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| IJCEM Copyright © 2008-All rights reserved. Published by e-Century Publishing Corporation, Madison, WI 53711 |
Int J Clin Exp Med 2013;6(6): 470-477
Original Article
Association between knowledge, locus of control and health belief with self-
management, Hb A1c level and number of attendances in type 1 diabetes mellitus
patients
Roya Mansour-Ghanaei, Farahnaz Joukar, Fatemeh Soati, Atefeh Ghanbari Khanegha
Gastrointestinal & Liver Diseases Research Center (GLDRC), Guilan University (Medical Sciences), Rasht, Iran; Social Determinants
of Health Research Center, Guilan University (Medical Sciences), Rasht , Iran
Received March 29, 2013; Accepted May 1, 2013; Epub June 26, 2013; Published July 1, 2013
Abstract: This survey was designed to determine the association between knowledge, locus of control and health belief with self-
management, Hb A1c level and Number of attendances in type 1 diabetic patients in Rasht, Guilan Province - North of Iran. Data was
derived from chart reviews of 92 patients. Patients’ glycosylated hemoglobin level and their number of health care attendances during
the last 6 months were recorded. The four part questionnaires covered patients’ demographic data, knowledge, perceived control and
health belief of diabetes. A blood sample was taken from each patient. There was no significant relationship between demographic
data such as gender, age, marital status, education, occupation, duration of the disease, place of living and family history with
knowledge, health belief and locus of control (P > 0.05). Also the results didn’t show any significant association between the
complicated group and their knowledge and health belief (P > 0.05) while it was significantly related to their locus of control (P < 0.004).
The majority of the samples had poor knowledge (59.8%), health belief (71.7%) and locus of control (62%). There was no significant
relationship between patients’ knowledge, health belief and locus of control with their glycosylated hemoglobin level, number of
referrals and self-management. It is suggested by the present survey that locus of control, health belief and knowledge of patients are
not found to have no practical effect upon diabetic self-management behavior or outcomes, according to the variables used and care for
the diabetic patients must be tailored to individual requirements. (IJCEM1303024).
Keywords: Knowledge, self-management, type 1 diabetes mellitus
Address correspondence to: Farahnaz Joukar, Faculty member Gastrointestinal and Liver Diseases Research Center (GLDRC),
Guilan University (Medical Sciences) Razi Hospital, Sardar-Jangle Ave, Postal Code: 41448-95655, Rasht, Iran. Tel: +98-131-535116;
Fax: +98-131-5534951; E-mail: farajov@gmail.com or f_jokar@gums.ac.ir
Original Article
Association between knowledge, locus of control and health belief with self-
management, Hb A1c level and number of attendances in type 1 diabetes mellitus
patients
Roya Mansour-Ghanaei, Farahnaz Joukar, Fatemeh Soati, Atefeh Ghanbari Khanegha
Gastrointestinal & Liver Diseases Research Center (GLDRC), Guilan University (Medical Sciences), Rasht, Iran; Social Determinants
of Health Research Center, Guilan University (Medical Sciences), Rasht , Iran
Received March 29, 2013; Accepted May 1, 2013; Epub June 26, 2013; Published July 1, 2013
Abstract: This survey was designed to determine the association between knowledge, locus of control and health belief with self-
management, Hb A1c level and Number of attendances in type 1 diabetic patients in Rasht, Guilan Province - North of Iran. Data was
derived from chart reviews of 92 patients. Patients’ glycosylated hemoglobin level and their number of health care attendances during
the last 6 months were recorded. The four part questionnaires covered patients’ demographic data, knowledge, perceived control and
health belief of diabetes. A blood sample was taken from each patient. There was no significant relationship between demographic
data such as gender, age, marital status, education, occupation, duration of the disease, place of living and family history with
knowledge, health belief and locus of control (P > 0.05). Also the results didn’t show any significant association between the
complicated group and their knowledge and health belief (P > 0.05) while it was significantly related to their locus of control (P < 0.004).
The majority of the samples had poor knowledge (59.8%), health belief (71.7%) and locus of control (62%). There was no significant
relationship between patients’ knowledge, health belief and locus of control with their glycosylated hemoglobin level, number of
referrals and self-management. It is suggested by the present survey that locus of control, health belief and knowledge of patients are
not found to have no practical effect upon diabetic self-management behavior or outcomes, according to the variables used and care for
the diabetic patients must be tailored to individual requirements. (IJCEM1303024).
Keywords: Knowledge, self-management, type 1 diabetes mellitus
Address correspondence to: Farahnaz Joukar, Faculty member Gastrointestinal and Liver Diseases Research Center (GLDRC),
Guilan University (Medical Sciences) Razi Hospital, Sardar-Jangle Ave, Postal Code: 41448-95655, Rasht, Iran. Tel: +98-131-535116;
Fax: +98-131-5534951; E-mail: farajov@gmail.com or f_jokar@gums.ac.ir
