Volume 36, Issue 1 (1-2026)
JHNM 2026, 36(1): 0-0 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Houshyari khah H, mirhadian L, pourbagheri S, maroufizadeha S, shyaesteh fard M. Self-management status and its associated factors among rural patients with type 2 diabetes in Guilan Province, North of Iran. JHNM 2026; 36 (1)
URL: http://hnmj.gums.ac.ir/article-1-2605-en.html
URL: http://hnmj.gums.ac.ir/article-1-2605-en.html
Hojjat Houshyari khah1 
, Leila Mirhadian1 , Sajjad Pourbagheri2 , Saman Maroufizadeha3 , Marzieh Shyaesteh fard *4
, Leila Mirhadian1 , Sajjad Pourbagheri2 , Saman Maroufizadeha3 , Marzieh Shyaesteh fard *4
1- Instructor, Department of nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
2- Nursing (MSc), Student Research Committee, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
3- Associated Professor, Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
4- Assistant Professor, Department of nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. ,Maziehshayestehfard@gmail.Com
2- Nursing (MSc), Student Research Committee, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
3- Associated Professor, Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
4- Assistant Professor, Department of nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. ,
Abstract: (34 Views)
Background: Self-management programs play a crucial role in improving health outcomes among diabetic patients. However, implementing such programs in rural areas faces challenges due to cultural, economic, and accessibility-related barriers. Therefore, evaluating the effectiveness of these programs in rural communities is essential.
Objective: This study aimed to determine the self-management status and its associated factors in rural patients with Type 2 Diabetes (T2D) in Guilan, north of Iran.
Materials and methods: This analytical cross-sectional study was conducted on 350 patients with T2D living in rural areas of Guilan province in 2023, who were selected using a multistage cluster random sampling method. Data were collected using a socio-economic/demographic/clinical form and the Diabetes Self-Management Questionnaire-Revised (DSMQ-R). Statistical analysis was performed using the independent t-test, one-way ANOVA, Pearson’s correlation test, and linear regression analysis, considering a significance level of P<0.05.
Results: The majority of participants were female (55.4%), housekeepers (50.3%), married (70.9%), with lower than high school education (54.9%), low income sufficiency (74.9%), and a family history of diabetes (79.7%). The mean total DSMQ-R score was 5.23±1.42 . Over half of the participants demonstrated unfavorable self-management practices. Among the DSMQ-R domains, the highest score was for blood glucose monitoring (5.99±1.57), and the lowest was for physical activity (3.87±2.06). About 50% of participants had an HbA1c level below 7%, indicating good glycemic control. Significant predictors of self-management scores included: high school education (b= 0.95, 95% CI; 0.20-1.70, P=0.013), university education (b=1.48, 95% CI;0.62-2.33, P=0.001), diabetes duration (b= -0.07, 95% CI; -0.10 to -0.04, P=0.001), number of comorbidities (b= -1.02, 95%CI; -1.50 to -0.54, P=0.001), body mass index (b=- 0.13, 95% CI; -0.18 to -0.08, P=0.001) and diastolic blood pressure (b= - 0.06,95%CI;-0.07 to 0.02,p=0.001) .These factors explained 48.7% of the variance in the DSMQ-R score.
Conclusion: Self-management practices (particularly physical activity) of rural patients with T2D in Guilan province are not favorable. To enhance their effectiveness, the diabetes prevention programs in the country should be tailored to the individual, clinical, and social characteristics of rural communities.
Objective: This study aimed to determine the self-management status and its associated factors in rural patients with Type 2 Diabetes (T2D) in Guilan, north of Iran.
Materials and methods: This analytical cross-sectional study was conducted on 350 patients with T2D living in rural areas of Guilan province in 2023, who were selected using a multistage cluster random sampling method. Data were collected using a socio-economic/demographic/clinical form and the Diabetes Self-Management Questionnaire-Revised (DSMQ-R). Statistical analysis was performed using the independent t-test, one-way ANOVA, Pearson’s correlation test, and linear regression analysis, considering a significance level of P<0.05.
Results: The majority of participants were female (55.4%), housekeepers (50.3%), married (70.9%), with lower than high school education (54.9%), low income sufficiency (74.9%), and a family history of diabetes (79.7%). The mean total DSMQ-R score was 5.23±1.42 . Over half of the participants demonstrated unfavorable self-management practices. Among the DSMQ-R domains, the highest score was for blood glucose monitoring (5.99±1.57), and the lowest was for physical activity (3.87±2.06). About 50% of participants had an HbA1c level below 7%, indicating good glycemic control. Significant predictors of self-management scores included: high school education (b= 0.95, 95% CI; 0.20-1.70, P=0.013), university education (b=1.48, 95% CI;0.62-2.33, P=0.001), diabetes duration (b= -0.07, 95% CI; -0.10 to -0.04, P=0.001), number of comorbidities (b= -1.02, 95%CI; -1.50 to -0.54, P=0.001), body mass index (b=- 0.13, 95% CI; -0.18 to -0.08, P=0.001) and diastolic blood pressure (b= - 0.06,95%CI;-0.07 to 0.02,p=0.001) .These factors explained 48.7% of the variance in the DSMQ-R score.
Conclusion: Self-management practices (particularly physical activity) of rural patients with T2D in Guilan province are not favorable. To enhance their effectiveness, the diabetes prevention programs in the country should be tailored to the individual, clinical, and social characteristics of rural communities.
Article Type : Applicable |
Subject:
Special
Received: 2025/09/1 | Accepted: 2025/11/5 | Published: 2026/01/11
Received: 2025/09/1 | Accepted: 2025/11/5 | Published: 2026/01/11
Send email to the article author
| Rights and permissions | |
 | This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |