Psychosocial Correlates of Diabetes Self Management Practices

Details
Category: Adult Health Nursing
Hits: 1130
Iran J Public Health. 2017 Jun;46(6):771-781.

Psychosocial Correlates of Diabetes Self-management Practices.

Darawad MW1, Hammad S2, Mosleh S3, Samarkandi OA4, Hamdan-Mansour A2, Khalil AA1, Arabiat D5,6.

Author information

1
Dept. of Clinical Nursing, School of Nursing, University of Jordan, Amman, Jordan.
2
Dept. of Community Health Nursing, Faculty of Nursing, University of Jordan, Amman, Jordan.
3
Dept. of Adult Health Nursing, Faculty of Nursing, University of Mutah, Karak, Jordan.
4
Basic Science Department, Prince Sultan bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh, Saudi Arabia.
5
Dept. of Maternal & Child Health Nursing, School of Nursing, University of Jordan, Amman, Jordan.
6
Dept. of Innovative Research, School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia.

Abstract

BACKGROUND:

Self-Management is a crucial regimen for patients with diabetes mellitus. Many factors have affected patients' self-management practice including psychosocial factors. Literature revealed contradictory results concerning the psychosocial correlates of patients' self-management practices. Therefore, this study assessed the psychosocial correlates of diabetes self-management practices among Jordanian diabetic patients.

METHODS:

A descriptive, cross-sectional, correlational design was utilized to collect data (conducted in the middle region of Jordan in 2015) from 341 Jordanian outpatients with diabetes using self-reported questionnaires (Social Support Scale, CES-D, and Summary of Diabetes Self-Care Activities) and chart review.

RESULTS:

Participants reported practice rate of 2.85/ 7 (SD=1.3), with diet practice the most (M=3.66, SD=1.5) and exercise the least (M=1.53, SD=2.1). Participants reported receiving social support (M=3.23, SD=1.3) less than needed (M=3.39, SD=1.3). High levels of depressive symptoms were reported (M=17.1, SD= 11.4). Diet practices had significant positive correlation with family support attitude (r= .266, P= .000) and negative correlation with depressive symptoms (r= - .114, P= .037). Testing blood sugar significantly correlated with both support needed (r= .144, P= .008) and support received (r= .166, P= .002).

CONCLUSION:

Jordanian DM patients were found to practice less than optimum DM self-management practices, and to consider diet practices than exercise practices. This study confirmed that the subcategories of DM self-care management should be considered rather than considering the general plan.

KEYWORDS:

Depressive symptoms; Diabetes; Jordan; Self-management; Social support

PMID:
 
28828319
 
PMCID:
 
PMC5558070