Associations between diabetes self-management and microvascular complications in patients with type 2 diabetes

Associations between diabetes self-management and microvascular complications in patients with type 2 diabetes


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علوم پزشکی اراک

نویسندگان: امیر الماسی حشیانی

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نشریه: ---- عنوان نشریه در لیست موجود نیست ----, 1,38,1 - 6,2016

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کد مقاله 3140
عنوان فارسی مقاله Associations between diabetes self-management and microvascular complications in patients with type 2 diabetes
عنوان لاتین مقاله Associations between diabetes self-management and microvascular complications in patients with type 2 diabetes
نوع مقاله بر حسب نگارش پژوهشی اصیل
مقاله برحسب نمایه PubMed.
IF 0.0
عنوان نشریه Epidemiology and health
نوع نشریه علمی پژوهشی
شماره نشریه 1
دوره 38
صفحه شروع و پایان در نشریه 1 - 6
سال انتشار/ ارائه شمسی 1394
سال انتشار/ارائه میلادی 2016
آدرس لینک مقاله/ همایش در شبکه اینترنت http://www.ncbi.nlm.nih.gov/pubmed/26883737
ISSN 2092-7193
DOI DOI: 10.4178/epih/e2016004
آدرس علمی (Affiliation) نویسنده متقاضی 1

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چکیده انگلیسیAssociations between diabetes self-management and microvascular complications in patients with type 2 diabetes Fatemeh Mehravar,1 Mohammad Ali Mansournia,2 Kourosh Holakouie-Naieni,2 Ensie Nasli-Esfahani,3 Nasrin Mansournia,4 and Amir Almasi-Hashiani5 Abstract OBJECTIVES: Diabetes is a major public health problem that is approaching epidemic proportions globally. Diabetes self-management can reduce complications and mortality in type 2 diabetic patients. The purpose of this study was to examine associations between diabetes self-management and microvascular complications in patients with type 2 diabetes. METHODS: In this cross-sectional study, 562 Iranian patients older than 30 years of age with type 2 diabetes who received treatment at the Diabetes Research Center of the Endocrinology and Metabolism Research Institute of the Tehran University of Medical Sciences were identified. The participants were enrolled and completed questionnaires between January and April 2014. Patients’ diabetes self-management was assessed as an independent variable by using the Diabetes Self-Management Questionnaire translated into Persian. The outcomes were the microvascular complications of diabetes (retinopathy, nephropathy, and neuropathy), identified from the clinical records of each patient. A multiple logistic regression model was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) between diabetes self-management and the microvascular complications of type 2 diabetes, adjusting for potential confounders. RESULTS: After adjusting for potential confounders, a significant association was found between the diabetes self-management sum scale and neuropathy (adjusted OR, 0.64; 95% CI, 0.45 to 0.92, p=0.01). Additionally, weak evidence was found of an association between the sum scale score of diabetes self-management and nephropathy (adjusted OR, 0.71; 95% CI, 0.47 to 1.05, p=0.09). CONCLUSIONS: Among patients with type 2 diabetes, a lower diabetes self-management score was associated with higher rates of nephropathy and neuropathy. Keywords: Diabetes self-management, Type 2 diabetes, Microvascular complications, Neuropathy, Retinopathy, Nephropathy
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امیر الماسی حشیانیششم

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