Melba Sheila D'Souza1, Subrahmanya Nairy Karkada2, Kader Parahoo3, Ramesh Venkatesaperumal4, Susan Achora5, Arcalyd Rose R Cayaban6. 1. Adult Health and Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman. Electronic address: melba123@rediffmail.com. 2. Department of Business Studies, Higher College of Technology, Al Khuwair, Oman. Electronic address: ksnairy@gmail.com. 3. School of Nursing University of 3Ulster, Coleraine campus, Londonderry, BT52 1SA, United Kingdom. Electronic address: ak.parahoo@ulster.ac.uk. 4. Adult Health and Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman. Electronic address: vrame2014@gmail.com. 5. Adult Health and Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman. Electronic address: susana@squ.edu.om. 6. Fundamentals and Administration, College of Nursing, Sultan Qaboos University, Muscat, Oman. Electronic address: arcalydrose@squ.edu.om.
Abstract
BACKGROUND: Type 2 Diabetes Mellitus (T2DM) has an impact on an individuals' health and is influenced by glycemic control. AIM: To examine the relationship between glycemic control, demographic and clinical factors on self-efficacy and self-care behaviours among adults with T2DM. DESIGN: A correlational, descriptive study was used. One hundred and forty Omani adults with T2DM were recruited from a public hospital. METHODS: Data on self-efficacy, self-care behaviours and glycemic control were collected between April and July 2016. The study was approved by the College Ethics Committee and Hospital Board. Bivariate and multivariate analyses were conducted. RESULTS: Most adults had a fasting blood glucose >7.2mmol/L (90.7%), with the majority demonstrating 'uncontrolled' or poor HbA1c of >8% (65%). Variance of self-care behaviour (20.6%) and 31.3% of the variance of the self-efficacy was explained by the age, duration of diabetes, medication, HbA1c and prevention of activities of living. CONCLUSIONS: Adults with T2DM with poor glycemic control were more probable to have poor self-efficacy and self-care behaviours. Glycemic control has an effect on improving diet, exercise, medication, foot care efficacy and behaviours. CLINICAL RELEVANCE: The study recommends using these findings to plan self-efficacy and self-care behaviour to improve glycemic control among adults with T2DM.
BACKGROUND:Type 2 Diabetes Mellitus (T2DM) has an impact on an individuals' health and is influenced by glycemic control. AIM: To examine the relationship between glycemic control, demographic and clinical factors on self-efficacy and self-care behaviours among adults with T2DM. DESIGN: A correlational, descriptive study was used. One hundred and forty Omani adults with T2DM were recruited from a public hospital. METHODS: Data on self-efficacy, self-care behaviours and glycemic control were collected between April and July 2016. The study was approved by the College Ethics Committee and Hospital Board. Bivariate and multivariate analyses were conducted. RESULTS: Most adults had a fasting blood glucose >7.2mmol/L (90.7%), with the majority demonstrating 'uncontrolled' or poor HbA1c of >8% (65%). Variance of self-care behaviour (20.6%) and 31.3% of the variance of the self-efficacy was explained by the age, duration of diabetes, medication, HbA1c and prevention of activities of living. CONCLUSIONS: Adults with T2DM with poor glycemic control were more probable to have poor self-efficacy and self-care behaviours. Glycemic control has an effect on improving diet, exercise, medication, foot care efficacy and behaviours. CLINICAL RELEVANCE: The study recommends using these findings to plan self-efficacy and self-care behaviour to improve glycemic control among adults with T2DM.
Authors: Lauren M Theiss; Tara Wood; Marshall C McLeod; Connie Shao; Isabel Dos Santos Marques; Swara Bajpai; Elizabeth Lopez; Anh M Duong; Robert Hollis; Melanie S Morris; Daniel I Chu Journal: Am J Surg Date: 2021-10-16 Impact factor: 3.125
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Authors: Grażyna Iwanowicz-Palus; Marta Zarajczyk; Beata Pięta; Agnieszka Bień Journal: Int J Environ Res Public Health Date: 2019-10-16 Impact factor: 3.390