Preventive Care in Nursing and Midwifery Journal
Zanjan University of Medical Science
Sun, May 26, 2024
[Archive]
Volume 11, Issue 4 (12-2021)
PCNM 2021, 11(4): 17-25 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Arshi S, Kalhornia Golkar M, Ahadi H, Sedaghat M. The Role of Self-Efficacy, Hardiness, and Coping Strategies in Predicting Self-Care Behaviors in Patients with Type 2 Diabetes. PCNM 2021; 11 (4) :17-25
URL: http://nmcjournal.zums.ac.ir/article-1-748-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-748-en.html
Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran. , m.kalhornia@kiau.ac.ir
Abstract: (5561 Views)
Background: Diabetes is a chronic disease that, without proper care, leads to a rise in blood sugar and, in the long term, disrupts the functions of various tissues and organs of the body. Therefore, self-care seems to be particularly important to reduce the injuries associated with this disease.
Objectives: The aim of this study was to investigate the role of coping strategies, self-efficacy, and hardiness in predicting self-care behaviors in patients with type 2 diabetes.
Methods: This was a descriptive-correlational study. The statistical population of this study included all patients with type 2 diabetes referred to medical centers in Khomeini Shahr, Isfahan-Iran, among whom 200 subjects were selected by convenience sampling. For data collection, Niknami (2013) self-care, Kubasa (1976) hardiness, Scherer self-efficacy, and Lazarus and Folkman coping strategies questionnaires were used. Data analysis was performed using stepwise multiple regression using SPSS software version 26.
Results:: The mean (SD) age of the participants was 48.54 (7.62) years, and women constituted 72% of the participants. The results showed that self-efficacy (53%, p=0.001) and hardiness (31%, p=0.008) had the largest shares in explaining self-care behaviors of patients with type 2 diabetes. The results also showed that coping strategies did not significantly influence the self-care behaviors of patients with type 2 diabetes (p<0.05), so it was excluded from the model.
Conclusion: According to our findings, self-care behaviors of diabetic patients can be improved by boosting their hardiness and self-efficacy.
Objectives: The aim of this study was to investigate the role of coping strategies, self-efficacy, and hardiness in predicting self-care behaviors in patients with type 2 diabetes.
Methods: This was a descriptive-correlational study. The statistical population of this study included all patients with type 2 diabetes referred to medical centers in Khomeini Shahr, Isfahan-Iran, among whom 200 subjects were selected by convenience sampling. For data collection, Niknami (2013) self-care, Kubasa (1976) hardiness, Scherer self-efficacy, and Lazarus and Folkman coping strategies questionnaires were used. Data analysis was performed using stepwise multiple regression using SPSS software version 26.
Results:: The mean (SD) age of the participants was 48.54 (7.62) years, and women constituted 72% of the participants. The results showed that self-efficacy (53%, p=0.001) and hardiness (31%, p=0.008) had the largest shares in explaining self-care behaviors of patients with type 2 diabetes. The results also showed that coping strategies did not significantly influence the self-care behaviors of patients with type 2 diabetes (p<0.05), so it was excluded from the model.
Conclusion: According to our findings, self-care behaviors of diabetic patients can be improved by boosting their hardiness and self-efficacy.
Type of Study: Orginal research |
Subject:
other
Received: 2021/04/19 | Accepted: 2021/12/1 | Published: 2021/12/1
Received: 2021/04/19 | Accepted: 2021/12/1 | Published: 2021/12/1
References
1. Thiel DM, Al Sayah F, Vallance JK, Johnson ST, Johnson JA. Association between physical activity and health-related quality of life in adults with type 2 diabetes. Can J Diabetes. 2017; 41(1): 58-63. [Crossref]
2. Dabelea D, Mayer-Davis EJ, Saydah S, Imperatore G, Linder B, Divers J, et al. Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009. JAMA. 2014; 311(17): 1778-86.. [Crossref]
3. Magliano DJ, Sacre JW, Harding JL, Gregg EW, Zimmet PZ, Shaw JE. Young-onset type 2 diabetes mellitus-Implications for morbidity and mortality. Nat Rev Endocrinol. 2020; 16(6): 321-31. [Crossref]
4. Cannon A, Handelsman Y, Heile M, Shannon M. Burden of illness in type 2 diabetes mellitus. J Manag Care Spec Pharm. 2018; 24(9-a Suppl): S5-S13. [Crossref]
