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Change of glycaemic control and predictors in diabetes patients: Longitudinal observational study during the one year after hospital discharge
Author(s) -
Tai LiAi,
Tsai LiYu,
Chen ShuChing
Publication year - 2013
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12172
Subject(s) - medicine , diabetes mellitus , glycated haemoglobin , observational study , longitudinal study , prospective cohort study , coping (psychology) , plasma glucose , demographics , glycated hemoglobin , type 2 diabetes , endocrinology , demography , clinical psychology , pathology , sociology
Glycated haemoglobin ( HbA 1 c ) might reflect glycaemic control in persons with diabetes. Study aims were to identify changes in glycated haemoglobin values and predictors (baseline coping behaviour, fasting plasma glucose, disease‐related and demographic factors) in patients during 1 year after hospital discharge. A longitudinal prospective design with convenience sampling was used. Subjects were recruited from a community hospital in T aiwan. Measures included J alowiec C oping S cale, fasting plasma glucose, HbA 1 c values, and demographics. Generalized estimating equation was used to determine factors of change in glycated haemoglobin. A total of 57 patients completed 1 year of follow‐up. Half did not receive diabetes mellitus education and regular exercise. Patients’ glycated haemoglobin levels follow controls at 6 months after discharge. Patients with higher levels of blood glucose, less problem‐focused coping and greater emotion‐focused coping were associated with poor glycaemic control. Education programmes should involve individual‐centred care and health behaviours for prevention of diabetes complications.