روش کار:این مطالعه توصیفی - تحلیلی بر روی 70 نوجوان 12 تا 18 ساله مبتلا به دیابت نوع یک مراجعه کننده به مرکز دیابت پارسیان مشهد به صورت در دسترس در سال 1394 انجام گردید.جمع آوری داده ها از طریق پرسشنامه های اطلاعات دموگرافیک و خودکارآمدی مدیریت دیابت وابسته به انسولین و نمونه خون جهت اندازه گیری سطح HbA1c انجام شد. داده ها در نرم افزار آماری 11.5 SPSS با آزمون های آماری توصیف و تحلیل مورد آنالیز قرارگرفت.یافته ها:نتیجه آزمون همبستگی پیرسون نشان داد که بین خودکارآمدی با HbA1c رابطه معکوس و معنادار وجود دارد(r= -0.60،p

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Relationship between self- efficacy and glycosylated hemoglobin in patients adolescents with type I diabetes referring to Mashhad Parsian center in 2014.

نویسندگان [English]

  • seyed javad hoseini 1
  • mahbobeh firooz 2
  • Seyyed Reza Mazlom 3
1 Lecturer Department of pediatric Nursing, Esfarayen faculty of Medical Sciences, Esfarayen, Iran
2 Instructor, Medical-Surgical Nursing, Esfarayen Faculty of Medical Sciense, Esfarayen, Iran
3 PhD. Candidate, Department of Medical Surgical, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: One of the best criteria for evaluation proper blood glucose control is measurement level of glycosylated hemoglobin (HbA1c). Non-prescriptive strategies such as self-efficacy promotion are recommended in order to achieve the appropriate level of HbA1c. In results of previous studies there is an inconsistence between self-efficacy and HbA1c level, therefore this article performed with purpse of determining the relationship between self- efficacy and HbA1c level in adolescents with type I diabetes refering to Mashhad Parsian center of diabetes.
Methods: This descriptive - analytical study performed on convenience 70 young people with the age range of12to18 who were diagnosed with type I diabetes referring to Parsian Diabetes Center of diabetes.Data collected through questionnaires of demographic information and insulin-dependent diabetes management self-efficacy scale (IDMSE) and taken blood samples to measurement levels of HbA1c. Data were analyzed using SPSS version 11.5 with descriptive and analytic test.Result: Pearson correlation test results showed that there was an inverse and significant relationship between self-efficacy and HbA1c (r= -0.60, p

کلیدواژه‌ها [English]

