Glycaemic control mediates the relationships of employment status and self‐stigma with self‐care behaviours in young adults with type 2 diabetes.
Aims and objectives: To investigate the relationships of sociodemographic factors, self‐stigma, glycaemic control (measured by glycated haemoglobin (A1C)) and self‐care behaviours in young adults with type 2 diabetes. Background: Young adults aged 25–44 years are in their most productive period. Onc...
| Publicado en: | Journal of Clinical Nursing (John Wiley & Sons, Inc.) Vol. 31; no. 5/6; pp. 582 - 592 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Mar2022
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155057332&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155057332 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09621067 LVDZ jtl: Journal of Clinical Nursing (John Wiley & Sons, Inc.) issn: 09621067 maglogo: N pubinfo: dt: Mar2022 vid: 31 iid: 5/6 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 155057332 150907331 155057332 155057332 10.1111/jocn.15915 155057332 ppf: 582 ppct: 10 formats: tig: atl: Glycaemic control mediates the relationships of employment status and self‐stigma with self‐care behaviours in young adults with type 2 diabetes. aug: au: Lin, May‐Hung Ou, Horng‐Yih Wang, Ruey‐Hsia Lin, Ching‐Han Liao, Hsiu‐Yun Chen, Hsing‐Mei affil: Department of Nursing, Chung‐Jen Junior College of Nursing Health Sciences and Management, Chiayi County, Taiwan sug: subj: Diabetes Mellitus, Type 2 In Adulthood Glycemic Control Evaluation Self Care Health Behavior Stigma Sociodemographic Factors Human Cross Sectional Studies Correlational Studies Study Design Convenience Sample Outpatient Service Taiwan Taiwan Adult Sample Size Software Effect Size Power Analysis Independent Variable Questionnaires Scales Psychometrics Coefficient alpha Content Validity Summated Rating Scaling Comparative Studies Reliability and Validity Descriptive Statistics Data Analysis Software Inferential Statistics Multiple Linear Regression Bivariate Statistics T-Tests One-Way Analysis of Variance Pearson's Correlation Coefficient Regression Dependent Variable Male Female Body Mass Index Hypoglycemic Agents Therapeutic Use Administration, Oral Comorbidity Hypertension American Diabetes Association Confidence Intervals Adult: 19-44 years Male Female ab: Aims and objectives: To investigate the relationships of sociodemographic factors, self‐stigma, glycaemic control (measured by glycated haemoglobin (A1C)) and self‐care behaviours in young adults with type 2 diabetes. Background: Young adults aged 25–44 years are in their most productive period. Once diagnosed with diabetes, this population tends to experience poor glycaemic control and perform poorly in self‐care activities. Such patterns may raise perceptions of self‐stigma and further decrease motivations to engage in self‐care behaviours in patients with diabetes. Design: A cross‐sectional, correlational research design. Methods: The STROBE guidelines for cross‐sectional studies were followed. A convenience sample of 115 participants was recruited from a medical centre in southern Taiwan. Instruments included the Self‐Stigma Scale–Chinese version and the Diabetes Self‐Care Behaviours Scale. Data were analysed using a three‐step hierarchical regression analysis and the Sobel test. Results: The average age of the participants was 36.7 years. Marital status, employment status, self‐stigma and A1C were significantly associated with self‐care behaviours, and these four variables explained 43.6% of the variance in self‐care behaviours. However, A1C (β = −.58, p <.001) was found to be the only determinant of self‐care behaviours in the last regression model. The Sobel test showed that A1C had mediating effects on self‐stigma and self‐care behaviours as well as employment status and self‐care behaviours. Conclusion: This study supports the interactive relationship among self‐stigma, employment status, glycaemic control and self‐care behaviours in young adults with type 2 diabetes. Strategies aimed at optimising glycaemic control can help reduce the effects of self‐stigma perceptions and employment status on the self‐care behaviours of such patients. Relevance to clinical practice: More effective educational programmes should be designed to improve glycaemic control, lower the effects of employment and decrease perceptions of self‐stigma to further motivate young adults to engage in better diabetes self‐care behaviours. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|