The Effect of Stigmatization on Diabetes Health Promotion Self-Care Behaviours and Predictors of Stigma and Self-Care Behaviours in Individuals With Type 2 Diabetes

IF 1.9 4区医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-10-21 DOI:10.1111/ijn.13316

Eda Kilinç İşleyen, İrem Nur Özdemir

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Abstract

Background

Individuals with type 2 diabetes are at risk of delaying or not performing diabetes health promotion self-care behaviours because of their social or self-stigmatization.

Aim

The study aimed to reveal the effect of stigmatization on diabetes health promotion self-care behaviours and predictors of stigma and diabetes health promotion self-care behaviours in individuals with type 2 diabetes.

Methods

This cross-sectional study included 235 individuals with type 2 diabetes. The Diabetes Stigma Assessment Scale (DSAS) and Diabetes Health Promotion Self-Care Scale (DHPSCS) were used for data collection.

Results

There was a significant, negative correlation between the DSAS and DHPSCS scores. High mean scores on the DSAS and its subscales treated differently, blame/judgement and self-stigma were predictors of a negative effect on diabetes self-care behaviours. Poor health status, alcohol intake and diabetes complications are predictive of stigma. Insulin use and self-monitoring blood glucose are predictors of self-care behaviours.

Conclusion

Stigma negatively affects diabetes self-care behaviours in individuals with type 2 diabetes. Nurses could provide education on improvement of health status, harms of alcohol intake and management of diabetes complications. Counselling for coping with stigma and performing self-care could be provided. Nurses could organize interventions to raise awareness about diabetes in society.

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污名化对 2 型糖尿病患者糖尿病健康促进自我护理行为的影响以及污名化和自我护理行为的预测因素。

背景：目的：本研究旨在揭示鄙视对2型糖尿病患者糖尿病健康促进自我护理行为的影响，以及鄙视和糖尿病健康促进自我护理行为的预测因素：这项横断面研究包括235名2型糖尿病患者。数据收集采用了糖尿病耻辱感评估量表（DSAS）和糖尿病健康促进自我护理量表（DHPSCS）：结果：DSAS 和 DHPSCS 分数之间存在明显的负相关。DSAS及其分量表中的区别对待、自责/评判和自我污名的平均分高，预示着糖尿病自我护理行为会受到负面影响。健康状况不佳、酒精摄入量和糖尿病并发症都会对成见产生影响。使用胰岛素和自我监测血糖是自我护理行为的预测因素：结论：耻辱感对 2 型糖尿病患者的糖尿病自我护理行为有负面影响。护士可提供有关改善健康状况、酒精摄入的危害和控制糖尿病并发症的教育。还可提供应对耻辱感和进行自我护理的咨询。护士可组织干预活动，提高社会对糖尿病的认识。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.