지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제32권1호
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  • Pages.86-94
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  • 2021
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  • 1225-9594(pISSN)
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  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
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The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes

  • 투고 : 2020.12.11
  • 심사 : 2021.02.09
  • 발행 : 2021.03.31
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초록

Purpose: This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes. Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson's correlation coefficient, and hierarchical multiple regression. Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants' education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care. Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.

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참고문헌

  1. Korean Diabetes Association. Diabetes fact sheet in Korea 2020 [Internet]. Seoul: Korean Diabetes Association; 2018 [cited 2020 November 1]. Available from: https://www.diabetes.or.kr/pro/news/admin.php?category=A&code=admin&number=1972&mode=view
  2. Bullard KM, Cowie CC, Lessem SE, Saydah SH, Menke A, Geiss LS, et al. Prevalence of diagnosed diabetes in adults by diabetes type-United States, 2016. Morbidity and Mortality Weekly Report. 2018;67(12):359-361. https://doi.org/10.15585/mmwr.mm6712a2
  3. Kato A, Fujimaki Y, Fujimori S, Isogawa A, Onishi Y, Suzuki R, et al. How self-stigma affects patient activation in persons with type 2 diabetes: A cross-sectional study. British Medical Journal open. 2020;10(5):e034757. https://doi.org/10.1136/bmjopen-2019-034757
  4. Kim NH, Yang Y, Lee MH. Effects of health literacy and knowledge on diabetic self-care in the elderly with DM lining alone. Journal of Korean Academy of Community Health Nursing. 2016;27(4):370-379. https://doi.org/c https://doi.org/10.1136/bmjopen-2019-034757
  5. Oh HK, Lee EJ. The influence of self-care behaviors, empowerment and social support on glycosylated hemoglobin in patients with type w diabetes. Journal of Korean Academy of Community Health Nursing. 2017;28(2):216-225. https://doi.org/10.12799/jkachn.2017.28.2.216
  6. Seo J, Kim JM, Choi JY. Effects of depression, impulsivity and diabetes management behaviors on glycemic control in adults with type w diabetes mellitus. Health and Social Welfare Review. 2018;38(1):191-215. https://doi.org/10.15709/hswr.2018.38.1.191
  7. Devarajooh C, Chinna K. Depression, distress and self-efficacy: The impact on diabetes self-care practices. Public Library of Science one. 2017;12(3):e0175096. https://doi.org/10.1371/journal.pone.0175096
  8. Downie GA, Mullan BA, Boyes ME, McEvoy PM. The effect of psychological distress on self-care intention and behavior in young adults with type 1 diabetes. Journal of Health Psychology. 2019:1-12. https://doi.org/10.1177/1359105318824795
  9. Bandura A, Wood R. Effect of perceived controllability and performance standards on self-regulation of complex decision making. Journal of personality and social psychology. 1989;56 (5):805-814. https://doi.org/10.1037/0022-3514.56.5.805
  10. Chang SJ, Song M, Im EO. Psychometric evaluation of the Korean version of the Diabetes Self-efficacy Scale among South Korean older adults with type 2 diabetes. Journal of clinical nursing. 2014;23(15-16):2121-2130. https://doi.org/10.1111/jocn.12133
  11. Seo YM, Choi W. Self-efficacy and self-care behavior in type 2 diabetes mellitus: The mediating effect of subjective health status. Journal of The Korean Data Analysis Society. 2017;19 (1):543-556. https://doi.org/10.37727/jkdas.2017.19.1.543
  12. Goffman E. Stigma: Notes on a spoiled identity. New York, NY: Simon & Schuster: 1963. 14 p.
  13. Vogel DL, Wade NG, Haake S. Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology. 2006;53(3):325-337. https://doi.org/10.1037/0022-0167.53.3.325
  14. Seo K, Song Y. Self-stigma among Korean patients with diabetes: A concept analysis. Journal of clinical nursing. 2019;28 (9-10):1794-1807. https://doi.org/10.1111/jocn.14789
  15. Turan B, Hatcher AM, Weiser SD, Johnson MO, Rice WS, Turan JM. Framing mechanisms linking HIV-related stigma, adherence to treatment, and health outcomes. American Journal of Public Health. 2017;107(6):863-869. https://doi.org/10.2105/AJPH.2017.303744
  16. Kamaradova D, Latalova K, Prasko J, Kubinek R, Vrbova K, Mainerova B, et al. Connection between self-stigma, adherence to treatment, and discontinuation of medication. Patient preference and adherence. 2016;10:1289-1298. https://doi.org/10.2147/PPA.S99136
  17. Yan XJ, Luo QQ, Qiu HY, Ji CF, Chen SL. The impact of stigma on medication adherence in patients with functional dyspepsia. Neurogastroenterology & Motility. 2021;33(2):e13956. https://doi.org/10.1111/nmo.13956
  18. Seo K. Development of the Self-Stigma Scale for People with Diabetes Mellitus [dissertation]. [Daejeon]: Chungnam National University; 2018. 79 p.
  19. Toobert DJ, Glasgow RE. Assessing diabetes self-management: the summary of diabetes self-care activities questionnaire. Handbook of psychology and diabetes: A guide to psychological measurement in diabetes research and practice. Chur, Switzerland. Harwood Academic: 1994. p. 351-375.
  20. Chang S, Song M. The validity and reliability of a Korean version of the summary of diabetes self-care activities questionnaire for older patients with type 2 diabetes. Korean Journal of Adult Nursing. 2009:21(2):235-244.
  21. Keum HS, Suh SR, Han SW. The influence of self-management knowledge and distress on diabetes management self-efficacy in type 2 diabetes patients. Journal of the Korea AcademiaIndustrial cooperation Society. 2020;21(9):498-508. https://doi.org/10.5762/KAIS.2020.21.9.498
  22. Yoo B. A review of qualitive research in Korea: The life experiences of diabetes patients. The Journal of Korean Diabetes. 2017;18(4):270-274. https://doi.org/10.4093/jkd.2017.18.4.270
  23. Earnshaw VA, Quinn DM. The impact of stigma in healthcare on people living with chronic illnesses. Journal of health psychology. 2012;17(2):157-168. https://doi.org/10.1177/1359105311414952