Polly R K
Diabetes Educ. 1992 Jul-Aug;18(4):321-7. doi: 10.1177/014572179201800411.
This descriptive study examined the relationships between diabetes-specific health beliefs and adherence to the diabetes regimen and glycemic control in 102 older subjects with non-insulin-dependent diabetes mellitus. Health beliefs and self-care behaviors were assessed by self-report questionnaires. Glycemic control was assessed by HbA1c values. Perceived barriers to treatment were related to adherence, while perceived severity of disease was related to glycemic control. No significant associations were found between other health belief model subscales and adherence or glycemic control. Subjects not on diabetes medication had better glycemic control than those on medication. Subjects with more recently diagnosed diabetes also had better glycemic control. Practice and research attention should include older diabetic persons' perceived barriers to performing diabetes-specific self-care behaviors and perceived severity of the disease to identify potential health beliefs that may need to be altered for improving glycemic control.
这项描述性研究调查了102名非胰岛素依赖型老年糖尿病患者的糖尿病特异性健康信念与糖尿病治疗方案依从性及血糖控制之间的关系。通过自我报告问卷评估健康信念和自我护理行为。通过糖化血红蛋白（HbA₁c）值评估血糖控制情况。感知到的治疗障碍与依从性相关，而感知到的疾病严重程度与血糖控制相关。在其他健康信念模型分量表与依从性或血糖控制之间未发现显著关联。未服用糖尿病药物的受试者血糖控制优于服用药物的受试者。糖尿病诊断时间更近的受试者血糖控制也更好。实践和研究关注应包括老年糖尿病患者在进行糖尿病特异性自我护理行为时感知到的障碍以及对疾病严重程度 的感知情况，以识别可能需要改变的潜在健康信念，从而改善血糖控制。
