Determinants of diabetes self-care activities in patients with type 2 diabetes based on self-determination theory

IF 3.1 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Acta Diabetologica Pub Date : 2023-10-19 DOI:10.1007/s00592-023-02186-w

Hassan Okati-Aliabad, Athare Nazri-Panjaki, Mahdi Mohammadi, Elham Nejabat, Alireza Ansari-Moghaddam

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Abstract

Aims

In type 2 diabetes control, self-management is an effective way to minimize the risk of developing complications and improve the quality of life. Self-determination theory (SDT) proposed a promising explanatory framework to predict self-regulated behavior which was particularly relevant for self-management. This study aimed to investigate whether SDT constructs can affect the self-management and controlling glycated hemoglobin A1c (HbA1c) levels in type 2 diabetic patients or not.

Methods

This cross-sectional study was conducted from August to December 2022 at two diabetes clinics in Zahedan. The study included 300 patients with type 2 diabetes. Data collection was done using a researcher-administrated questionnaire that included demographic data, diabetes self-care activities, and self-determination constructs including autonomous support, autonomous motivation, and perceived competence.

Results

The mean of the overall score of self-care activities was 34.62 ± 11.86 out of a maximum of 70. Patients in the fourth quarter (wealthiest) of the socioeconomic status had the highest mean self-care score (P = 0.003). There was a significant relationship between diet score with perceived competence (P = 0.009). Perceived competence (P<0.001) and controlled self-regulation (P<0.001) were the predictors of exercise score in diabetes patients. Independent self-regulation (P<0.001, r = 0.21) and overall self-regulation (P = 0.001, r = 0.19) were significantly related to blood-glucose testing score. There was a significant relationship between foot care score with perceived competence (P = 0.048, r = 0.11) and autonomous support (P = 0.013, r = 0.14). Multiple regression showed that exercise was the predictor of HbA1c (P = 0.014).

Conclusion

Exercise is crucial for achieving good individualized glycemic control and reducing the risk of diabetes complications. The findings provided valuable insights into the determinants of self-care activities in patients with type 2 diabetes and underscore the need for interventions that address socioeconomic disparities, enhance perceived competence, and provide autonomy support to improve diabetes self-care.

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基于自决理论的2型糖尿病患者糖尿病自我保健活动的决定因素。

目的：在2型糖尿病控制中，自我管理是最大限度地降低并发症风险和提高生活质量的有效方法。自我决定理论（SDT）提出了一个很有前途的解释框架来预测自我调节行为，这与自我管理特别相关。本研究旨在探讨SDT结构是否会影响2型糖尿病患者的自我管理和控制糖化血红蛋白A1c（HbA1c）水平。方法：这项横断面研究于2022年8月至12月在扎黑丹的两家糖尿病诊所进行。这项研究包括300名2型糖尿病患者。数据收集是使用研究人员管理的问卷进行的，其中包括人口统计数据、糖尿病自我护理活动和自决结构，包括自主支持、自主动机和感知能力。结果：自我保健活动总分平均值为34.62 ± 11.86（满分70分）。社会经济地位第四季度（最富有）的患者平均自我护理得分最高（P = 0.003）。饮食得分与感知能力之间存在显著关系（P = 0.009）。感知能力（结论：运动对于实现良好的个性化血糖控制和降低糖尿病并发症的风险至关重要。研究结果为2型糖尿病患者的自我保健活动的决定因素提供了有价值的见解，并强调了干预措施的必要性，以解决社会经济差异，提高感知能力，并为糖尿病患者提供自主支持。）证明糖尿病自我护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Diabetologica 医学-内分泌学与代谢

CiteScore

7.30

自引率

2.60%

发文量

180

审稿时长

2 months

期刊介绍： Acta Diabetologica is a journal that publishes reports of experimental and clinical research on diabetes mellitus and related metabolic diseases. Original contributions on biochemical, physiological, pathophysiological and clinical aspects of research on diabetes and metabolic diseases are welcome. Reports are published in the form of original articles, short communications and letters to the editor. Invited reviews and editorials are also published. A Methodology forum, which publishes contributions on methodological aspects of diabetes in vivo and in vitro, is also available. The Editor-in-chief will be pleased to consider articles describing new techniques (e.g., new transplantation methods, metabolic models), of innovative importance in the field of diabetes/metabolism. Finally, workshop reports are also welcome in Acta Diabetologica.