Assessment of Factors Affecting the Management of Chronic Diseases in Patients with Type 2 Diabetes: A Community-Based Cross-Sectional Study

Abstract

Our study aimed to evaluate the factors affecting the management of chronic diseases in patients with type 2 diabetes living in Manisa central district. In our cross-sectional study, 505 type 2 diabetic patients participated in a multi-stage, stratified random sampling method. A face-to-face questionnaire was applied to the participants. The questionnaire consisted of semi-structured questions prepared with a literature review and the Patient Assessment of Chronic Illness Care (PACIC) Turkish scale in which patients self-assessed their chronic disease care. Regression analysis was applied in multivariate analysis. The mean HbA1c level of the participants was 6.9±1.7 mg/dl. According to HbA1c, 61.7% had good metabolic control and only 69.5% of the participants self-monitored their blood glucose at home. The mean total PACIC score of the participants was 2.59±0.62. According to the results of univariate analysis, the total PACIC scores of those living in urban centers, males, those under the age of 45, those with higher income, those with higher education, those who self-monitor glucose at home, those with controlled HbA1c and blood lipid levels, those who have regular routine follow-ups and those who do not have diabetes-related health problems are significantly higher (p