Izvorni znanstveni članak
Illness Perception and Cardiovascular Risk Factors in Patients with Type 2 Diabetes: Cross-sectional Questionnaire Study
Goranka Petriček
; Department of Family Medicine, Andrija Štampar School of Public Health, School of Medicine University of Zagreb, Croatia
Mladenka Vrcić-Keglević
; Department of Family Medicine, Andrija Štampar School of Public Health, School of Medicine University of Zagreb, Croatia
Gorka Vuletić
; Department of Psychology, Faculty of Philosophy, Josip Juraj Srossmayer University of Osijek, Croatia
Venija Cerovečki
; Department of Family Medicine, Andrija Štampar School of Public Health, School of Medicine University of Zagreb, Croatia
Zlata Ožvačić
; Department of Family Medicine, Andrija Štampar School of Public Health, School of Medicine University of Zagreb, Croatia
Lucija Murgić
; Healt Center Zagreb-Center, Zagreb, Croatia
Sažetak
Aim To investigate illness perception in patients with type
2 diabetes mellitus and its association with the degree of
control over relevant cardiovascular risk factors.
Methods A cross-sectional questionnaire-based study
was performed from June 2007 to March 2008. A stratified
random sample of 46 Croatian general practitioners was
asked to select, using systematic sampling, the first 6 patients
with type 2 diabetes mellitus aged ≥18 years who
visited them for consultation during the study period. Data
on 250 patients included patient illness perception assessment
(Brief Illness Perception Questionnaire, IPQ), cardiovascular
risk factors, and socio-demographic data.
Results The patients’ mean age was 63.0 ± 10.9 years and
mean duration of diabetes was 9.3 ± 7.8 years. The patients’
illness perception assessment on an 11-point (0 to
10) scale showed the highest median scores (interquartile
range): 10 (8 to 10) for “timeline” and 8 (7 to 9) for “treatment
control,” followed by 7 (5 to 8) for “personal control,” 7
(5 to 9) for “understanding,” 5 (3 to 7) for “consequences,” 6
(4 to 7) for “concern,” and 5 (2 to 7) for “emotional response.”
The lowest score was 3 (1 to 5) for “identity.” Multivariate logistic
regression showed that the Brief IPQ item “concern”
(P < 0.001) was a significant predictor of body mass index;
“personal control” (P < 0.001) and “concern” (P = 0.048) were
significant predictors of fasting blood glucose; “treatment
control” (P = 0.009) was a significant predictor of total cholesterol;
and “understanding” (P = 0.010) was a significant
predictor of blood pressure.
Conclusion As patients’ beliefs seem to be associated with
the degree of control over cardiovascular risk factors, they
should be included in routine clinical assessments.
Ključne riječi
Diabetes mellitus type 2; Illness perception; Cardiovascular risk factors; Family practice
Hrčak ID:
48568
URI
Datum izdavanja:
15.12.2009.
Posjeta: 2.719 *