Assessment of caring status for patients with type 2 diabetes in under control health centers of jarghoyee region in Isfahan, Iran

Abstract

Background: Diabetes mellitus (DM) is the most common metabolic disease. In Iran, family medicine program has been started since the year 2005 with the goal of increasing in service quality and quantity. This study aimed to evaluate current health care services for patients with type 2 diabetes mellitus in rural areas of Iran. Methods: This cross-sectional descriptive-analytic study was done in the year 2014 in 20 health houses under control of 7 secondary level health centers in Jarghoyeh region in southern part of Isfahan City, Iran. The data were collected randomly from 383 households with diabetes mellitus files using special checklists. These checklists were designed in accordance with health ministries for patients with diabetes mellitus. The collected data were analyzed via SPSS software using ANOVA, chi-square, and logistic regression tests. Findings: None of the patients received advice care based on national protocols. Less than 6 of patients received 6-8 regular cares in the recent year. The mean values of hemoglobin A1C (HBA1C), systolic blood pressure, total cholesterol, low-density lipoprotein (LDL), triglycerides (TG), and body mass index (BMI) showed higher level in women than men. From all advised and key cares, blood pressure measurement in 81.6 and weight control in 80.5 were more favorable care services. There was significant relationship between foot examination, smoking status, and gender (P < 0.05). Conclusion: Health care services needed for patients with type 2 diabetes mellitus are less than national comprehensive prevention and diabetes control protocol in quality and quantity of cares in most of the cases. © 2017, Isfahan University of Medical Sciences(IUMS). All rights reserved.