Adherence to self‐care and social support

Abstract

The purpose of the study reported in this paper was to describe adherence to self-care, perceived difficulties and social support in a group of adult patients (n = 213) with insulin-treated diabetes from two outpatient clinics in Northern Finland. Data were collected by questionnaire. The instruments were developed to measure adherence to self-care, difficulties in self-care and social support. The response rate was 76%. One-way ANOVA, logistic regression analysis, contingency and Pearson's correlation coefficients were used in the statistical analysis. A fifth of the respondents were neglecting their self-care. The others undertook flexible, regimen-adherent or self-planned self-care. The subjects had no difficulties with insulin treatment, but had more problems with other aspects of self-care. Poor metabolic control, smoking and living alone predicted neglect of self-care, but if patients had support from family and friends, living alone was not a predictor of neglect of self-care. Those with poor metabolic control perceived themselves as getting peer support from other persons with diabetes.

Frequency and perceived burden of diabetes self-management activities in employees with insulin-treated diabetes: relationships with health outcomes

“…It could have been expected that performing self-management activities on a daily basis is burdensome for patients and that people who perform these activities frequently would therefore be more likely to perceive it as a burden. Although the results of our study do not support this, they are in line with the results of another study [35]. People may perform self-management more often when they find it easier.…”

Follow-up of Patients with Type 2 Diabetes via Cell Phone: Randomized Controlled Trial

“…Sosyal desteğin arttığı kişilerde diyabetin metabolik kontrolünün de arttığı bilinmektedir (44). Bu durum çalışmanın başlangıcına göre 12 hafta sonraki tüm grupların HbA1c ölçümlerinde anlamlı iyileşme olmasının nedeni olabilir.…”

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“…Todėl šiame straipsnyje analizuojant psichologinį aspektą -sveikatos kontrolę, pasirinktas ir socialinis aspektas -socialinis asmens palaikymas. Yra žinoma, kad socialinė parama, gaunama iš šeimos ar draugų, susijusi su griežtu taisyklių laikymusi, didesniu rūpinimusi savimi (Toljamo, Hentinen, 2001).…”

“…Mokslininkų tyrimai rodo, jog savo aplinkoje jaučiantis socialinį palaikymą cukriniu diabetu sergantis asmuo lengviau kontroliuoja ligos eigą (Glasgow, Strycker, Toobert, Eakin, 2000), laikosi griežtų taisyklių ir labiau rūpinasi savimi (Toljamo, Hentinen, 2001), laikosi sveikos mitybos plano ir dažniau užsiima zine veikla (Tang, Brown, Funnell, Anderson, 2008). Vadinasi, stiprus socialinis palaikymas lėtine liga sergančiam žmogui padeda greičiau prisitaikyti prie ligos, išvengti sunkių komplikacijų ir, svarbiausia, lengviau pasiekti teigiamų, su sveikata susijusių rezultatų.…”