Luciani Michela, Rossi Emanuela, Rebora Paola, Stawnychy Michael, Ausili Davide, Riegel Barbara
Department of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.
Department of Medicine and Surgery, Centre of Biostatistics for Clinical Epidemiology, University of Milano - Bicocca, Monza, Italy.
Clin Nurs Res. 2021 Mar;30(3):285-292. doi: 10.1177/1054773820916987. Epub 2020 Jun 8.
The aims of this study were to describe self-care in US T2DM patients and to identify clinical and sociodemographic determinants of self-care maintenance, monitoring, and management in US T2DM patients. A secondary analysis was performed using data from a cross-sectional study done to test the psychometric performance of the Self-Care of Diabetes Inventory in US English speaking adults with diabetes. In our sample ( = 207), self-care maintenance was adequately performed (median = 75), self-care monitoring was borderline (median = 67.6) and self-care management was poor (median = 55.6). Low income ( = .0019) and low self-care confidence ( < .0001) were associated with relatively lower self-care maintenance. Not taking insulin ( = .0153) and low self-care confidence ( < .0001) were associated with relatively low self-care monitoring. Low self-care confidence ( < .0001) was associated with low self-care management. Self-care confidence is a strong determinant of self-care. Interventions designed to improve self-care confidence are urgently needed.
本研究的目的是描述美国2型糖尿病患者的自我护理情况，并确定美国2型糖尿病患者自我护理维持、监测和管理的临床及社会人口学决定因素。使用一项横断面研究的数据进行了二次分析，该横断面研究旨在测试糖尿病自我护理量表在美国说英语的成年糖尿病患者中的心理测量性能。在我们的样本（n = 207）中，自我护理维持执行情况良好（中位数 = 75），自我护理监测处于临界状态（中位数 = 67.6），自我护理管理较差（中位数 = 55.6）。低收入（p = .0019）和自我护理信心低（p < .0001）与相对较低的自我护理维持相关。未使用胰岛素（p = .0153）和自我护理信心低（p < .0001）与相对较低的自我护理监测相关。自我护理信心低（p < .0001）与自我护理管理差相关。自我护理信心是自我护理的一个重要决定因素。迫切需要设计旨在提高自我护理信心的干预措施。
