SAGE open nursing · 2025
Self-Care Management and Its Predictors Among Jordanian Patients with Type 1 Diabetes Mellitus: Cross-Sectional Study.
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Salem Aziza, Masadeh Arwa, Nofal Basema, Othman Elham, Saleh Ali M, Darawad Muhammad W
Аннотация
BACKGROUND: Self-care management (SCM) is a cornerstone in the management of diabetes mellitus (DM), as it has a positive impact on glycemic control.
AIMS: To investigate the level, specific practices, correlates, and predictors of SCM practices among Jordanian adult patients with type 1 diabetes (DM1).
METHODOLOGY: Using an online self-report questionnaire, a convenience sample of 127 DM type 1 patients were recruited who agreed to complete the questionnaire. The questionnaire had four sections; demographics, the diabetes self-efficacy scale (DSES), the appraisal of self-care agency scale-revised (ASAR-R), and the Diabetes Self-Management Scale (DSMS).
RESULTS: The mean score of the total Diabetes Self-Management Scale (DSMS) of patients was 204.16 (SD = 40.35, range = 97-299). We found that SCM practices differed between patients according to their characteristics; the SCM-Activity and SCM-Food differed according to gender, educational level, and income. Furthermore, there were significant negative relationships between the duration of being diagnosed with DM and SCM-activity, and between BMI and each of SCM-Blood glucose monitoring and SCM-adherence to the medication regimen. Lastly, sequential regression showed that income, self-efficacy (SE), and self-care agency (SCA) were significant predictors of SCM.
CONCLUSIONS: Patients with DM type 1 exhibit different levels of SCM according to their personal and clinical characteristics. Tailored health education plans should be provided to patients according to their risk factors for low SCM practices.
AIMS: To investigate the level, specific practices, correlates, and predictors of SCM practices among Jordanian adult patients with type 1 diabetes (DM1).
METHODOLOGY: Using an online self-report questionnaire, a convenience sample of 127 DM type 1 patients were recruited who agreed to complete the questionnaire. The questionnaire had four sections; demographics, the diabetes self-efficacy scale (DSES), the appraisal of self-care agency scale-revised (ASAR-R), and the Diabetes Self-Management Scale (DSMS).
RESULTS: The mean score of the total Diabetes Self-Management Scale (DSMS) of patients was 204.16 (SD = 40.35, range = 97-299). We found that SCM practices differed between patients according to their characteristics; the SCM-Activity and SCM-Food differed according to gender, educational level, and income. Furthermore, there were significant negative relationships between the duration of being diagnosed with DM and SCM-activity, and between BMI and each of SCM-Blood glucose monitoring and SCM-adherence to the medication regimen. Lastly, sequential regression showed that income, self-efficacy (SE), and self-care agency (SCA) were significant predictors of SCM.
CONCLUSIONS: Patients with DM type 1 exhibit different levels of SCM according to their personal and clinical characteristics. Tailored health education plans should be provided to patients according to their risk factors for low SCM practices.