Predictors of Self-care among the Elderly with Diabetes Type 2: Using Social Cognitive Theory

Borhaninejad, Vahidreza; Iranpour, Abedin; Shati, Mohsen; Tahami, Ahmad Naghibzadeh; Yousefzadeh, Gholamreza; Fadayevatan, Reza

doi:10.1016/j.dsx.2016.08.017

Cited by 27 publications

(24 citation statements)

References 21 publications

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“…Occupation and family support were tended to be the predictors of self-management. The finding of this study shares a similarity with that of studies done in Iran and Malaysia [26,27] Family support was reported to increase adherence to selfmanagement. Increase in self-management practice is comparable with the finding of the systematic review and meta-analysis which reported the social support significantly improved selfmanagement [38].…”

Section: Plos Onesupporting

confidence: 87%

“…Different researches have investigated that age, current occupation, lack of awareness, absence of self-practice health education, years of suffering from DM, having family members suffering from the illness and lack of knowledge about the illness were the factors that affect the level of self-management behaviors [24,25]. Besides, belief in treatment effectiveness, family support, self-efficacy, awareness about the disease and social support were also the factors that affect self-management practice [26,27].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of self-management practices among diabetic patients attending hospitals in western Oromia, Ethiopia

2020

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Background Diabetes Mellitus recognized as one of the emerging public health problems in developing countries. Self-monitoring needs to be individualized and should assist people with diabetes. This study aimed to assess the predictors of self-management practices among diabetic patients attending hospitals in western Oromia, Ethiopia. Methods A facility-based cross-sectional study was conducted from November 2017 to February 2018 in hospitals located in western Oromia, Ethiopia. An interview was made with a total of 400 diabetic patients attending the diabetes center and admitted to ward in the study hospitals. The data were entered into Epi Info software version 3.5.4. Data analysis was made using a statistical package for the social sciences (SPSS) version 20. Odds ratio (OR) was used to show the association. The statistical significance was considered at P<0.05, and potential confounding variables were controlled using logistic regression. The analyzed data were presented in texts and tables. Results From a total of 398 interviewed patients, 129 (32.4%) practiced diabetes self-management. About 63.6% of the study participants' self-management practice was good. Most 103 (79.84%) of those who practiced self-management were presented with one of diabetes mellitus-related complications. Logistic regression analysis results showed that merchants were about six times higher in self-management practice [AOR of 5.945 (1.177-30.027 at 95% CI)] and those having family support in diabetes practiced self-management 2.87 times than others [AOR of 2.835 (1.386-5.801 at 95% CI)].

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Section: Plos Onesupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Predictors of self-management practices among diabetic patients attending hospitals in western Oromia, Ethiopia

2020

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“…Such a finding is in line with findings from some other similar studies. [ 12 15 ] However, it is inconsistent with that reported by Hackworth et al . [ 27 ] who found that social support and engagement in community activities was not influential on diabetes self-care.…”

Section: Discussionmentioning

confidence: 92%

“…[ 9 10 ] Despite emphasizing the importance of self-care in elderly patients, some studies have reported the self-care status in elderly patients as poor. [ 11 12 13 ] Hence, some researchers began to study the determinants of self-care, particularly in the elderly population. It is emphasized that ability to perform self-care varies according to many social determinants and health conditions.…”

Section: Introductionmentioning

confidence: 99%

“…It is emphasized that ability to perform self-care varies according to many social determinants and health conditions. [ 12 ] While most studies have recently focused on the role of psychological and social determinants of self-care in diabetic patients[ 14 15 ] or elderly patients,[ 16 17 ] their possible contribution among the diabetic elderly patients, particularly in Iranian population, have been poorly investigated. It is essential to consider the interplaying roles of psychological and social factors as an integrated model of psychosocial factors, which fits the nature of such a complex phenomenon as psychosocial determinants of self-care in diabetic elderly patients.…”

Section: Introductionmentioning

confidence: 99%

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A structural equation model of self-care activities in diabetic elderly patients

Alavi

Molavi

Eslami

2018

Iranian J Nursing Midwifery Res

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Background:Self-care is a valuable strategy to improve health and reduce events of hospitalization and the duration of hospital stay in elderly diabetic patients. This study aimed to examine the model of self-care behaviors in elderly diabetic patients.Materials and Methods:A survey was conducted among 209 diabetic elderly patients who were admitted in three hospitals affiliated with the Isfahan University of Medical Sciences, Iran. Convenience sampling method was used to recruit the participants. Depression, anxiety, stress, and perceived social support were considered as predicting exogenous variables and elderly patients' self-care activities were treated as endogenous variables. The data were collected by a four-part questionnaire consisting of demographic and health-related characteristics; 21-item depression anxiety stress scale, multidimensional scale of perceived social support, and Diabetes Self-care Activities scale. Structural equation modelling by Statistical Package for the Social Sciences (SPSS) version 16 and Analysis of Moment Structures-7 (AMOS) software was applied for data analysis.Results:Mean (standard deviation) of depression, anxiety, stress, perceived social support, and self-care activities of participants were 14.29 (4.3), 13.62 (3.74), 16.83 (4.23), 57.33 (14.19), and 44.56 (13.77), respectively. The results showed that the overall model fitted the data (χ2/df = 3.8, goodness-of-fit index (GFI) = 0.52, incremental fit index (IFI) = 0.48, and root mean square error of approximation (RMSEA) = 0.14). Three out of four variables (i.e., perceived social support, anxiety, and depression) significantly predicted adherence to self-care behaviors among diabetic elderly patients (p < 0.05).Conclusions:The perceived social support, anxiety, and depression were identified as key constructs which need to be taken into account and well managed by health care professionals to enhance adherence to self-care activities in diabetic elderly patients.

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Diabetes self‐management and its related factors among Chinese young adults with type 2 diabetes mellitus

Liu

Lin

et al. 2023

Nursing Open

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AimTo explore the status quo of self‐management among young adults with type 2 diabetes mellitus (T2DM) and the determinants of self‐management under the guidance of social cognitive theory.DesignA cross‐sectional study.MethodsIn total, 227 young adults (18–44 years old) with T2DM at two hospitals in Beijing completed the questionnaires. The Summary of Diabetes Self‐care Activities (SDSCA) was used, along with additional questionnaires about diabetes self‐efficacy, attitude, diabetes distress, diabetes knowledge, coping styles and social support. Univariate analysis and multiple linear regression were used to explore the related factors of self‐management among the young patients.ResultsThe scores for the SDSCA in diet, exercise, blood‐glucose testing, foot care and medication taking were (4.16 ± 1.51), (3.46 ± 2.50), (2.28 ± 2.24), (1.08 ± 1.84) and (6.09 ± 1.88), respectively. Stepwise multiple linear regression showed that fasting blood‐glucose value was significantly associated with self‐management behaviours of diet, exercise, blood‐glucose testing and medication taking. Self‐efficacy was significantly associated with self‐management behaviours of diet, exercise and foot care. Diabetes distress, diabetes‐related social activity, confrontation, education, duration of T2DM, treatment modalities and diabetes knowledge were associated with the one or two dimensions of SDSCA in the young adults with T2DM.

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Predictors of Self-care among the Elderly with Diabetes Type 2: Using Social Cognitive Theory

Cited by 27 publications

References 21 publications

Predictors of self-management practices among diabetic patients attending hospitals in western Oromia, Ethiopia

Predictors of self-management practices among diabetic patients attending hospitals in western Oromia, Ethiopia

A structural equation model of self-care activities in diabetic elderly patients

Diabetes self‐management and its related factors among Chinese young adults with type 2 diabetes mellitus

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