Relationship between Health Literacy and Self-Care Behaviors in Diabetic Patients Type II Referred to the Center of Diabetes Control and Prevention in Zabol

Document Type : Original Article

Authors

1 Associate professor, Department of health education and promotion, Faculty of health ؛ Zabol medicine University sciences, Zabol, Iran.

2 Master of science in health education, Faculty of health ؛ Golestan medicine University sciences, Golestan , Iran.

Abstract

Background and objective: A large part of the control and treatment of diabetes is performed by the participation of diabetic patient through self-care. Health literacy indicates the patient's health care; therefore, the present study was aimed to determine the level of health literacy and self-care level of type II diabetic patients referred to diabetes center of Zabol city.
Methods:This was a descriptive-analytic study that performed on 150 diabetic patient’s type II referred to Diabetes Control Center in Zabol in 2016 who had the inclusion criteria for the study. Samples were selected by using randomized sampling method. Data were collected through a questionnaire containing three parts of demographic information, health literacy, and self-care level in diabetes. Data were analyzed by SPSS 19 software and statistical tests (e.g.: T-test, Chi-Square, ANOVA, and Pearson's correlationcoefficient).
Results: The results of this study showed that 71.3% of the participants had inadequate and cross-border health literacy and 28.7% of them had adequate health literacy. The findings also have showed that significant relationship between the level of health literacy with gender, age, and occupation. Alsofinding showed that 43% inadequate self-care؛ 35% border self-care and 22% adequate self-care level. Pearson's correlation coefficient showed that adequate health literacy in people’s old age more than others. Also by increasing age in diabetic patients was higher health literacy rate and have been adequate self-care level.
Conclusion: The findings of this study showed that patients with type II diabetes had inadequate health literacy and this would cost a lot to the patients with diabetes each year. Hence, the production of media and educational materials in the local dialect of each region that have simple and comprehensible for all age groups and people with inadequate health literacy can be an effective step for improving health literacy at the individual and social levels
Paper Type:Research Article.

