ปัจจัยที่มีความสัมพันธ์กับระดับ HbA1c ของผู้ป่วยเบาหวานชนิดที่ 2 โรงพยาบาลพระยืน จังหวัดขอนแก่น (FACTORS RELATED TO HbA1c LEVELS IN TYPE 2 DIABETIC PATIENTS AT PRAYUEN HOSPITAL IN KHON KAEN PROVINCE)

Abstract

This analytical research is routine to research. The historical data derived from data collection forms of type 2 diabetic patients who had received the treatment at Prayuen Hospital. The purpose of the study was to identify the factors related to HbA1c levels in type 2 diabetic patients in Prayuen District area, Khon Kaen Province. The research subjects included a study group and a comparison group (190 people each). The data was analyzed using descriptive statistics: frequency, percentage, average, standard deviation, maximum and minimum values and inferential statistics. Multiple logistic regression was also used to analyze the data with a variable selection in stepwise regression. The results showed that the factors affecting HbA1c levels with statistical significance were as follows. 1) Blood pressure level: The subjects with high blood pressure could raise HbA1c levels to 0.5 times more than those whose blood pressure levels were normal (95% CI = 0.32-0.95, p<0.05). 2) First-degree relatives with diabetes: The subjects who had first-degree relatives with diabetes could raise HbA1c levels to 4.24 times more than those who had no first-degree relatives with diabetes (95% = 1.79-5.05, p<0.05). 3) The number of times the patients visiting doctors within a year: The subjects who had visited doctors more than 6 times a year could raise HbA1c levels to 4.24 times more than those who had visited doctors less than or equal to 6 times per year (95% CI = 2.00-5.38, p<0.05). 4) The consistency of getting medication: The subjects who sometimes or often missed medication could raise HbA1c levels to 2.02 times more than those who consistently received medication (95% CI = 1.07-2.86, p<0.05). 5) Levels of stress: The subjects who experienced high level of stress could raise HbA1c levels to 2.32 times more than those who didn’t (95% CI = 1.42-3.78, p<0.05). 6) Attention from families: The subjects who did not get attention from their families could raise HbA1c to 0.14 times more than those who usually got attention from their families (95% CI = 0.35-0.58, p<0.05). 7) Levels of triglyceride: The subjects who had high level of triglyceride could raise HbA1c level to 2.52 times more than those who had normal triglyceride level (95% CI = 1.53-4.13, p<0.05).

The above findings reveal the factors related to HbA1c levels in type 2 diabetic patients at Prayuen Hospital. These findings can be used as facts for health care professional to make a decision in curing, diagnosing diabetes and the tendency of HbA1c levels of patients in the future.