Department of Human Nutrition, Faculty of Health Sciences, Medical University of Warsaw, 27 Erazma Ciołka Street, 01-445 Warsaw, Poland.
Pediatric Clinical Hospital-University Clinical Center, Medical University of Warsaw, 63A Żwirki I Wigury Street, 02-091 Warsaw, Poland.
Int J Environ Res Public Health. 2022 Oct 13;19(20):13173. doi: 10.3390/ijerph192013173.
Self-control/self-care means the active participation of a diabetic patient in therapy. It involves making numerous decisions and undertaking actions independently. The primary activities under the patient's control include adherence to medication regimens and maintenance of a health-promoting lifestyle, especially a healthy diet. However, the sense of responsibility for one's own health, i.e., high sense of responsibility (HSR), is an important element in the treatment of diabetes and in undertaking pro-health behaviors. The study aimed at analyzing adherence to dietary recommendations in the context of HSR in patients with type 1 diabetes.
The cross-sectional study was conducted on a group of 394 adults. The assessment of adherence to dietary recommendations was performed with the present authors' Diabetes Dietary Guidelines Adherence Index (DDGA Index). The measurement of HSR was performed with the standardized Sense of Responsibility for Health Scale (HSRS). The assessment of the multifactorial influence of independent variables on the DDGA Index, including the "responsibility for health" variable, was conducted with the use of a linear regression model.
The mean DDGA value was 18.68 (SD = 3.97). The patients significantly more often avoided unhealthy products than included recommended products into the diet at a required frequency. A positive correlation was demonstrated between HSR and adherence to dietary recommendations (β = 0.43, < 0.001).
The sense of responsibility for one's health plays a main role in adherence to dietary recommendations in diabetes. Our study showed that a higher sense of responsibility for health was associated with a higher level of adherence to dietary recommendations. Patients with a high sense of responsibility for one's health will be more involved in the therapeutic process, including adherence to dietary recommendations. Therefore, all education actions should comprise not only dietary knowledge transfer and shaping appropriate skills, but they should also strengthen the sense of responsibility for one's health.
自我管理/自我护理是指糖尿病患者积极参与治疗。它涉及做出许多决策并独立采取行动。患者可以控制的主要活动包括遵守药物治疗方案和保持促进健康的生活方式，尤其是健康饮食。然而，对自己健康负责的意识，即高度责任感（HSR），是糖尿病治疗和采取促进健康行为的重要因素。本研究旨在分析 1 型糖尿病患者 HSR 背景下对饮食建议的依从性。
这是一项横断面研究，共纳入 394 名成年人。饮食建议依从性的评估采用本研究小组的糖尿病饮食指南依从性指数（DDGA 指数）。HSR 采用标准化的健康责任感量表（HSRS）进行测量。使用线性回归模型评估独立变量对 DDGA 指数的多因素影响，包括“健康责任感”变量。
DDGA 平均值为 18.68（SD=3.97）。患者明显更频繁地避免食用不健康的产品，而不是按照要求的频率将推荐的产品纳入饮食。HSR 与饮食建议的依从性呈正相关（β=0.43，<0.001）。
对自己健康的责任感在糖尿病饮食建议的依从性中起着主要作用。我们的研究表明，对健康的责任感越高，对饮食建议的依从性就越高。对自己健康有高度责任感的患者将更积极地参与治疗过程，包括遵守饮食建议。因此，所有教育行动不仅应包括饮食知识的传授和适当技能的培养，还应加强对健康的责任感。
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