فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND: Self-care for diabetes is very important in preventing complications of diabetesand also improving quality of life. This study aims to find the various self‑care practices of type 2diabetes patients who are being treated at a rural health center of a medical college and the factorsinfluencing self‑care.MATERIALS AND METHODS: This is a hospital‑based cross‑sectional study. Type 2 diabetespatients registered and receiving treatment from the noncommunicable disease clinic of a rural healthcenter were administered a pretested questionnaire, developed based on different diabetes self-carequestionnaires making changes as appropriate and including most aspects of self-care practices. Theproportion of compliant was then cross-tabulated with background characteristics and their glycatedhemoglobin (HbA1c) levels. SPSS version 16.0 was used for the analysis.RESULTS: Among 390 patients with a mean age 56 years, 25.5% adhered to at least four dietarymodifications, 46% were physically active, and 57% had good compliance to drugs; hypoglycemiaprevention practices ranged from 21% to 51%. Except for avoiding barefoot walking (90%), otherfoot‑care practices were followed by only a quarter of them. Among ever users, 69.2%, 64.3%, and29.4% have quit smoking, alcohol, and tobacco use, respectively. Adherence to dietary modificationsand drug compliance were associated with a lower HbA1c level of ≤7 g% (P < 0.05).CONCLUSION: In this study, the compliance to physical activity or medications is much betterthan dietary changes and foot-care practices. Focused education programs and monitoring duringfollow-up visits will improve self-care in the less adhered to aspects. Those who are adherent todietary modifications and drugs have better glycemic control.