| Popis: |
[Purpose] In the medical treatment guidelines for type 2 diabetes, the utility of the approach using self-efficacy and stage of change has been previously demonstrated. Although the effects of short-term approaches have been shown, a few studies have examined long-term changes over time. The purpose of the present study was to investigate longitudinally the factors that affect the stage of change, self-efficacy for exercise, and glycemic control for 12 months in patients with type 2 diabetes after the intervention of the disease by receiving diabetes and glycemic control education. [Participants and Methods] The study included 29 patients with type 2 diabetes as participants who were able to follow up for 12 months after the intervention. The changes over time were investigated using stage of change and self-efficacy as psychological indicators of exercise. Factors affecting HbA1c values after 12 months of intervention were examined with information on diabetes and social background. [Results] There was no significant difference in self-efficacy for exercising at 3, 6, and 12 months after discharge. In contrast, participants in the stage of change showed a significant improvement at 6 and 12 months after discharge in comparison to 3 months after discharge. HbA1c values decreased at 12 months while comparing patients after 3 months and 12 months after discharge. The only factor affecting HbA1c value 12 months after discharge was the duration of diabetes. [Conclusion] The results suggested that stage of change and self-efficacy for exercise might have a little long-term effect on glycemic control. |
