The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes.


Journal

Acta diabetologica
ISSN: 1432-5233
Titre abrégé: Acta Diabetol
Pays: Germany
ID NLM: 9200299

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 23 07 2020
accepted: 27 10 2020
pubmed: 1 12 2020
medline: 5 6 2021
entrez: 30 11 2020
Statut: ppublish

Résumé

The study aimed to assess the impact of self-care on adherence to treatment in patients diagnosed with type 2 diabetes and effect of complex interaction of social, lifestyle, economic, environmental and behavioural. The study was carried out between June 2018 and May 2019 on 324 patients (162 females, 162 males) with type 2 diabetes. To measure the levels of self-care, the Self-Care of Diabetes Index (SCODI) questionnaire was used. Adherence to treatment was assessed with the Adherence in Chronic Diseases Scale (ACDS). The highest scores of health behaviour were on the subscale of adherence with the mean value of 68.37, and the lowest results on the subscale of blood sugar self-monitoring, with the mean of 56.05. We found that low adherence to treatment was present in 52.47% of respondents, the moderate level in 39.20%, while only 8.33% of patients showed the high level. There were significant positive correlations between the ACDS and SCODI subscales (p < 0.05): self-care maintenance (0.436), self-care management (0.413), self-care monitoring (0.384), and self-care confidence (0.453). Self-care affects on adherence in patients with type 2 diabetes. The higher self-efficacy in each of the areas of functioning, the higher the level of adherence to treatment. We found that demographic variables such as female sex, education and employment status can influence self-care in managing chronic illnesses such as type 2 diabetes.

Identifiants

pubmed: 33251559
doi: 10.1007/s00592-020-01628-z
pii: 10.1007/s00592-020-01628-z
pmc: PMC8053648
doi:

Types de publication

Journal Article Multicenter Study Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

437-445

Subventions

Organisme : Ministry of Science and Higher Education of Poland
ID : SUB.E020.19.003

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Auteurs

Sylwia Krzemińska (S)

Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.

Katarzyna Lomper (K)

Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.

Anna Chudiak (A)

Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.

Davide Ausili (D)

Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.

Izabella Uchmanowicz (I)

Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland. izabella.uchmanowicz@umed.wroc.pl.

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Classifications MeSH