Psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in Kuala Terengganu

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...

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Main Author:	Harun, Nini Shuhaida Mat
Format:	Thesis
Language:	English
Published:	2017
Subjects:	RC648-665 Diseases of the endocrine glands Clinical endocrinology
Online Access:	http://eprints.usm.my/45313/1/Dr.%20Nini%20Suhaida%20Mat%20Harun-24%20pages.pdf
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id	my-usm-ep.45313
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spelling	my-usm-ep.453132020-10-22T03:03:11Z Psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in Kuala Terengganu 2017-05 Harun, Nini Shuhaida Mat RC648-665 Diseases of the endocrine glands. Clinical endocrinology 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. 2017-05 Thesis http://eprints.usm.my/45313/ http://eprints.usm.my/45313/1/Dr.%20Nini%20Suhaida%20Mat%20Harun-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC648-665 Diseases of the endocrine glands Clinical endocrinology
spellingShingle	RC648-665 Diseases of the endocrine glands Clinical endocrinology Harun, Nini Shuhaida Mat Psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in Kuala Terengganu
description	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.
format	Thesis
qualification_level	Master's degree
author	Harun, Nini Shuhaida Mat
author_facet	Harun, Nini Shuhaida Mat
author_sort	Harun, Nini Shuhaida Mat
title	Psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in Kuala Terengganu
title_short	Psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in Kuala Terengganu
title_full	Psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in Kuala Terengganu
title_fullStr	Psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in Kuala Terengganu
title_full_unstemmed	Psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in Kuala Terengganu
title_sort	psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in kuala terengganu
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2017
url	http://eprints.usm.my/45313/1/Dr.%20Nini%20Suhaida%20Mat%20Harun-24%20pages.pdf
_version_	1747821485718765568

Psychosocial associated factors for glycaemic control among type two diabetes mellitus patients in Kuala Terengganu

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