Testing a Conceptual Framework for Diabetes Self-Care Management

Abstract

Diabetes is a major source of morbidity, mortality, and economic expense in the United States. The majority of researchers and clinicians believe that diabetes is a self-care management disease, and that patients should be reliable, capable, and sufficiently responsible to take care of themselves. However, individuals with diabetes may or may not have diabetes knowledge, social support, self-care agency (an individual's capability to perform self-care actions), and self-efficacy (an individual's beliefs in his or her capability to perform self-care actions) that would help them to engage in diabetes self-care management. Therefore, this study examined the relationship among those factors using a cross-sectional model testing design. A convenient sample of 141 insulin-requiring individuals with either diabetes type 1 or type 2, 21 years old and over, was recruited from an outpatient diabetes care center located in a Southeast region of the United States. Simple linear regression, multiple standard regression, and multiple hierarchical regression were used to analyze the data. Individuals with greater diabetes knowledge had greater self-care agency and self-efficacy. Those with a higher score in social support had greater self-care agency and better diabetes self-care management, and those with greater self-efficacy had better diabetes self-care management. In addition, self-care agency mediated the effects of diabetes knowledge on self-efficacy and the effects of social support on diabetes self-care management. Self-efficacy mediated the effects of self-care agency on diabetes self-care management. Furthermore, the linear combination of diabetes knowledge, social support, self-care agency, and self-efficacy, taken together, positively affected diabetes self-care management. Enhancing an individual's diabetes knowledge, social support, self-care agency, and self-efficacy may be a strategy which can promote better engagement in diabetes self-care.

A Predictive Model of Quality of Life for Stomach Cancer Patients with Gastrectomy

“…을 미치는 요인들을 검증하기 위해 등 의 건강 관련 Ferrans [5] 삶의 질 연구모형과 의 행동 강화 수행 모형을 합성 Sousa [13] -하여 이론적 모형으로 구축하였다. (Figure 2).…”

Diabetes self-management (DSM) in Omani with type-2 diabetes

“…The development of the DSMS was guided by Orem's Self-Care Theory [24], empirical work by Sousa and Zauszniewski [25], the ADA [3], and the AADE7 self-care behaviors framework [5]. This scale measures DSM across different components: healthy eating, being active, monitoring of blood glucose, taking medication, problem solving, foot care, and reducing risks.…”

Conhecimento e atitude de usuários com diabetes mellitus em um serviço de atenção básica à saúde

“…Self-care education is a fundamental aspect of the treatment of people with diabetes mellitus and its importance is acknowledged in several studies conducted in communities with different socioeconomic and cultural characteristics (1) . For effective diabetes education training, knowledge, pedagogical skills, communication and listening skills, comprehension and negotiation skills are required by the multidisciplinary healthcare team (2) .…”

“…Items 1 to 12 require a single correct answer. For items 13 to 15 two answers are correct and both should be checked to obtain a score of one (1). A score greater than eight indicates knowledge about diabetes mellitus.…”