Zaher Khazaei
1, Hasan Naemi
2, Elham Goodarzi
3, Zahra Khoshakhlagh
4, Salman Khazaei
5, Hossein Ali Adineh
6, Elham Jabari
4, Faezeh Soleymani
4, Malihe Sohrabivafa
7, Razie Hoshmand Dalir
4, Victoria Momenabadi
8, Mahboobe Neamatshahi
9*1 Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
2 Department of Public Health, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
4 Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran
5 Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
6 Department of Epidemiology and Biostatistics, Iranshahr University of Medical Sciences, Iranshahr, Iran
7 Department of Health and Community Medicine, Faculty of Medicine, Dezful University of Medical Sciences, Dezful, Iran.
8 Department of Health Education and Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
9 School of Medicine, Sabzevar University of Medical Sciences, Faculty of Medicine, Sabzevar, Iran
Abstract
Introduction: Diabetes is one of the most common metabolic diseases in humans that is
mainly recognized by a defect in the metabolism of carbohydrates. Diabetes self-care is one of
the factors for controlling the disease.
Objectives: The aim of this study was to investigate the self-care performance of diabetic
patients at the diabetes center of Sabzevar in 2014.
Patients and Methods: This is a cross-sectional, which was conducted on 400 diabetic patients
to determine the patients’ awareness as a raw score. The study was conducted by designing
a two-part questionnaire (demographic information and performance measurement) which
was completed by patients and in the case of lack of literacy by the researcher. Chi-square, t test
and analysis of variance (ANOVA) with CI 95% were used for statistical analysis.
Results: Of 400 participants, 156 were female. Around 93.7% of the individuals were under
diploma. Chi-square test showed education has only the significant relationship with
nutritional performance. Additionally, a significant relationship between occupation and all
self-care parameters was detected. There is also a significant relationship between marriage
and drug performance and self-monitoring (P<0.05).
Conclusion: By implementing this study, the self-care role of diabetic patients in improving
disease and reducing costs was determined and its effect on improving individual and social
life was confirmed.
Implication for health policy/practice/research/medical education:
Management programs for diabetes and other chronic disease are popular because they help achieve disease control and
improve chronic disease outcomes. Self-care behaviors in chronic patients, i.e. diabetic patients, in developing countries is low
and promoting self-care and achievement to desirable self-control in these patients is a major health concern. Given that selfcare
is one of the most important factors for controlling the disease and lack of enough evidence in this regard in developing
country, investigating the self-care performance of diabetic patients is necessary for considering in health policy decisions.
Please cite this paper as: Khazaei Z, Namei H, Goodarzi E, Khoshakhlagh Z, Khazaei S, Jabari E, et al. Investigating selfcare
performance of diabetic patients at a diabetes center; a single center pilot study. J Nephropharmacol. 2018;7(1):7-14. DOI:
10.15171/npj.2018.03.