Showing 4 results for Hba1c
Bahman Salehi, Mohammad Reza Rezvanfar, Faeze Shirian,
Volume 10, Issue 3 (6-2007)
Abstract
Introduction: Depression is one of the most common affective disorders, and in addition to different neurotransmitters and life events, various internal stressors such as blood glucose, cholesterol, triglyceride and other factors are responsible for it. Considering hyperglycemia as a possible risk factor of this disorder and inconsistency in results of previous studies, we decided to assess the relationship between different levels of HbA1C and major depression. Materials and Methods: This is a cross-sectional analythical study that is carried out on 134 samples. They were chosen randomly among patients with type2 diabetes reffering to Vali-e-Asr hospital. The patients were divided into 2 groups on the basis of their HbA1C test results patients with HbA1C less than 7% (group A), consisting 55 persons and patients with HbA1C more than 7% and equal to it (group B), including 79 persons. Participants were assessed by Hamilton scale of depression. The relation between HbA1C levels and major depression in these 2 groups was assessed using Chi square and Mann Whitney U tests. Results: We found that 40% of depressed patients had HbA1C level lower than 7% and 60% of them had HbA1C level higher than 7%. No significant correlation was found between HbA1C and major depression. But the duration of disease, using Insulin and being hypertensive simultaneously was correlated to major depression in this study. Conclusion: This study indicates that uncontrolled diabetes and high level of blood glucose is cosidered of less importance as an undelying mechanism of depression in patients with type 2 diabetes.
Alireza Shahab Jahanlou, Fazlallah Ghofranipour, Alireza Sobhani, Masoud Kimmiagar, Maryam Vafaei,
Volume 11, Issue 2 (6-2008)
Abstract
Introduction: Quality of life (QOL) has become an important concept in medical research. Some research has shown a curvilinear relationship between QOL and glycemic control, but some did not so. The aim of this study is to investigate different aspects of QOL and also assess the hypothesis in diabetic patients. Materials and Methods: In a cross-sectional study, a random sample of adult diabetic outpatients (n=110) were selected and completed the WHO-QOL assessment instruments. In addition HbA1c was measured in these patients by calorimetric method. Patients were divided in to 3 groups: 1-good control (HbA1c<7), 2-fair control (7≥HbA1c<9) and 3-poor control (HbA1c≥9). QOL was assessed by measuring physical, psychological, social and environmental domains. Data were analyzed with one way ANOVA (Tukey as post hoc), Chi2 and Mann-Whitney, and correlation tests. Results: A significant correlation was seen between BMI and glycemic control, physical and social aspects, physical and environmental aspects, psychological and environmental aspects, and social and psychological aspects. No significant difference was seen between mean score of different dimensions of QOL in relation to HbA1c changes. The mean score of each dimension in relation to glycemic control showed that, better score of psychological, environmental and social dimensions is seen in patients with fair glycemic control. But regarding the overall score of QOL this is completely reverse. The mean score of physical dimension is decreased with increasing HbA1c. There was no correlation between other domains of QOL and glycemic control. Conclusion: In this survey higher quality of life was seen in fair glycemic control in social, environmental and psychological dimensions, but physical dimension in patients was decreased when HbA1c was increased. Regarding the overall score of QOL it can be seen that the lowest score of QOL is in patients with fair glycemic control which is in contrast with curvilinear hypothesis.
Alireza Shahab Jahanlou, Alireza Sobhani, Nader Alishan,
Volume 13, Issue 3 (9-2010)
Abstract
Background: In the last few decades, quality of life (QOL) has become known as an important concept in medical research. In this study, two standard QOL questionnaires were chosen for evaluation of patients’ personality characteristics: 1) World Health Organization Quality of Life (WHOQOL) and 2) Iranian Diabetics Quality of Life (IRDQOL). The main aim of this study was to compare two standard quality of life questionnaires for evaluation of the relationship between personality characteristics and glycemic control in diabetic patients. Materials and Methods: This cross-sectional study was carried out on 256 type 2 diabetic patients with a history of diabetes for more than one year. Validity and reliability measures were determined for the two questionnaires. HbA1c was measured through calorimetric method. Results: The mean of physical dimension scores on IRDQOL questionnaire was significantly lower than that on the WHOQOL questionnaire. No significant differences were observed between the other dimensions of the two questionnaires. Positive correlations were seen between different dimensions of each questionnaire. There was a high correlation between the different dimensions of each questionnaire and its related QOL. The two questionnaires did not indicate any correlations between glycemic control and different dimensions of QOL. Conclusion: The two questionnaires have reliability for the total QOL however, the distribution of questions in IRDQOL is not equal. The quality of the evaluation of patients’ personality characteristics by IRDQOL is less than that of WHOQOL. None of the questionnaires indicated any relationship between personal characteristics and glycemic control.
Dr Minoo Motaghi, Dr Behzad Hamedani, Dr Parvaneh Khorasani, Mr Ahmad Bahrami,
Volume 26, Issue 1 (4-2023)
Abstract
Introduction: Today, the increasing prevalence of diabetes and its complications in the elderly is one of the most challenging problems in the health sector. One of the most important strategies for managing diabetes in the elderly is teaching self-care behaviors, which requires competent nurses in the field of diabetes education. The present study was conducted with the aim of determining the effect of empowering nurses on self-care and HbA1c control of elderly people with type 2 diabetes living in nursing homes.
Methods: This quasi-experimental study was conducted as a single group on 32 nurses and 30 elderly people with type 2 diabetes residing in nursing homes by convenience sampling. Nurses participated in a one-day empowerment workshop on type 2 diabetes. Data collection tools were a researcher-made questionnaire of workshop content to measure nurses' empowerment, Tobert and Glasgow self-care questionnaire and laboratory index HbA1c for the elderly. Data were analyzed using Spss version 20 at the 0.05 level. The present research has been registered with the ethics code IR.IAU.KHUISF.REC.1398.190 in the Ethics Committee of Islamic Azad University - Isfahan Branch (Khorasgan).
Results: Based on the findings, there was a significant difference between nurses' empowerment after the workshop compared to before (P=0.001). The mean scores of elderly before and three months after nurses' empowerment were significant in terms of self-care behaviors (P=0.000) and HbA1c index (P=0.000).
Conclusions: The results showed that the empowerment of nurses has desirable potential to change the outcomes of self-care in elderly people with type 2 diabetes resident in nursing homes, and by focusing on the approach of empowering nurses, positive steps can be taken in the management of diabetes and HbA1c of this group.