5. Buhagiar K, Templeton G, Osborn DP. Recent physical conditions and health service utilization in people with common mental disorders and severe mental illness in England: Comparative cross-sectional data from a nationally representative sample. Eur Psychiatry. 2020; 63(1): e19. [Crossref]
6. Koopmanschap M. Coping with Type II diabetes: the patient's perspective. Diabetologia. 2002; 45(7): S18-22. [Crossref]
7. Das-Munshi J, Stewart R, Ismail K, Bebbington PE, Jenkins R, Prince MJ. Diabetes, common mental disorders, and disability: findings from the UK National Psychiatric Morbidity Survey. Psychosom Med. 2007; 69(6): 543-50. [Crossref]
8. Clarke S, Foster J. A history of blood glucose meters and their role in self-monitoring of diabetes mellitus. Br J Biomed Sci. 2012; 69(2): 83-93. [Crossref]
9. Hernandez R, Ruggiero L, Prohaska TR, Chavez N, Boughton SW, Peacock N, et al. A cross-sectional study of depressive symptoms and diabetes self-care in African Americans and Hispanics/Latinos with diabetes: the role of self-efficacy. Diabetes Educ. 2016; 42(4): 452-61. [Crossref]
10. Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2013; 12(1): 14. [Crossref]
11. Felix HC, Narcisse M-R, Long CR, English E, Haggard-Duff L, Purvis RS, et al. The effect of family diabetes self-management education on self-care behaviors of Marshallese adults with type 2 diabetes. Am J Health Behav. 2019; 43(3): 490-7. [Crossref]
12. Shams S-A, Moradi Y, Zaker MR. Effectiveness of self-care training on physical and mental health of patients with diabetic type 2. Avicenna J Nurs Midwifery Care. 2017; 25(2): 54-60. [In Persian] [Crossref]
13. Borji M, Otaghi M, Kazembeigi S. The impact of Orem's self-care model on the quality of life in patients with type II diabetes. Biomed Pharm J. 2017; 10(1): 213-20. [Crossref]
14. D'Souza MS, Karkada SN, Parahoo K, Venkatesaperumal R, Achora S, Cayaban ARR. Self-efficacy and self-care behaviours among adults with type 2 diabetes. Appl Nurs Res. 2017; 36: 25-32. [Crossref]
15. Cortez DN, Macedo MML, Souza DAS, Dos Santos JC, Afonso GS, Reis IA, et al. Evaluating the effectiveness of an empowerment program for self-care in type 2 diabetes: a cluster randomized trial. BMC Public Health. 2017; 17(1): 41. [Crossref]
16. Chai S, Yao B, Xu L, Wang D, Sun J, Yuan N, et al. The effect of diabetes self-management education on psychological status and blood glucose in newly diagnosed patients with diabetes type 2. Patient Educ Couns. 2018; 101(8): 1427-32. [Crossref]
17. Gæde P, Lund-Andersen H, Parving H-H, Pedersen O. Effect of a multifactorial intervention on mortality in type 2 diabetes. N Engl J Med. 2008; 358(6): 580-91. [Crossref]
18. Scott SB, Sliwinski MJ, Blanchard-Fields F. Age differences in emotional responses to daily stress: the role of timing, severity, and global perceived stress. Psychol Aging. 2013; 28(4): 10. [Crossref]
19. Klaiber P, Wen JH, DeLongis A, Sin NL. The ups and downs of daily life during COVID-19: Age differences in affect, stress, and positive events. J Gerontol B Psychol Sci Soc Sci. 2021; 76(2): e30-e37. [Crossref]
20. Krohne HW. Stress and coping theories. Int Encyclopedia of the Social Behavioral Sceinces [cited 2021]; Available from: URL: https://poliklinika-harni.hr/images/uploads/440/teorije-nastanka-stresa.pdf
21. Wang Z, Chen J, Boyd JE, Zhang H, Jia X, Qiu J, et al. PloS one. 2011; 6(12):. e28610. [Crossref]
22. Ghanbari A, Moaddab F, Salari A, Nezhad Leyli EK. Depression status and related factors in patients with heart failure. Iran Heart J. 2015; 16(3): 22-27
23. Kh M, Hasavari F, Sedghi Sabet M, Kazemnejad-Leili E, Gholipour M. Self-care status and its related factors in patients with heart failure. J Health Care. 2018; 19(4): 232-41.
24. Al-Khawaldeh OA, Al-Hassan MA, Froelicher ES. Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. J Diabetes Complications. 2012; 26(1): 10-6. [Crossref]
25. Bohanny W, Wu SFV, Liu CY, Yeh SH, Tsay SL, Wang TJ. Health literacy, self‐efficacy, and self‐care behaviors in patients with type 2 diabetes mellitus. J Am Assoc Nurse Pract. 2013; 25(9): 495-502. [Crossref]
26. Lin K, Park C, Li M, Wang X, Li X, Li W, et al. Effects of depression, diabetes distress, diabetes self-efficacy, and diabetes self-management on glycemic control among Chinese population with type 2 diabetes mellitus. Diabetes Res Clin Pract. 2017; 131: 179-86. [Crossref]
27. Kobasa SC, Maddi SR, Zola MA. Type A and hardiness. J Behav Med. 1983; 6(1): 41-51. [Crossref]
28. Maddi SR. Hardiness: Turning stressful circumstances into resilient growth. Berlin: Springer science & Business media; 2012.
