The relationships among self-efficacy, health literacy, self-care and glycemic control in older people with type 2 diabetes mellitus

Abstract

Purpose This study aims to identify the relationships among self-efficacy, health literacy, self-care and glycemic control in older people with type 2 Diabetes Mellitus (DM). Design/methodology/approach This study was a descriptive analytics correlational study with a cross-sectional design. The sampling method was purposive sampling involving 68 older people with type 2 DM. Findings The results showed that self-efficacy, health literacy and self-care correlated with glycemic control at significant levels of p = 0.020, p = 0.002 and p = 0.022, respectively. Practical implications Nurses should help older people with type 2 DM in maintaining their self-efficacy and self-care and increasing their health literacy to ensure their glycemic control is in normal state. Originality/value This study showed that self-care, self-efficacy and health literacy had a significant correlation with glycemic control in older people with type 2 DM. It indicates that the better self-care, self-efficacy and health literacy of patients, the more likely the patients’ blood HbA1C level to be in the normal range.

Self-Efficacy and Adherence to Self-Care Among Patients With Type 2 Diabetes: A Systematic Review

“…Thus, self-efficacy is a key psychosocial factor that seems to lead to better adherence in diabetes management. Supporting this view, several studies have reported a significant relationship between self-efficacy and self-care behaviors influencing glycemic control in the T2D population (Al-Khawaldeh et al, 2012;Amer et al, 2018;Brown et al, 2016;Saleh et al, 2021;Sharoni & Wu, 2012).…”

Adherence to Medication and Treatment Guidelines: Most Important but Mostly Despised

“…Health literacy and medication adherence are strongly associated. Poor glycemic control due to low-health-literacy among diabetes patients reported to both South-East Asian and Middle Eastern countries [45][46][47][48][49][50][51].…”

Adherence to Medication and Treatment Guidelines: Most Important but Mostly Despised

“…Health literacy and medication adherence are strongly associated (Table 1). Poor glycemic control due to low-healthliteracy among diabetes patients reported to both South-East Asian and Middle Eastern countries [45][46][47][48][49][50][51].…”