Identification of Psychological Factors Associated with Adherence to Self-Care Behaviors amongst Patients with Type 1 Diabetes
| Autor: | Ana M. Wägner, Maribel Cuadrado Vigaray, Dácil Alvarado-Martel, Armando Carrillo, Mauro Boronat, Ana Expósito Montesdeoca, M. Ángeles Ruiz Fernández |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Article Subject Endocrinology Diabetes and Metabolism media_common.quotation_subject Emotions Health Behavior Disease Anxiety lcsh:Diseases of the endocrine glands. Clinical endocrinology Young Adult Endocrinology Diabetes management Surveys and Questionnaires medicine Personality Humans Depression (differential diagnoses) media_common Self-efficacy Type 1 diabetes Motivation lcsh:RC648-665 business.industry Depression Middle Aged medicine.disease Self Efficacy Self Care Mood Diabetes Mellitus Type 1 Patient Compliance Female medicine.symptom business Stress Psychological Clinical psychology Research Article |
| Zdroj: | Journal of Diabetes Research Journal of Diabetes Research, Vol 2019 (2019) |
| ISSN: | 2314-6753 |
| Popis: | Purpose. To explore the factors involved in adherence to self-care behaviors in patients with type 1 diabetes. Materials and Methods. Patients with type 1 diabetes (age range: 14-71 years) were invited to participate at seven Spanish hospitals. They completed a dossier which recorded sociodemographic and clinical variables and also measured personality variables, emotional state, beliefs, and concerns regarding the illness, by means of questionnaires. Results. A total of 428 patients with type 1 diabetes were included (58% women, age 36 (11.8) years, diabetes duration 18.3 (10.2) years, HbA1c 7.9 +/-1.3%). A total of 60.1% of patients found it difficult to follow the treatment recommendations for the care of their disease. The reasons given were mood (25.2%), lack of motivation (13.4%), work (12%), and economic difficulties (3.8%). Other personal reasons were reported by 5.7%. Motivation, training in diabetes management, importance the patient attributed to the disease, and self-efficacy were the variables that predicted adherence to self-care behaviors, together accounting for 32% of its variance. Anxiety and depression were highly prevalent in this study population (57.1% and 23.1%, respectively) and were associated with lower adherence. Conclusion. In the present study assessing patients with type 1 diabetes, motivation, training in diabetes management, beliefs regarding the disease, and self-efficacy were the main contributors to adherence to self-care behaviors. On the other hand, anxiety and depression were highly prevalent and associated with lower adherence. Thus, supplementing therapeutic education with strategies designed to raise levels of motivation, discussion of beliefs about the disease, and encouragement of self-efficacy might be a useful way to increase patient involvement in self-care. |
| Databáze: | OpenAIRE |
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