tailieunhanh - báo cáo hóa học:" The cross-sectional associations between sense of coherence and diabetic microvascular complications, glycaemic control, and patients’ conceptions of type 1 diabetes"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí hóa học đề tài : The cross-sectional associations between sense of coherence and diabetic microvascular complications, glycaemic control, and patients’ conceptions of type 1 diabetes | Ahola et al. Health and Quality of Life Outcomes 2010 8 142 http content 8 1 142 HEALTH AND QUALITY of life outcomes RESEARCH Open Access The cross-sectional associations between sense of coherence and diabetic microvascular complications glycaemic control and patients conceptions of type 1 diabetes Aila J Ahola Markku Saraheimo Carol Forsblom Kustaa Hietala Per-Henrik Groop the FinnDiane Study Group Abstract Background Sense of coherence SOC has been associated with various self-care behaviours in the general population. As the management of type 1 diabetes heavily relies on self-management the SOC concept could also prove important in this population. This paper is a report of a study conducted among patients with type 1 diabetes to assess the associations between SOC and glycaemic control microvascular complications and patients conceptions of their disease. Methods Altogether 1 264 adult patients 45 men age range 18-82 years with type 1 diabetes participated in this cross-sectional study. SOC was evaluated using a 13-item SOC questionnaire. Standardized assays were used to determine HbA1c. Nephropathy status was based on albumin excretion rate and retinal laser-treatment was used as an indication of severe retinopathy. Patients subjective conceptions of diabetes were studied using a questionnaire. Results Higher SOC scores reflecting stronger SOC were associated with lower HbA1c values. Strong SOC was independently associated with reaching the HbA1c level . Adjusting for diabetes duration age at onset socioeconomic status and HbA1c weak SOC was associated with the presence of nephropathy among men but not women. No associations were observed between SOC and severe retinopathy. Four dimensions describing patients conceptions of HbA1c complications diabetes control and hypoglycaemia were formed from the diabetes questionnaire. Weak SOC was independently associated with worse subjective conceptions in the dimensions of HbA1c