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Croatian medical journal, Vol.50 No.6 December 2009. -

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.

Diabetes mellitus type 2; Illness perception; Cardiovascular risk factors; Family practice



Autor: Goranka Petriček - ; Department of Family Medicine, Andrija Štampar School of Public Health, School of Medicine University of Z

Fuente: http://hrcak.srce.hr/



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