| dc.description.abstract | Abstract
Introduction:
Increasing the prevalence of diabetes in the elderly population and the difficulty in managing this chronic disease requires a deeper understanding of all factors and requires a more sensitive and individual approach to planning for treatment programs. According to various research findings, the elderly Patients with diabetes are prone to progressive cognitive impairment and dementia, muscular weakness, and decreased confidence in their abilities. Due to the importance of controlling blood glucose in these patients, we aimed to investigate the relationship between cognitive function (memory, awareness Time and space, reminder and attention), self-efficacy and level of physical activity with hemoglobin level Glycosylated (HbA1c)1 and glucose control in elderly patients with type 2 diabetes..
Materials and Methods:
The present study is a cross-sectional descriptive study with available sampling. In this study, 290 eligible participants (elderly patients over 65 years of age with type 2 diabetes mellitus) participated in the period from November to March 2016. The tools used included a subjective mental test (MMSE) test for cognitive function, Self-Efficacy Scale for Diabetes Management (DMSES) to assess the self-efficacy and daily activities and means of living (IADL, ADL) to assess the daily physical activity level and demographic characteristics form. The MMSE questionnaire was provided by the researcher in a face-to-face interview. The rest of the questionnaires were completed by patients. Patients were divided into two groups based on the level of HbA1C. Ten (<7 HbA1c) and uncontrolled (> 7 HbA1c (split ¬Shdnd data using SPSS software version 16 were analyzed..
Results:
The results of this study showed that cognitive function has a significant relationship with blood glucose control (p <0.05). However, according to the results of regression test, by adjusting the confounding variables of age, sex, marital status, smoking, education There was no significant correlation between cognitive function and glycemic control
(p = 0.13), self-efficacy with glycemic control was significantly correlated with adjustment of confounding variables of age, sex, marriage, smoking, education, and economic status(p≥0.05), daily activities and lifestyle instruments also had a significant correlation with blood glucose control (p≥0.05). However, lifestyle activities with moderate variables There was no significant relationship between the two groups (p = 0.104). Also, there was a significant relationship between demographic variables such as education level, economic status, duration of diabetes and HBA1C level in one year with control of blood glucose (p≥0.05), cognitive function had a significant relationship with the level of education and physical condition (p≥0.05), and self-efficacy had a significant correlation with A1C level, duration of diabetes, duration of smoking, economic status and physical condition(p≥0.05).
Conclusion:
The findings of this study can provide grounds for planning for diabetes control (taking actions in relation to increasing self-efficacy), preventing its complications (cognitive impairment and reducing the level of physical activity) and more adherence of patients It is more accurate and effective than the treatment process, and it also provides designing effective programs and interventions that are more effective in diabetes care and provides a broader view of education to diabetes educators.
1Glycosylated hemoglobin (HbA1c) is a blood test that indicates the average blood glucose level in the past two to three months. The results of this test indicate that several percent of hemoglobin is combined with sugar, which is the higher percentage, indicating High is the average blood glucose level.. | en_US |