29. da Silva RM, Goulart CT, Lopes LFD, Serrano PM, Costa ALS, de Azevedo Guido L. Hardy personality and burnout syndrome among nursing students in three Brazilian universities an analytic study. BMC Nurs. 2014; 13(1): 9. [Crossref]
30. Naderimagham Sh, Niknami S, Abolhassani F, Hajizadeh E. Development and psychometric properties of perceived self-efficacy scale (SES) for self-care in middle-aged patients with diabetes mellitus type 2. Payesh. 2013; 12(6): 679-90. [In Persian] [Crossref]
31. Toobert DJ, Glasgow RE. Assessing diabetes self-management: The Summary of Diabetes Self-Care Activities Questionnaire. In: Bradley C, editor. Handbook of psychology and diabetes: A guide to psychological measurement in diabetes research and practice. New York: Harwood Academic Publishers/Gordon; 1994. p. 35.
32. Bakhtiari Barati S. Examine the relationship between self-efficacy variables, self-esteem and self-discovery and academic performance of students in the third year of the new system of Ahvaz Ahvaz: Shahid Chamran University of Ahvaz; 1997.
33. Elhampour F, Ganji H. Investigate reliability and validity hardiness psychological scale. Psychometry. 2018; 7(25): 117-32.
34. Hoseini Ghadamgahi J, Dejkam M, Bayanzadeh SA, Phaze A. Quality of social relationships, stress and coping strategies in patients with coronary heart. Thoughts and Behavior in Clinical Psychology. 1998; 4(1): 14-25. [In Persian]
35. Collins MM, Bradley CP, O'Sullivan T, Perry IJ. Self-care coping strategies in people with diabetes: a qualitative exploratory study. BMC Endocr. Disord. 2009; 9(1): 1-9. [Crossref]
36. Li C-C, Shun S-C. Understanding self care coping styles in patients with chronic heart failure: A systematic review. Eur J Cardiovasc Nurs. 2016; 15(1): 12-9. [Crossref]
37. Riazi A, Pickup J, Bradley C. Daily stress and glycaemic control in Type 1 diabetes: individual differences in magnitude, direction, and timing of stress-reactivity. Diabetes Res Clin Pract. 2004; 66(3): 237-44. [Crossref]
38. Hashemi SH, Ahadi H, Azad Yekta M. Relationship between psychological hardiness and self-efficacy in patients with type 2 diabetes:(The mediating role of self-esteem and social support) using structural equation modeling. Eur Online J Nat Soc Sci. 2017; 6(2): 273-87.
39. Ghodrati Mirkohi M, Rahimian Boogar I. Predicting diabetes management self-efficacy base on hardiness and coping strategies in patients with type 2 diabetes mellitus. J Qazvin Univ Med Sci. 2016; 20(4): 43-51. [In Persian]
40. ElGerges NS. Effects of therapeutic education on self-efficacy, self-care activities and glycemic control of type 2 diabetic patients in a primary healthcare center in Lebanon. J Diabet Metabolic Disorders. 2020:1-9. [Crossref]
41. Shao Y, Liang L, Shi L, Wan C, Yu S. The effect of social support on glycemic control in patients with type 2 diabetes mellitus: the mediating roles of self-efficacy and adherence. J Diabetes Res. 2017; 2017. [Crossref]
42. Lee Y-J, Shin S-J, Wang R-H, Lin K-D, Lee Y-L, Wang Y-H. Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus. Patient Educ Couns. 2016; 99(2): 287-94. [Crossref]
43. Gonzalez JS, Shreck E, Psaros C, Safren SA. Distress and type 2 diabetes-treatment adherence: A mediating role for perceived control. Health psychol. 2015; 34(5): 505-13. [Crossref]
44. Huang Y-M, Shiyanbola OO, Chan H-Y. A path model linking health literacy, medication self-efficacy, medication adherence, and glycemic control. Patient Educ Couns. 2018; 101(11):1906-13. [Crossref]
45. Maddi SR. Hardiness: An operationalization of existential courage. J Humanist Psychol. 2004; 44(3): 279-98. [Crossref]
46. O'Donell M. Cognition matters in cardiovascular disease and heart failure. Eur Heart J. 2012; 33(14): 1721-23. [Crossref]
47. Chen PY, Chang H-C. The coping process of patients with cancer. Eur J Oncol Nurs. 2012; 16(1): 6-10. [Crossref]
48. Li CC, Chang SR, Shun SC. The self‐care coping process in patients with chronic heart failure: A qualitative study. J Clin Nurs. 2019; 28(34): 509-19. [Crossref]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