  • Self- efficacy
  • Glycosylated hemoglobin
  • Type I diabetes
  • HbA1c
  • adolescents
Eeg-Olofsson K, Cederholm J, Nilsson PM, Zethelius B, Svensson AM, Gudbjornsdottir S, et al. Glycemic control and cardiovascular disease in 7,454 patients with type 1 diabetes: an observational study from the Swedish National Diabetes Register (NDR). Diabetes Care. 2010 Jul;33(7):1640-6.
Patterson CC, Dahlquist GG, Gyurus E, Green A, Soltesz G. Incidence trends for childhood type 1 diabetes in Europe during 1989-2003 and predicted new cases 2005-20: a multicentre prospective registration study. Lancet. 2009 Jun 13;373(9680):2027-33.
Cameron FJ, Wherrett DK. Care of diabetes in children and adolescents: controversies, changes, and consensus. Lancet. 2015 May 23;385(9982):2096-106.
Esteghamati A, Larijani B, Aghajani MH, et al. Diabetes in Iran: Prospective Analysis from First Nationwide Diabetes Report of National Program for Prevention and Control of Diabetes (NPPCD-2016). Scientific Reports. 2017;7:13461.
Oskouie F, Mehrdad N, Ebrahimi H. Mediating factors of coping process in parents of children with type 1 diabetes. J Diabetes Metab Disord. 2013;12(1):20.
Khanna A, Bush AL, Swint JM, Peskin MF, Street RL, Jr., Naik AD. Hemoglobin A1c improvements and better diabetes-specific quality of life among participants completing diabetes self-management programs: a nested cohort study. Health Qual Life Outcomes. 2012;10:48.
Silverstein J, Klingensmith G, Copeland K, Plotnick L, Kaufman F, Laffel L, et al. Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association. Diabetes Care. 2005 Jan;28(1):186-212.
Bachle C, Lange K, Stahl-Pehe A, Castillo K, Holl RW, Giani G, et al. Associations between HbA1c and depressive symptoms in young adults with early-onset type 1 diabetes. Psychoneuroendocrinology. 2015 May;55:48-58.
Chih AH, Jan CF, Shu SG, Lue BH. Self-efficacy affects blood sugar control among adolescents with type I diabetes mellitus. J Formos Med Assoc. 2010 Jul;109(7):503-10.
Cornell S, Briggs A. Newer Treatment Strategies for the Management of Type 2 Diabetes Mellitus. J Pharm Pract. 2004;17:49–54.
Bandura A. Self Efficacy: The Exercise of Control. New York:WH Freeman, 1997.
Johnston-Brooks CH, Lewis MA, Garg S. Self-efficacy impacts self-care and HbA1c in young adults with Type I diabetes. Psychosom Med. 2002 Jan-Feb;64(1):43-51.
Iannotti RJ, Schneider S, Nansel TR, Haynie DL, Plotnick LP, Clark LM, et al. Self-efficacy, outcome expectations, and diabetes self-management in adolescents with type 1 diabetes. J Dev Behav Pediatr. 2006 Apr;27(2):98-105.
Chlebowy DO, Garvin BJ. Social support, self-efficacy, and outcome expectations: impact on self-care behaviors and glycemic control in Caucasian and African American adults with type 2 diabetes. Diabetes Educ. 2006 Sep-Oct;32(5):777-86.
Gao J, Wang J, Zheng P, Haardorfer R, Kegler MC, Zhu Y, et al. Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes. BMC Fam Pract. 2013;14:66.
Rasbach LE, Volkening LK, Markowitz JT, Butler DA, Katz ML, Laffel LM. Youth and parent measures of self-efficacy for continuous glucose monitoring: survey psychometric properties. Diabetes Technol Ther. 2015 May;17(5):327-34.
Gastal DA, Pinheiro RT, Vazquez DP. Self-efficacy scale for Brazilians with type 1 diabetes. Sao Paulo Med J. 2007 Mar 01;125(2):96-101.
Nouwen A, Urquhart Law G, Hussain S, McGovern S, Napier H. Comparison of the role of self-efficacy and illness representations in relation to dietary self-care and diabetes distress in adolescents with type 1 diabetes. Psychol Health. 2009 Nov;24(9):1071-84.
Mohebi S, Azadbakht L, Feizi A, Sharifirad G, Kargar M. Review the key role of self-efficacy in diabetes care. J Educ Health Promot. 2013;2.
Hackworth NJ, Hamilton VE, Moore SM, Northam EA, Bucalo Z, Cameron FJ. Predictors of Diabetes Self-care, Metabolic Control, and Mental Health in Youth with Type 1 Diabetes. Australian Psychologist. 2013;48(5):360-9.
Law GU, Walsh J, Queralt V, Nouwen A. Adolescent and parent diabetes distress in type 1 diabetes: the role of self-efficacy, perceived consequences, family responsibility and adolescent-parent discrepancies. J Psychosom Res. 2013 Apr;74(4):334-9.
Senecal C, Nouwen A, White D. Motivation and dietary self-care in adults with diabetes: are self-efficacy and autonomous self-regulation complementary or competing constructs? Health Psychol. 2000 Sep;19(5):452-7.
Berg CA, King PS, Butler JM, Pham P, Palmer D, Wiebe DJ. Parental involvement and adolescents' diabetes management: the mediating role of self-efficacy and externalizing and internalizing behaviors. J Pediatr Psychol. 2011 Apr;36(3):329-39.
Walker RJ, Smalls BL, Hernandez-Tejada MA, Campbell JA, Egede LE. Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population. Ethn Dis. 2014 Summer;24(3):349-55.
Amiri F, Vafa M, Gonder-Frederick L. Glycemic Control, Self-Efficacy and Fear of Hypoglycemia Among Iranian Children with Type 1 Diabetes. Can J Diabetes. 2015 Aug;39(4):302-7.
Chong GS, Cogan D, Randolph P, Racz G. Chronic pain and self-efficacy: the effects of age, sex, and chronicity. Pain Pract. 2001 Dec;1(4):338-43