Department of Health, Physical Education and Recreation, University of Cape Coast, Ghana.
Public Health Nursing Department, School of Nursing and Midwifery, University of Ghana, Ghana.
J Diabetes Res. 2023 Apr 12;2023:5341656. doi: 10.1155/2023/5341656. eCollection 2023.
Diabetes is one of the leading causes of sickness, death, and decreased quality of life globally. The prevalence of diabetes keeps rising globally due to lifestyle changes and urbanization. Therefore, improved quality of life (QoL) and appropriate diabetes self-management practices, including treatment adherence, are crucial to improving and sustaining the health of diabetic patients. Some studies have adopted the self-determination theory (SDT) to study diabetes interventions, but less is known about its effectiveness in improving QoL, treatment adherence, and diabetes self-management. . This review assessed the effectiveness of SDT in improving self-management practices, treatment adherence, and QoL among adult diabetic patients.
We followed the six-stage framework by Arksey and O'Malley in conducting the review. PubMed, JSTOR, Central, and ScienceDirect databases were searched for published articles from January 2011 to October 2021 using keywords and Boolean logic. Furthermore, we screened a reference list of related articles. Also, Google Scholar, Z-library, and web-based searches were carried out to retrieve other relevant evidence that applied SDT in improving QoL, diabetes self-management, and treatment adherence. . Fifteen studies met the inclusion criteria, from which data were extracted as findings. SDT effectively improved QoL, diabetes treatment adherence, and diabetes self-management among diabetic patients. Of these studies, 11 provided data on SDT and diabetes self-management and affirmed the effectiveness of the theory in improving appropriate diabetes self-management practices. Two studies confirmed the effectiveness of SDT in improving treatment adherence. SDT and QoL were assessed in 4 of the studies, which demonstrated the effectiveness of SDT in enhancing the QoL of diabetic patients.
SDT effectively improved QoL, diabetes treatment adherence, and diabetes self-management. The application of SDT in diabetes management will improve the health and QoL of diabetic patients. Hence, diabetes management interventions could adopt SDT to guide treatment.
糖尿病是导致全球疾病、死亡和生活质量下降的主要原因之一。由于生活方式的改变和城市化，糖尿病的患病率在全球范围内持续上升。因此，提高生活质量（QoL）和适当的糖尿病自我管理实践，包括治疗依从性，对于改善和维持糖尿病患者的健康至关重要。一些研究采用自我决定理论（SDT）来研究糖尿病干预措施，但对于其在提高 QoL、治疗依从性和糖尿病自我管理方面的有效性知之甚少。本综述评估了 SDT 在提高成年糖尿病患者自我管理实践、治疗依从性和 QoL 方面的有效性。
我们按照 Arksey 和 O'Malley 的六阶段框架进行综述。使用关键词和布尔逻辑在 PubMed、JSTOR、CENTRAL 和 ScienceDirect 数据库中搜索 2011 年 1 月至 2021 年 10 月发表的文章，并进行了筛选。此外，我们还筛选了相关文章的参考文献列表。还通过 Google Scholar、Z-library 和基于网络的搜索检索了其他应用 SDT 来提高 QoL、糖尿病自我管理和治疗依从性的相关证据。有 15 项研究符合纳入标准，从中提取数据作为研究结果。SDT 有效地提高了糖尿病患者的 QoL、糖尿病治疗依从性和糖尿病自我管理。在这些研究中，有 11 项提供了 SDT 和糖尿病自我管理的数据，并证实了该理论在改善适当的糖尿病自我管理实践方面的有效性。有两项研究证实了 SDT 在提高治疗依从性方面的有效性。有 4 项研究评估了 SDT 和 QoL，证明了 SDT 提高糖尿病患者 QoL 的有效性。
SDT 有效地提高了 QoL、糖尿病治疗依从性和糖尿病自我管理。SDT 在糖尿病管理中的应用将提高糖尿病患者的健康和 QoL。因此，糖尿病管理干预措施可以采用 SDT 来指导治疗。
