期刊名称：International Journal of Collaborative Research on Internal Medicine & Public Health
电子版ISSN：1840-4529
出版年度：2015
卷号：7
期号：6
出版社：DRUNPP Sarajevo
摘要：Introduction: Diabetes has become a global epidemic and no country is spared from its negative impacts on their people, healthcare expenditure, national productivity, and quality of life. Malaysia, a country located in the diabetes hotspot, is experiencing a rapid growth in diabetic population. Such growth has already exceeded the estimation made by the World Health Organisation (WHO). The demands stemmed from diabetes have caused huge financial burden to the Malaysian healthcare system. Furthermore, the overall glycaemic control is ranked as suboptimal indicating that diabetes is not well-controlled in Malaysia as well as challenging the effectiveness of its existing diabetes self-management education. Aims & Objectives: Obtaining a deeper understanding of patients' attitudes towards diabetes management would help in improving the effectiveness of the existing diabetes education and management. Based on Self-Determination Theory, this study explored the participants' psychosocial aspects by examining the strength of each predictor in their self-care activities. Methods: This was a cross-sectional study. Eleven scales were used in this survey (which included emotion management, personal attributions, social supports and diabetes knowledge). Purposive sampling was adopted among 187 adults living with Type 2 diabetes in Peninsula Malaysia through various healthcare entities. Results: Pearson's correlation analysis showed significant association between the 10 variables and diabetes self-care adherence; multiple regression analysis indicated that self-efficacy, anxiety, and optimism were the useful predictors, accounting to 13.9% unique contribution to the variance of self-care index. Besides, diabetes knowledge and social supports were not predictive of self- care activities. Conclusion: The findings highlighted the role of competency-based self-care mastery training and mental health elements in the diabetes education and management could achieve desired adherence to physician's advice and better management of the disease. Desired adherence can be achieved without good level of diabetes knowledge and social supports amongst adult diabetics
关键词：Self-care adherence; personal attributions; emotion managements; social supports; ; diabetes knowledge; type 2 diabetes; Peninsula Malaysia
