988368
دوشنبه 11 فروردین 1404
چکیده: (137 مشاهده)
Background: Diabetes represents a major global health challenge, requiring effective self-management and medication adherence to achieve optimal outcomes. Health literacy, which includes the ability to understand and act upon health information, mediates these behaviors. This study investigates the mediating role of diabetes health literacy between self-management practices and medication adherence among patients with diabetes.
Methods: This correlational study was conducted at the Babylon Diabetes and Endocrinology Center, and 328 diabetic patients selected by convenience sampling participated. Data were collected using the Diabetes Self-Management Questionnaire (DSMQ), Medication Adherence Report Scale (MARS), and Diabetes Health Literacy Scale (DHLS). Validity and reliability were confirmed by expert reviews and pilot testing (Cronbach's alpha > 0.80). The statistical analysis included Pearson correlation and simple linear regression.
Results: The mean age of participants was 45.35 ± 9.38 years, and 56.1% of them were female. Moderate levels of self-management (63.1%, 34.44 ± 5.35) and health literacy (46.3%, 28.12 ± 5.86) were observed, while 58.8% showed good adherence to medications (25.87 ± 3.36). Regression analysis revealed diabetic health literacy as a significant predictor of diabetes self-management (β = .625, p < .001) and medication adherence (β = .580, p < .001).
Conclusions: Health literacy has been identified as a strong predictor of improved diabetes self-management and medication adherence, demonstrating its critical influence on diabetes management outcomes. Healthcare providers should integrate structured health literacy programs, streamline communication, and provide personalized support to empower people with diabetes
Methods: This correlational study was conducted at the Babylon Diabetes and Endocrinology Center, and 328 diabetic patients selected by convenience sampling participated. Data were collected using the Diabetes Self-Management Questionnaire (DSMQ), Medication Adherence Report Scale (MARS), and Diabetes Health Literacy Scale (DHLS). Validity and reliability were confirmed by expert reviews and pilot testing (Cronbach's alpha > 0.80). The statistical analysis included Pearson correlation and simple linear regression.
Results: The mean age of participants was 45.35 ± 9.38 years, and 56.1% of them were female. Moderate levels of self-management (63.1%, 34.44 ± 5.35) and health literacy (46.3%, 28.12 ± 5.86) were observed, while 58.8% showed good adherence to medications (25.87 ± 3.36). Regression analysis revealed diabetic health literacy as a significant predictor of diabetes self-management (β = .625, p < .001) and medication adherence (β = .580, p < .001).
Conclusions: Health literacy has been identified as a strong predictor of improved diabetes self-management and medication adherence, demonstrating its critical influence on diabetes management outcomes. Healthcare providers should integrate structured health literacy programs, streamline communication, and provide personalized support to empower people with diabetes
