D'Souza Melba Sheila, Karkada Subrahmanya Nairy, Parahoo Kader, Venkatesaperumal Ramesh, Achora Susan, Cayaban Arcalyd Rose R
Adult Health and Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman.
Department of Business Studies, Higher College of Technology, Al Khuwair, Oman.
Appl Nurs Res. 2017 Aug;36:25-32. doi: 10.1016/j.apnr.2017.05.004. Epub 2017 May 22.
Type 2 Diabetes Mellitus (T2DM) has an impact on an individuals' health and is influenced by glycemic control.
To examine the relationship between glycemic control, demographic and clinical factors on self-efficacy and self-care behaviours among adults with T2DM.
A correlational, descriptive study was used. One hundred and forty Omani adults with T2DM were recruited from a public hospital.
Data on self-efficacy, self-care behaviours and glycemic control were collected between April and July 2016. The study was approved by the College Ethics Committee and Hospital Board. Bivariate and multivariate analyses were conducted.
Most adults had a fasting blood glucose >7.2mmol/L (90.7%), with the majority demonstrating 'uncontrolled' or poor HbA1c of >8% (65%). Variance of self-care behaviour (20.6%) and 31.3% of the variance of the self-efficacy was explained by the age, duration of diabetes, medication, HbA1c and prevention of activities of living.
Adults with T2DM with poor glycemic control were more probable to have poor self-efficacy and self-care behaviours. Glycemic control has an effect on improving diet, exercise, medication, foot care efficacy and behaviours.
The study recommends using these findings to plan self-efficacy and self-care behaviour to improve glycemic control among adults with T2DM.
2型糖尿病（T2DM）会对个人健康产生影响，且受血糖控制情况的影响。
探讨血糖控制、人口统计学和临床因素与成年2型糖尿病患者自我效能感和自我护理行为之间的关系。
采用相关性描述性研究。从一家公立医院招募了140名阿曼成年2型糖尿病患者。
于2016年4月至7月收集有关自我效能感、自我护理行为和血糖控制的数据。该研究获得了学院伦理委员会和医院委员会的批准。进行了双变量和多变量分析。
大多数成年人空腹血糖>7.2mmol/L（90.7%），大多数人糖化血红蛋白（HbA1c）“未得到控制”或较差，>8%（65%）。自我护理行为的方差（20.6%）和自我效能感方差的31.3%可由年龄、糖尿病病程、用药情况、HbA1c以及日常生活活动的预防情况来解释。
血糖控制不佳的成年2型糖尿病患者更有可能自我效能感低且自我护理行为差。血糖控制对改善饮食、运动、用药、足部护理效能和行为有影响。
该研究建议利用这些发现来规划自我效能感和自我护理行为，以改善成年2型糖尿病患者的血糖控制。
