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Type 2 Diabetes Self-Management Variables and Predictors.

Karin A Emery1, Jo Robins2, Jeanne Salyer2

  • 1South Dakota State University, Brookings, SD, USA.

Clinical Nursing Research
|December 28, 2021
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Summary

This study found that while diabetes distress hinders self-management, self-efficacy and resilience promote better health outcomes and quality of life for individuals with diabetes.

Keywords:
diabetes distresshealth statusquality of lifetype 2 diabetes mellitus

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Area of Science:

  • Endocrinology
  • Psychology
  • Public Health

Background:

  • Diabetes distress, self-efficacy, and resilience are key factors influencing diabetes self-management.
  • Understanding their interplay with health outcomes is crucial for effective patient care.

Purpose of the Study:

  • To explore the relationships between diabetes distress, self-efficacy, resilience, and outcomes like A1c, quality of life, and health status.
  • To identify predictors of self-management within the Self and Family-Management framework.

Main Methods:

  • A cross-sectional descriptive study design was employed.
  • Seventy-eight individuals with diabetes from US clinics were enrolled.
  • Data were analyzed for associations, main effects, interactions, and predictors of self-management.

Main Results:

  • Low diabetes distress, high self-efficacy, and moderate resilience were observed.
  • Diabetes distress negatively correlated with self-efficacy, resilience, and health outcomes.
  • Self-efficacy and resilience positively correlated with health status and quality of life; A1c showed no association with these factors.

Conclusions:

  • Self-efficacy and resilience act as facilitators, while diabetes distress is a barrier to self-management.
  • Distress significantly predicts health status and quality of life, highlighting the emotional aspect of diabetes management.
  • Further research can improve self-management support and patient outcomes.