Assessment of Factors Affecting the Management of Chronic Diseases in Patients with Type 2 Diabetes: A Community-Based Cross-Sectional Study

Authors : Bahadır Dede, Erhan Eser
Pages : 114-124
Doi:10.47572/muskutd.1444546
View : 69 | Download : 48
Publication Date : 2024-08-31
Article Type : Research Paper
Abstract :Our study aimed to evaluate the factors affecting the management of chronic diseases in patients with type 2 diabetes living in Manisa central district. In our cross-sectional study, 505 type 2 diabetic patients participated in a multi-stage, stratified random sampling method. A face-to-face questionnaire was applied to the participants. The questionnaire consisted of semi-structured questions prepared with a literature review and the Patient Assessment of Chronic Illness Care (PACIC) Turkish scale in which patients self-assessed their chronic disease care. Regression analysis was applied in multivariate analysis. The mean HbA1c level of the participants was 6.9±1.7 mg/dl. According to HbA1c, 61.7% had good metabolic control and only 69.5% of the participants self-monitored their blood glucose at home. The mean total PACIC score of the participants was 2.59±0.62. According to the results of univariate analysis, the total PACIC scores of those living in urban centers, males, those under the age of 45, those with higher income, those with higher education, those who self-monitor glucose at home, those with controlled HbA1c and blood lipid levels, those who have regular routine follow-ups and those who do not have diabetes-related health problems are significantly higher (p<0.05). In the multivariate model; decision-making ability was found to explain 52.5% of the change in total PACIC scores and 19.0% of those who had regular routine follow-ups. This indicates that patients taking active roles in their own health management and having regular health check-ups can significantly impact the quality of patient-centered care. Increasing the quantitative and qualitative quality of diabetes education and improving patients\' decision-making skills can facilitate chronic disease management.
Keywords : HbA1c, Kronik Bakım Modeli, Kronik Hastalık Bakımının Hasta Değerlendirmesi Ölçeği PACIC, Metabolik Kontrol, Tip 2 Diyabet

ORIGINAL ARTICLE URL