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The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes

AIMS: The study aimed to assess the impact of self-care on adherence to treatment in patients diagnosed with type 2 diabetes and effect of complex interaction of social, lifestyle, economic, environmental and behavioural. METHODS: The study was carried out between June 2018 and May 2019 on 324 patie...

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Autores principales: Krzemińska, Sylwia, Lomper, Katarzyna, Chudiak, Anna, Ausili, Davide, Uchmanowicz, Izabella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053648/
https://www.ncbi.nlm.nih.gov/pubmed/33251559
http://dx.doi.org/10.1007/s00592-020-01628-z
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author Krzemińska, Sylwia
Lomper, Katarzyna
Chudiak, Anna
Ausili, Davide
Uchmanowicz, Izabella
author_facet Krzemińska, Sylwia
Lomper, Katarzyna
Chudiak, Anna
Ausili, Davide
Uchmanowicz, Izabella
author_sort Krzemińska, Sylwia
collection PubMed
description AIMS: The study aimed to assess the impact of self-care on adherence to treatment in patients diagnosed with type 2 diabetes and effect of complex interaction of social, lifestyle, economic, environmental and behavioural. METHODS: The study was carried out between June 2018 and May 2019 on 324 patients (162 females, 162 males) with type 2 diabetes. To measure the levels of self-care, the Self-Care of Diabetes Index (SCODI) questionnaire was used. Adherence to treatment was assessed with the Adherence in Chronic Diseases Scale (ACDS). RESULTS: The highest scores of health behaviour were on the subscale of adherence with the mean value of 68.37, and the lowest results on the subscale of blood sugar self-monitoring, with the mean of 56.05. We found that low adherence to treatment was present in 52.47% of respondents, the moderate level in 39.20%, while only 8.33% of patients showed the high level. There were significant positive correlations between the ACDS and SCODI subscales (p < 0.05): self-care maintenance (0.436), self-care management (0.413), self-care monitoring (0.384), and self-care confidence (0.453). CONCLUSIONS: Self-care affects on adherence in patients with type 2 diabetes. The higher self-efficacy in each of the areas of functioning, the higher the level of adherence to treatment. We found that demographic variables such as female sex, education and employment status can influence self-care in managing chronic illnesses such as type 2 diabetes.
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spelling pubmed-80536482021-05-05 The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes Krzemińska, Sylwia Lomper, Katarzyna Chudiak, Anna Ausili, Davide Uchmanowicz, Izabella Acta Diabetol Original Article AIMS: The study aimed to assess the impact of self-care on adherence to treatment in patients diagnosed with type 2 diabetes and effect of complex interaction of social, lifestyle, economic, environmental and behavioural. METHODS: The study was carried out between June 2018 and May 2019 on 324 patients (162 females, 162 males) with type 2 diabetes. To measure the levels of self-care, the Self-Care of Diabetes Index (SCODI) questionnaire was used. Adherence to treatment was assessed with the Adherence in Chronic Diseases Scale (ACDS). RESULTS: The highest scores of health behaviour were on the subscale of adherence with the mean value of 68.37, and the lowest results on the subscale of blood sugar self-monitoring, with the mean of 56.05. We found that low adherence to treatment was present in 52.47% of respondents, the moderate level in 39.20%, while only 8.33% of patients showed the high level. There were significant positive correlations between the ACDS and SCODI subscales (p < 0.05): self-care maintenance (0.436), self-care management (0.413), self-care monitoring (0.384), and self-care confidence (0.453). CONCLUSIONS: Self-care affects on adherence in patients with type 2 diabetes. The higher self-efficacy in each of the areas of functioning, the higher the level of adherence to treatment. We found that demographic variables such as female sex, education and employment status can influence self-care in managing chronic illnesses such as type 2 diabetes. Springer Milan 2020-11-29 2021 /pmc/articles/PMC8053648/ /pubmed/33251559 http://dx.doi.org/10.1007/s00592-020-01628-z Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Krzemińska, Sylwia
Lomper, Katarzyna
Chudiak, Anna
Ausili, Davide
Uchmanowicz, Izabella
The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes
title The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes
title_full The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes
title_fullStr The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes
title_full_unstemmed The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes
title_short The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes
title_sort association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053648/
https://www.ncbi.nlm.nih.gov/pubmed/33251559
http://dx.doi.org/10.1007/s00592-020-01628-z
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