Journal of clinical nursing · 2005
Metabolic control, self-management and psychosocial adjustment in women with type 2 diabetes.
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Whittemore Robin, D'Eramo Melkus Gail, Grey Margaret
Аннотация
AIMS: To examine factors associated with metabolic control, self-management (diet and exercise behaviour), and psychosocial adjustment (diabetes-related distress) in women with type 2 diabetes.
DESIGN: Cross-sectional design using baseline data of women with type 2 diabetes enrolled to participate in a pilot study of a nurse coaching intervention (n = 53).
ETHICAL ISSUES: Appropriate ethical review and approval was completed. Informed consent from participants was obtained.
OUTCOME MEASURES: Physiological measures included body mass index and glycosylated haemoglobin (HbA1c). Self-management measures included the Dietary Subscale of the Summary of Diabetes Self-Care Activities Questionnaire and a modified Paffenbarger Physical Activity Questionnaire. Psychosocial measures included the Problem Areas in Diabetes Survey (diabetes-related distress), the Diabetes Questionnaire, the Diabetes Self-Management Assessment Tool Support and Confidence Subscale, and the Social Functioning Scale. Descriptive, bivariate, and multivariate analyses were completed.
RESULTS: The most consistent predictor of metabolic control, dietary self-management, and diabetes-related distress was support and confidence in living with diabetes. Additionally, women had difficulty meeting optimal goals for exercise, yet reported higher levels of other physical activity.
LIMITATIONS: This study was an exploratory analysis with a homogeneous sample of women with type 2 diabetes enrolled in an intervention study and measurements included multiple self-report instruments.
CONCLUSIONS: Interventions to increase women's perceived self-confidence and support may contribute to positive health outcomes in women with type 2 diabetes.
RELEVANCE TO CLINICAL PRACTICE: Assessment of social support and self-confidence in diabetes self-management in women with type 2 diabetes may assist in determining individualized goals and strategies. Enhanced social support and self-confidence in diabetes self-management may subsequently improve metabolic control, self-management and psychosocial adjustment to diabetes.
DESIGN: Cross-sectional design using baseline data of women with type 2 diabetes enrolled to participate in a pilot study of a nurse coaching intervention (n = 53).
ETHICAL ISSUES: Appropriate ethical review and approval was completed. Informed consent from participants was obtained.
OUTCOME MEASURES: Physiological measures included body mass index and glycosylated haemoglobin (HbA1c). Self-management measures included the Dietary Subscale of the Summary of Diabetes Self-Care Activities Questionnaire and a modified Paffenbarger Physical Activity Questionnaire. Psychosocial measures included the Problem Areas in Diabetes Survey (diabetes-related distress), the Diabetes Questionnaire, the Diabetes Self-Management Assessment Tool Support and Confidence Subscale, and the Social Functioning Scale. Descriptive, bivariate, and multivariate analyses were completed.
RESULTS: The most consistent predictor of metabolic control, dietary self-management, and diabetes-related distress was support and confidence in living with diabetes. Additionally, women had difficulty meeting optimal goals for exercise, yet reported higher levels of other physical activity.
LIMITATIONS: This study was an exploratory analysis with a homogeneous sample of women with type 2 diabetes enrolled in an intervention study and measurements included multiple self-report instruments.
CONCLUSIONS: Interventions to increase women's perceived self-confidence and support may contribute to positive health outcomes in women with type 2 diabetes.
RELEVANCE TO CLINICAL PRACTICE: Assessment of social support and self-confidence in diabetes self-management in women with type 2 diabetes may assist in determining individualized goals and strategies. Enhanced social support and self-confidence in diabetes self-management may subsequently improve metabolic control, self-management and psychosocial adjustment to diabetes.
Предметные рубрики MeSH
Adaptation, PsychologicalAdultAgedBody Mass IndexConnecticutCross-Sectional StudiesDiabetes Mellitus, Type 2Diet, DiabeticExerciseFemaleGlycated HemoglobinHealth Knowledge, Attitudes, PracticeHealth StatusHumansMental HealthMiddle AgedMultivariate AnalysisNursing Methodology ResearchPatient Education as TopicPilot ProjectsRegression AnalysisSelf CareSelf EfficacySocial SupportSurveys and QuestionnairesWomen