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Clinical and socio-demographic determinants of self-care maintenance, monitoring and management in us adults with type 2 diabetes mellitus
Luciani, Michela Rossi, Emanuela Rebora, Paola Stawnychy, Michael Ausili, Davide Riegel, Barbara
Luciani, Michela
Rossi, Emanuela
Rebora, Paola
Stawnychy, Michael
Ausili, Davide
Riegel, Barbara
Abstract
The aims of this study were to describe self-care in US T2DM patients and to identify clinical and sociodemographic determinants of self-care maintenance, monitoring, and management in US T2DM patients. A secondary analysis was performed using data from a cross-sectional study done to test the psychometric performance of the Self-Care of Diabetes Inventory in US English speaking adults with diabetes. In our sample (n = 207), self-care maintenance was adequately performed (median = 75), self-care monitoring was borderline (median = 67.6) and self-care management was poor (median = 55.6). Low income (p = .0019) and low self-care confidence (p < .0001) were associated with relatively lower self-care maintenance. Not taking insulin (p = .0153) and low self-care confidence (p < .0001) were associated with relatively low self-care monitoring. Low self-care confidence (p < .0001) was associated with low self-care management. Self-care confidence is a strong determinant of self-care. Interventions designed to improve self-care confidence are urgently needed.
Keywords
type 2 diabetes mellitus, self-care, self-management, self-efficacy
Date
2020
Type
Journal article
Journal
Clinical Nursing Research
Book
Volume
3
Issue
3
Page Range
285-292
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled