Improving self-management in insulin-treated adults participating in diabetes education. The role of overprotection by the partner

Autor: Mariët Hagedoorn, ter Jan Maaten, Jelte Bouma, Thera P. Links, J. C. Keers, Robbert Sanderman
Přispěvatelé: Science in Healthy Ageing & healthcaRE (SHARE), Clinical Psychology and Experimental Psychopathology, Health Psychology Research (HPR), Damage and Repair in Cancer Development and Cancer Treatment (DARE), Guided Treatment in Optimal Selected Cancer Patients (GUTS)
Rok vydání: 2006
Předmět:
Male
insulin-treated adults
Endocrinology
Diabetes and Metabolism
MARITAL RELATIONSHIP
Endocrinology
Quality of life
QUALITY-OF-LIFE
OLDER COUPLES
GLYCEMIC CONTROL
INTIMATE PARTNERS
Insulin
Praise
Internal-External Control
media_common
Self-management
diabetes education
Middle Aged
diabetes self-management
Distress
Treatment Outcome
Locus of control
Female
partners
Attitude to Health
PSYCHOSOCIAL ADAPTATION
Clinical psychology
Adult
medicine.medical_specialty
Adolescent
media_common.quotation_subject
Context (language use)
Sex Factors
Patient Education as Topic
overprotection
Diabetes mellitus
Internal medicine
Intervention (counseling)
Diabetes Mellitus
Internal Medicine
medicine
Humans
Hypoglycemic Agents
Interpersonal Relations
Spouses
Aged
Glycated Hemoglobin
GENDER-DIFFERENCES
business.industry
EUROPEAN-AMERICAN PATIENTS
medicine.disease
PROBLEM AREAS
Self Care
Diabetes Mellitus
Type 1
Diabetes Mellitus
Type 2
Socioeconomic Factors
CHRONIC DISEASE
business
Zdroj: Diabetic Medicine, 23(3), 271-277. Wiley
ISSN: 1464-5491
0742-3071
DOI: 10.1111/j.1464-5491.2006.01794.x
Popis: Aims To examine the role of overprotection by the partner—i.e. excessive protection, unnecessary help, excessive praise for accomplishments, or attempts to restrict activities as a consequence of underestimating the patient’s capabilities— in changes in patient self-management in the context of diabetes education. Methods Sixty-seven insulin-treated patients with a partner completed questionnaires on admission to a Multidisciplinary Intensive Education Programme (MIEP) and 3 months after completing the core module of MIEP. Factors assessed were overprotection by their partner and three aspects of diabetes self-management, namely internal locus of control, diabetes-related distress and HbA 1c . Regression analyses were used to test the independent associations of patient sex, baseline overprotection and the interaction between sex and overprotection with diabetes self-management at the follow-up stage, controlling for the baseline value of the dependent variable. Results The increase in internal locus of control and decrease in HbA 1c were both significantly less for female patients who perceived their partner to be rather overprotective than for female patients who did not perceive their partner to be overprotective. The more patients, both male and female, perceived their partner to be overprotective, the less their diabetes-related distress decreased. Conclusions Overprotection by the partner showed a negative association with improvement in diabetes self-management, especially for female patients. Thus, an intervention programme with the aim of reducing overprotection by the partner, or the perception of this, may enhance self-management in patients participating in diabetes education. Diabet. Med. 23, 271–277 (2006)
Databáze: OpenAIRE
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