Comprehensive assessment of variables affecting metabolic control in patients with type 2 diabetes mellitus in Jordan.
OBJECTIVE
The aim of the study was to identify variables affecting metabolic control among diabetic patients treated at diabetes and endocrine clinic in Jordan.


METHODS
A total of 200 patients were studied by using a cross sectional study design. Data were collected from patients' medical records, glycemic control tests and prestructured questionnaires about variables that were potentially important based on previous researches and clinical judgment: Adherence evaluation, Patients' knowledge about drug therapy and non-pharmacological therapy, Anxiety and depression, Beliefs about diabetes treatment (benefits and barriers of treatment), Knowledge about treatment goals, Knowledge about diabetes, Self efficacy, and Social support.


RESULTS
The mean (±SD) age was 53.5 (±10.38) years and mean HbA1c was 8.4 (±1.95). In the multivariate analysis, education level, and self efficacy found to have significantly independent association with metabolic control (P<0.03).


CONCLUSIONS
Adequate knowledge and high self efficacy was significant in patients with good metabolic control. Emphasizing the importance of continuous educational programs and improving the self efficacy as well, could warrant achieving good metabolic control.
Department of Clinical Pharmacy and Biopharmaceutics, Pharmacy Collage, University of Jordan, Jordan. Electronic address: rolaqteishat@yahoo.com.
Rola Reyad
RR
Qteishat
Al Hussein Hospital, Ministry of Health, Jordan.
Abdel Rahman Al
AR
Ghananim
D000328:Adult; D000368:Aged; D001007:Anxiety / Q000150:complications / Q000453:epidemiology; D001786:Blood Glucose / Q000378:metabolism*; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy / Q000453:epidemiology* / Q000378:metabolism* / Q000523:psychology; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007597:Jordan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D016903:Drug Monitoring
D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents
Diabetes control; Diabetes type 2; Education level; Jordan; Metabolic control; Self efficacy