Self-management status and its associated factors among rural patients with type 2 diabetes in Guilan Province, North of Iran

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Authors: Hojjat Houshyari Khah, Leila Mirhadian, sajjad pourbagheri, saman maroufizadeha, Marzieh Shayesteh Fard
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Abstract

Background: Self-management programs play a crucial role in improving health outcomes among diabetic patients. However, implementing such programs in rural areas faces challenges due to cultural, economic, and accessibility-related barriers. Therefore, evaluating the effectiveness of these programs in rural communities is essential. Objective: This study aimed to determine the self-management status and its associated factors in rural patients with Type 2 Diabetes (T2D) in Guilan, north of Iran. Materials and methods: This analytical cross-sectional study was conducted on 350 patients with T2D living in rural areas of Guilan province in 2023, who were selected using a multistage cluster random sampling method. Data were collected using a socio-economic/demographic/clinical form and the Diabetes Self-Management Questionnaire-Revised (DSMQ-R). Statistical analysis was performed using the independent t-test, one-way ANOVA, Pearson’s correlation test, and linear regression analysis, considering a significance level of P

Fields of Study & Subjects

Diabetes Management and Education Health and Well-being Studies Ophthalmology and Visual Health Research

Publication details

Journal / source
Journal of Holistic Nursing and Midwifery
Volume
36
Issue
1
Pages
37–45
Publication date
1 January 2026
Language
EN