Volume 28, Issue 3 (Iran South Med J 2025)
Iran South Med J 2025, 28(3): 654-665 |
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Rafiee Z, Rabiei Z, Afrashteh S, Bahreini M, Shirvani M, Malchi F. The Relationship between Self-Care Behaviors and HbA1c Level in Patients with Diabetes Presenting to the Diabetes Clinic of Salman Farsi Hospital (Tamin), Bushehr, 2025. Iran South Med J 2025; 28 (3) :654-665
URL: http://ismj.bpums.ac.ir/article-1-2340-en.html
URL: http://ismj.bpums.ac.ir/article-1-2340-en.html
Zahra Rafiee1 
, Zeinab Rabiei2 , Sima Afrashteh3 , Mahsa Bahreini4 , Masoumeh Shirvani5 , Fatemeh Malchi *6
, Zeinab Rabiei2 , Sima Afrashteh3 , Mahsa Bahreini4 , Masoumeh Shirvani5 , Fatemeh Malchi *6
1- Department of Nursing, Islamic Azad University Bushehr Branch, Bushehr, Iran
2- Department of Midwifery, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
3- Department of Epidemiology and Biostatistics, School of Health, Bushehr University of Medical Sciences, Bushehr, Iran
4- Student Research Committee, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
5- Student Research Committee, School of Para Medicine, Bushehr University of Medical Sciences, Bushehr, Iran
6- Department of Midwifery, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran ,malchi.fatemeh52@gmail.com
2- Department of Midwifery, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
3- Department of Epidemiology and Biostatistics, School of Health, Bushehr University of Medical Sciences, Bushehr, Iran
4- Student Research Committee, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
5- Student Research Committee, School of Para Medicine, Bushehr University of Medical Sciences, Bushehr, Iran
6- Department of Midwifery, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran ,
Abstract: (239 Views)
Background: Diabetes is one of the most common chronic diseases globally. Self-care is a crucial factor in controlling serum glucose levels in diabetic patients. This study was conducted to investigate the relationship between self-care behaviors and glycated hemoglobin levels in diabetic patients presenting to the Bushehr Social Security Hospital Diabetes Clinic in 2025.
Materials and Methods: This descriptive-analytical study investigated 295 diabetic patients at the Bushehr Salman Farsi Hospital Diabetes Clinic. Data collection was performed using a demographic and the Diabetes Self-Management Questionnaire. Data analysis was conducted using independent t-tests and multiple logistic regression.
Results: Out of 295 participating diabetic patients, 192 were women and 103 were men. In the present study, 56.6% and 43.4% of participants had poor and good glycemic control, respectively. The mean total self-care behaviors among participants were 6.0 ± 1.6 (maximum score = 7.9). Following adjustment for confounders, comprehensive dietary control and regular glucose monitoring were associated with a reduced likelihood of poor glycemic control. Higher physical activity was associated with a lower probability of poor glycemic control. Additionally, increased contact with a physician reduced the risk of poor glycemic control by 25%.
Conclusion: This study demonstrated that improving self-care behaviors is associated with a reduction in serum HBA1c levels.
Materials and Methods: This descriptive-analytical study investigated 295 diabetic patients at the Bushehr Salman Farsi Hospital Diabetes Clinic. Data collection was performed using a demographic and the Diabetes Self-Management Questionnaire. Data analysis was conducted using independent t-tests and multiple logistic regression.
Results: Out of 295 participating diabetic patients, 192 were women and 103 were men. In the present study, 56.6% and 43.4% of participants had poor and good glycemic control, respectively. The mean total self-care behaviors among participants were 6.0 ± 1.6 (maximum score = 7.9). Following adjustment for confounders, comprehensive dietary control and regular glucose monitoring were associated with a reduced likelihood of poor glycemic control. Higher physical activity was associated with a lower probability of poor glycemic control. Additionally, increased contact with a physician reduced the risk of poor glycemic control by 25%.
Conclusion: This study demonstrated that improving self-care behaviors is associated with a reduction in serum HBA1c levels.
Type of Study: Original |
Subject:
General Medicine. Health Professions
Received: 2025/08/11 | Accepted: 2025/11/25 | Published: 2025/12/27
Received: 2025/08/11 | Accepted: 2025/11/25 | Published: 2025/12/27
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