Annals of Tropical Medicine and Public Health
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ORIGINAL ARTICLE
Year : 2017  |  Volume : 10  |  Issue : 5  |  Page : 1184-1188

Investigating the relationship between the number of care provided and changes in the variables associated with diabetes in health homes and health centers affiliated to Lamerd Healthcare Network


1 Faculty Member of Kermanshah University of Medical Sciences, School of Paramedical Sciences, Department of Anesthesiology, Kermanshah, Iran
2 Department of Emergency Medicine, Faculty of Paramedics, Kermanshah University of Medical Sciences, Kermanshah, Iran
3 Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran
4 Psychiatric Nursing Department, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
5 Department of Paramedical School, Gerash University of Medical Sciences, Gerash, Iran

Correspondence Address:
Afshin Goodarzi
Department of Emergency Medicine, Faculty of Paramedics, Kermanshah University of Medical Sciences, Kermanshah
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ATMPH.ATMPH_368_17

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Introduction: Diabetes influences the quality of life and the life expectancy of affected people and is an expensive disease to treat that imposes a heavy burden on the health and economy of each country. There have been few studies performed on the effectiveness of diabetes care in the clinical setting in Iran. Therefore, the aim of this study was to investigate the effectiveness of care in the clinical setting. Materials and Methods: This is a descriptive research, as an analysis of available data. Information about patients was extracted from the reports that submitted to Lamerd Healthcare Network. The criteria of the effectiveness of achieving the desired indicators in this study were in accordance with the goals of treatment of diabetes in country (Iran) about diabetic patients. Descriptive statistics and analytical statistics including Pearson's correlation coefficient and t-test were used to analyze the data. Results: About 59.7% of glycated hemoglobin (HbA1c) participants had <7% and 40.3% HbA1c >7%. About 45.3% of body mass index (BMI) participants had <25 and 54.7% of BMI >25. There was a significant relationship between the level of care and changes in hemoglobin glycolysis (r = 0.243, P < 0.05). Conclusion: In terms of achieving therapeutic goals for diabetes, blood pressure and BMI were within the acceptable range, but levels of fasting blood glucose and HbA1c were not in this range. Since there is a relationship between the changes of HbA1c and the number of physician care and health worker, it can be achieved by increasing the number of care for the purpose of treatment. Planning for weight loss in diabetic patients and increasing the number and quality of care for controlling blood glucose in Lamerd is recommended.


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