Psychosocial Factors and Their Relationship With Selfmanagement in People With Type ۲ Diabetes Mellitus: A Conceptual Framework Based on Socio-Cognitive Theory
- سال انتشار: 1397
- محل انتشار: مجله اپیدمیولوژی و نظام سلامت، دوره: 5، شماره: 4
- کد COI اختصاصی: JR_INJER-5-4_004
- زبان مقاله: انگلیسی
- تعداد مشاهده: 357
نویسندگان
Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
Social Determinants of Health Research Center, Department of Health Education and Health Promotion, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Community-oriented Nursing and Midwifery Research Center, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran
چکیده
Background and aims: Maintaining the health of diabetic people depends on the self-managementof the disease. This study aimed to evaluate the relationship of distress, self-efficacy, perceived socialsupport, and self-care with self-management behaviors in the patients with type ۲ diabetes.Methods: The present analytical-descriptive study was conducted on ۲۲۸ diabetic patients, during۲۰۱۶-۲۰۱۷. Most of the participants were male (۶۰.۶%) and the mean age of them was ۵۱.۹۵±۱۵.۰۴.The participants were selected based on a simple random sampling method after completing theconsent form. The required data were collected through questionnaires of distress, self-efficacy,perceived social support, self-care, and self-management. The data were statistically analyzed usingSPSS software version ۲۲.۰.Results: Out of ۲۲۸ participants, ۷۷.۳% were married and the highest frequency in terms of educationalattainment was related to those with a high school diploma. The results indicated that the durationof affliction with diabetes was less than ۱۰-۱۵ years in ۸۸.۹% of the participants. Pearson correlationtest demonstrated that the total score of self-management had a significant relationship with thetotal scores of distress, perceived social support, self-efficacy, and self-care (P< ۰.۰۰۵). The results ofregression analysis also indicated that distress, perceived social support, self-efficacy, and self-carehad a predictive power of ۰.۴۳% for self-management. Among these variables, the predictive powersof self-efficacy and self-care were statistically significant, and the prediction rate of self-efficacy wasmore than that of other ones (β = ۰.۱۷).Conclusion: The study findings showed that the researchers who want to perform interventions basedon cognitive-social theory should mainly focus on self-care and self-efficacy.کلیدواژه ها
Diabetics, Self-management, Psychological and social factors, Socio-cognitive theoryاطلاعات بیشتر در مورد COI
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