Harun, Nini Shuhaida Mat
(2017)
Psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in Kuala Terengganu.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background: Prevalence of poor glycaemic control is significantly increased in
Malaysia. There are multiple factors influencing the glycaemic control including
psychosocial factors. Achieving good glycaemic control requires patients to
follow a treatment regime, which involve lifelong behavioural changes, life
regulation through lifestyle changes and self-management skills. This is where
psychosocial factors play a role in the management of diabetes despite good
medications prescribed to them.
Objective: To determine the psychosocial factors associated with glycaemic
control among type 2 diabetes mellitus (T2DM) patients in Kuala Terengganu.
Methodology: A cross-sectional study involving 338 patients with T2DM
attending two selected out-patient health clinics with highest prevalence of poor
glycaemic control in Kuala Terengganu from December 2014 to June 2015.
Systematic random sampling, 1:15 interval was applied. A self-administered
questionnaire consists of socio-demographic background, social support score,
Malay version of DASS-21 for psychological factors and Malaysian version of
Medication Adherence Score (MalMAS) has been distributed to respondents.Medical background of patients were completed by the researcher. The data
were analysed using descriptive statistic and logistic regression.
Results: The mean age was 60.9 (+SD 10.3). 76% (257) patients has
uncontrolled diabetes with mean HbA1c of 8.55% (+SD 1.95). The median social
support score was 22.0 (17.0, 28.0). Through multivariable analysis using
multiple logistic regression test, this study showed unemployed and pensioner
patients with type 2 diabetes mellitus have protective association to have poor
glycaemic control by 0.46 (p=0.035) and 0.28 (p=0.001) times respectively.
Patients who perceived diabetes had interfered with their activity of daily living
have 3.18 times (p=0.024) the odds to have poor glycaemic control and a patient
with an increase of 1 social support score has 7% higher risk (p=0.001) to have
poor glycaemic control.
Conclusion: Psychosocial associated factors which were employment status,
patients’ perceived diabetes had interfered with their activity of daily living, and
the social support score has significant influence on the outcome of diabetes
control.
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