Keywords

References

1. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes care 2010; 33(1): 62-69.
2. Vosoghi Karkazloo N, Abootalebi Daryasari Gh,  Farahani B, Mohammad Nezhad E, Sajjadi A. The study of self-care agency in patients with diabetes (Ardabil), Modern Care, Scientific Quarterly of Birjand Nursing and Midwifery Faculty. 2012;8(4):197-204(Persian).
3.Targher G, Bertolini L, Zenari L, Lippi G, Pichiri I, Zoppini G, Muggeo M, Arcaro G. Diabetic retinopathy is associated with an increased incidence of cardiovascular events in Type 2 diabetic patients. Diabet  Med. 2008;25:45-50.
4.Akbari M,  Zeinali A ,  Mozaffari Khosravi H,  Afkhami Ardekani M, Hadi Nodushan H , Fallahzadeh H, Nadjarzadeh A. The Effect of CoQ10 Supplementation on Insulin Resistance and Blood Glucose of Patients with Type Two Diabetes. The Journal of Toloo-e-behdasht.2013; 12(4):13-23(Persian).
5. .Nagelkerk J,Reick K,Meengs L.Perceived barriers and effective Strategies to diabetes selfmanagement. Journal of Advanced Nursing .2006;54: 151-8(Persian).
6.Bianco A, Pomara F, Thomas E, Paoli A, Battaglia G, Petrucci M, et al. Type 2 Diabetes Family Histories, Body Composition and Fasting Glucose Levels: A Cross-Section Analysis in Healthy Sedentary Male and Female. Iran J Public Health. 2013; 42(7): 681–90.
7. Funnel MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, et al. National Standards for Diabetes Self- management Education. Diabetes Care 2010; 33(1): S97-104.
8.Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010; 87(1): 4-14.
 9. Delavari A, Mahdavi Hazaveh A, Norozinejad A, Yarahmadi SH. National Diabetes Prevention and Control Program. . 2004; 2 :1
10. Marmot M, Friel S, Bell R, Houweling TA, Taylor S, Health CoSDo. Closing the gap in a generation. health equity through action on the social determinants of health. The Lancet. 2008; 372(9650):1661-9.
11-Díaz-Apodaca, B. A, DE Cosío, F. G., Canela-Soler, J., RUIZ-Holguín, R. & Cerqueira, M. T. Quality of diabetes care: a cross-sectional study of adults of Hispanic origin across and along the United States-Mexico border. Revista Panamericana de Salud to improve care. Hong Kong medical journal. 2010; 8: 372.
12- Vasli, P. & Eshghbaz, F. Survey condition regarding self-caring of children suffering from diabetes type 1 and it's relation with family reaction. Journal of Mazandaran University of Medical Sciences, 2009; 18: 38-44.
 13.Tol A, Pourreza A, Tavasoli E, Rahimi Foroshani A. Determination of knowledge and health literacy among women with type 2 diabetes in teaching hospitals of TUMS, Journal of  Hospital.  2012; 11(3): 45-52 .
 14. Banihashemi S AT, Amirkhani MA, Haghdoost AA, Alavian S M, Asgharifard H, Baradaran H, et al. Health literacy and the Influencing Factors: A study in five provinces of Iran. Journal of Strides Development Medical Education. 2012;4(1):1-9.
15.Rezaee Esfahrood Z, Haerian ardekani A, Rahmanian M, Ghaffari Targhi M. A Survey on Health Literacy of Referred Diabetic Patients to Yazd Diabetes Research Center. The Journal of Toloo-e-behdasht.2016;15(3):176-186 (Persian).
16. Seyedoshohadaee M, Barasteh S, Jalalinia F, Eghbali M, Nezami M. The relationship between health literacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of  Nursing Research.2015;10(4):43-51 (Persian).
17. Seyedoshohadaee1 M, Kaghanizade M, Nezami M, Hamedani B, Barasteh S. The relationship between health literacy  and general  health in patients with  type 2 diabetes. Iranian journal of Diabetes and Metabolism.2016;15( 5):312-319 (Persian).
18.  Reisi M,  Mostafavi F, Javadzadeh M, Mahaki B, Tavassoli  E, Sharifirad GH. Communicative and critical health literacy and  self-care behaviors  patients with type 2 diabetes. Iranian journal of Diabetes and Metabolism. 2014;14 (3):199-208 (Persian).
19. Zareban I, Izadirad H, jadgal km. Evaluation of health literacy, health status and health services utilization in women in Baluchistan region of Iran. Journal of Health Literacy. 2016; 1(2): 71-82(Persian).
20.Ghanbari S, Majlessi F, Ghaffari M, Mahmoodi Majdabadi M. Evaluation of health literacy of pregnant women in urban health centers of Shahid Beheshti Medical University. Shahed  Journals System Bimonthly Official Publication Medical Daneshvar. 2012; 19(97): 1-12(Persian).
21. Mahmoodi H,Negarande R,Javaheri M,Sharifi P,Ghanei R,Aminipoor A. Examing the relation of health literacy with outcome of diabetes Among type 2 diabetes patient in saqez.journal of hospital.2014;12(1):56-62.( persian).
22.Javadzade H, Sharifirad Gh, Reisi M, Tavassoli Erajati, F. Health Literacy among Adults ofIsfahan, Iran. J Health Syst Res 2013; 9(5): 540-9. (Persian).
23 .Kandula NR, Nsiah-Kumi PA, Makoul G, Sager J, Zei CP, Glass S, Stephens Q, Baker DW. Therelationship between health literacy and knowledge improvement after a multimedia type 2 diabetes education program. Patient Educ Couns. 2009; 75(3):321-327.
24. Rafiezadeh Gharrehtapeh Sh, Tabarsy B, Hassanjani S, Razavi M, Amjady M, Hojjati H. Relationship between the Health Literacy with selfefficacyof the diabetic patient's type 2 referred to Gorgancity clinic in 2014. Journal of Diabetes Nursing (JDN).2015;3(2):30-42(Persian).
25.Goudarzi M, Ebrahimzade E, Rabi A, Saeed poor B, Asghari M. The relationship between knowledge attitude & self-efficacy in patients with type two diabetes in karaj. Iranian journal of diabetes & metabolism. 2012;11(3):269-281(Persian).
26. Sun X, Shi Y, Zeng Q, Wang Y, Du W, Wei N, Xie R, Chang C. Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model. BMC Public Health 2013;213:261.
27.Khosravi1 Ab, Ahmadzadeh  K, Arastoopoor Sh, Tahmasbi R. Health Literacy Levels of Diabetic Patients Referred to Shiraz Health Centers and Its Effective Factors. Health Inf Manage 2015; 12(2):194-205(Persian).
28. Akyol AD, Cetinkaya Y, Bakan G, Yarah S, Akkus S. Self-care agency and factors related to this agency among patients with hypertension. J Clin Nursing. 2007; 16 (4): 679-687.
29. Firooz  M,  hoseini S J,  Mazlom S R,  Hasanzade F,  Kimiaie S A. Self-care of patient with diabetes type II. Journal of Sabzevar University of Medical Sciences.2016;22(6): 1018-1025(Persian).
30. Parham M, Riahin AA, Jandaghi M, Darivandpour A. Self Care Behaviors of Diabetic Patients in Qom. Qom Univ Med Sciense Journal .2013;6(4):81-7 (Persian)
31. Kooshyar H,Sharvazi M,Dalir Z,Hosseini M.Health literacy & its relationship with medical adherence and health related quality of life in Diabetic Community.Residing Eldery.Journal of Mazandaran university of medical science.2014;23(1):134-43.

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