Keywords
self-care
determinants of self-care
How to Cite
Abstract
Background. Self-care helps to control proper health behaviors, which are necessary to maintain proper glucose levels and minimize the risk of complications. In this disease it is the patient who decides about his future, his daily choices, self-monitoring and self-control have a direct impact on his health. Objectives. The aim of the study was to evaluate the level of self-care in patients with T2 diabetes. Material and methods. The study was conducted in a group of 100 patients with diagnosed T2 diabetes. The method of the diagnostic survey was used using the Self-Care of Diabetes Inventory Questionnaire and our own questionnaire to collect sociodemographic and clinical data. Results. With the duration of the disease and high level of adherence, independence in terms of normal health behaviors, health condition control and self-confidence increases. Independence in terms of healthy behaviours, health control, glucose control and self-confidence in terms of self-care was significantly higher in patients who actually followed therapeutic recommendations. Conclusions. 1. The examined patients are best able to follow the recommendations concerning proper health behaviour of SCODI A, and the most difficult for them to control their own glucose level of SCODI C. The most difficult to do is to control the level of SCODI C glucose. 2. SCODI A health behaviours, SCODI D self-confidence and SCODI B health surveillance are higher in the group of women, people in relationships and those working mentally. 3. The duration of the disease affects the level of self-care in diabetes. 4. Independence in normal health behaviour of SCODI A positively correlates with independence in health control of SCODI B, control of glycemia level of SCODI C and self-confidence in selfcare of SCODI D.References
Gajewska G. Pedagogika opiekuńcza i jej metodyka. Zielona Góra: PEKW Gaja; 2004.
Pavlickova A. Postrzeganie samoopieki w Europie. Dostępny na URL: http://epposi.org/wp-content/uploads/2015/07/EPPOSI-Self-Care-Barometer-Report-Summary-2013_PL-PL.pdf [cyt. 15.03.2019].
Kostrzewa-Zabłocka E. Miniprzewodnik dla pielęgniarki diabetologicznej – wybrane zagadnienia. Por Diabetol 2017; 1: 11–20.
Wojtczak A. Zdrowie Publiczne wyzwaniem dla systemów zdrowia XXI wieku. Warszawa: Wydawnictwo Lekarskie PZWL; 2008.
Boratyn-Dubiel L, Chmiel Z. Znaczenie edukacji zdrowotnej dla pacjentów z cukrzycą. Zdr Publ 2010; 120(3): 316–323.
Uchmanowicz I, Kubera-Jaroszewicz K. Edukacja diabetologiczna. Standard opieki pielęgnacyjnej chorego na cukrzycę. Wrocław: Wydawnictwo Continuo; 2012.
Mirowska M. Poziom wiedzy pacjentów z cukrzycą oraz udział pielęgniarek w edukacji diabetologicznej. Probl Pielęg 2010; 18(3): 316–322.
Dunstan DW, Puddey IB, Beilin LJ, et al. Effects of a short-term circuit weight training program on glycaemic control in NIDDM. Diabetes Res Clin Pr 1998; 40: 53–61.
Zegan M, Michota-Katulska E, Lewandowska M, et al. Rola podejmowanej aktywności fizycznej w profilaktyce oraz wspomaganiu leczenia otyłości oraz cukrzycy typu 2. Med Rodz 2017; 4: 273–278.
Aune D, Norat T, Leitzmann M, et al. Physical activity and the risk of type 2 diabetes: a systematic review and dose-response meta-analysis. Eur J Epidemiol 2015; 30(7): 529–542.
Ausili D, Barbaranelli C, Rossi E, et al. Development and psychometric testing of a theory-based tool to measure self-care in diabetes patients: the Self-Care of Diabetes Inventory. BMC Endocrine Disorders 2017; 17(1): 66.
Caro-Bautista J, Martin-Santos FJ, Morales-Asencio JM. Systematic review of the psychometric properties and theoretical grounding of instruments evaluating self‐care in people with type 2 Diabetes Mellitus. J Adv Nurs 2014; 70(6): 1209–1227.
Brunisholz KD, Briot P, Hamilton S, et al. Diabetes self-management education improves quality of care and clinical outcomes determined by a diabetes bundle measure. J Multidiscip Health 2014; 7: 533–542.
Araszkiewicz A, Bandurska-Stankiewicz E, Budzyński A, i wsp. 2019 Guidelines on the management of diabetic patients. A position of Diabetes Poland. Clinical Diabetology 2019; 8(1): 1–95.
Tracz M, Sobol E, Cichocka A, et al. Błędy popełniane przez pacjenta chorego na cukrzycę jako potencjalna przyczyna niewyrównania metabolicznego – propozycja listy kontrolnej. TERAPIA 2019; 5(376): 10–18.
Ausili D, Rossi E, Rebora P, et al. Socio-demographic and clinical determinants of self-care in adults with type 2 diabetes: a multicentre observational study. Acta Diabetologica 2018; 55(7): 691–702.