We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
İSTANBUL İLİNDE ÇEŞİTLİ SAĞLIK KURULUŞLARINDA AYAKTAN İZLENEN TİP II DİYABETİK HASTALARDA GLİSEMİK KONTROLÜN VE ETKİLEYEN FAKTÖRLERİN DEĞERLENDİRİLMESİ
- Authors
Önsüz, M. Fatih; Topuzoğlu, Ahmet
- Abstract
Objective: Evidences show that effective glycemic control is important in the management of diabetic patients. Our research aims to evaluate the efficacy of glycemic controls and and describe factors affecting glycemic control in three different hospitals in Istanbul. Material and Method: The research was descriptive, and conducted in three different public, private and university hospitals in Istanbul. Three hundred ninety-two outpatient type 2 diabetics were included to the study. Patients had type 2 diabetes for at least six months. Data were collected with a face to face questionnaire. Questionnaires included questions about patients demographic characteristics, disease history, complications, disease management, and medical therapy information. Descriptive statistics, chi square and logistic regression were used in statistical analysis. Results: The mean age was 60.32±10.37 and the mean disease duration was 10.25±7.82 years. Mean HgbA1c level was 7.03±1.47, 59.2% of patients had a normal level. University hospital attendants were fount to have more normal mean HgbA1c level. University hospital patients had more normal HgbA1c levels (p<0.05). However, university hospital patients also had more complications; more diet lists and glucometric devices. State hospital patients were more obese. Private hospital patients had more diet lists and took adequate diabetic patient education. Patients with low education and low socioeconomic level, had no diet list, received insufficient diet list practicing, and obesity was related with high blood HgbA1c levels (p<0.05). in multivariate analysis, attending a hospital, socioeconomic level, having a diet list and practicing the diet list, and having glucometric devices were related with glycemic control quality. Conclusion: There were important differences between hospitals concerning glycemic control program outcomes. Education and socioeconomic level, diet list practicing and obesity control are important factors for type 2 diabetes management and hospital intervention programs should focus on these factors for diabetes management. There is a need for standardized diabetes management programs for hospitals.
- Subjects
ISTANBUL (Turkey); TURKEY; PEOPLE with diabetes; TYPE 2 diabetes; DIABETES; HOSPITALS
- Publication
Nobel Medicus Journal, 2010, Vol 6, Issue 1, p45
- ISSN
1305-2381
- Publication type
Article