Sociodemographic and clinical correlates of diabetes self-efficacy in adults with type 2 diabetes and comorbid heart failure.
Adult
Black or African American
/ psychology
Aged
Aged, 80 and over
Comorbidity
Cross-Sectional Studies
Diabetes Mellitus, Type 2
/ psychology
Female
Georgia
Heart Failure
/ psychology
Humans
Male
Middle Aged
Quality of Life
/ psychology
Self Care
/ psychology
Self Efficacy
Self Report
Socioeconomic Factors
adults
comorbidity
heart failure
self-efficacy
type 2 diabetes mellitus
Journal
Research in nursing & health
ISSN: 1098-240X
Titre abrégé: Res Nurs Health
Pays: United States
ID NLM: 7806136
Informations de publication
Date de publication:
01 2020
01 2020
Historique:
received:
23
03
2019
accepted:
11
11
2019
pubmed:
28
11
2019
medline:
6
5
2020
entrez:
28
11
2019
Statut:
ppublish
Résumé
Heart failure (HF) is a comorbidity that complicates type 2 diabetes mellitus (T2D) management and increases the chance of death. However, little is known concerning factors related to diabetes self-efficacy in comorbid HF. This secondary data analysis was aimed at describing sociodemographic and clinical correlates of diabetes self-efficacy in adults with T2D and comorbid HF. A correlational design was used to analyze cross-sectional baseline data from a randomized study of 180 participants that tested a 6-month integrated self-care intervention targeting adults with concomitant HF and T2D. Participants were enrolled from one of four large urban-tertiary hospitals in Atlanta, GA, during 2010-2013. Data were collected from medical records and self-report. We used stepwise multiple linear regressions to examine variables associated with diabetes self-efficacy. The participants' mean age was 58.1 ± 10.7 years and the majority were male (n = 118; 65.6%) and African American (n = 119; 66.1%). Good self-rated health and presence of implantable cardioverter-defibrillator (ICD) had significant positive relationships with diabetes self-efficacy, while taking both oral antiglycemic medication and insulin, history of depression, cardiac pacemaker, and taking digitalis were negatively related. These variables collectively explained 22.4% of the variation in diabetes self-efficacy. One study implication is that using self-rated health provides a quick, patient-centered assessment to evaluate patient health status. Further studies are warranted to ascertain the pathways linking ICD, pacemaker, and digitalis treatment with diabetes self-efficacy.
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
79-89Subventions
Organisme : The National Center for Advancing Translational Sciences of the National Institutes of Health
ID : UL1TR000454
Pays : International
Organisme : National Institutes of Health National Institute of Nursing Research
ID : T32NR012715
Pays : International
Informations de copyright
© 2019 Wiley Periodicals, Inc.
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