Sima Badpar, Saeed Bakhtiarpour, Alireza Heidari, Fardin Moradimanesh,
Volume 7, Issue 2 (5-2019)
Abstract
Introduction: Considering the importance and high prevalence of diabetes, it is necessary to consider the factors related to self-care in these patients in order to improve the health of the community. Regarding this, the present research was conducted to examine the causal model of self-care based on social support and health literacy through self-efficacy in the management of diabetes among diabetic patients.
Materials and Methods: This study was conducted on 190 patients with diabetes mellitus referring to the endocrinologists in Tehran, Iran, in 2018. The study population was selected through convenience sampling method. The data were collected using the Social Support, Health Literacy, Self-Efficacy in Diabetes Management, and Diabetes Self-care Questionnaires. The data were analyzed using the structural equation modeling method.
Results: The results showed significantly direct relationships between health literacy and self-care (β=0.18, P≤0.01), between social support and self-care (β=0.15, P≤0.05), between self-efficacy in the management of diabetes and self-care (β=0.39, P≤0.01) between health literacy and self-efficacy in managing diabetes (β=0.25, P≤0.01), and between social support and self-efficacy in diabetes management (β=0.25, P≤0.01). In addition, self-care showed indirect relationships with health literacy (0.09=β, P≤0.01) and social support (β=0.09, P≤0.01) through self-efficacy in the management of diabetes.
Conclusion: As the findings indicated, health literacy and social support were effective not only in the management of diabetes through self-efficacy but also in self-care behaviors in diabetic patients.
Sima Badpar, Saeed Bakhtiarpour, Alireza Heidari, Fardin Moradimanesh,
Volume 8, Issue 1 (2-2020)
Abstract
Introduction: The World Health Organization estimates that more than 346 million people have diabetes worldwide. This value will probably be more than double by 2030 without intervention. Diabetic patients not only require blood glucose control but also prevention of complications as well as physical and mental rehabilitation. Therefore, this study aimed to test the causal model of self-care based on depression and mindfulness through a healthy lifestyle in diabetic patients.
Materials and Methods: The statistical population consisted of all middle-aged patients with diabetes referred to endocrinologists in Tehran, Iran during 1977. In total, 195 cases were selected by convenience sampling. The patients were asked to complete the questionnaires of depression, mindfulness, health-promoting lifestyle, and diabetes self-care. Data were analyzed in Amos software using the path analysis method.
Results: The results showed that depression and mindfulness had an indirect and significant relationship with self-care through a health-centered lifestyle. Moreover, there was no significant relationship between depression and self-care. However, a significant direct relationship was observed between mindfulness and self-care. In other words, mindfulness was associated with self-care behaviors due to its direct effect on a health-centered lifestyle; however, depression affected self-care through a health-centered lifestyle.
Conclusion: Given that both depression and mindfulness affect the lifestyle of the patient, they can predict the self-management behaviors of diabetic patients through their impact on the patient's lifestyle.
