
Intervention Effect Based on Self-Regulation to Promote the Continuation of Self-Care Behavior of Patients with Type-2 Diabetes Mellitus
Authore(s) : Nariko Chuman || Faculty of Health Science
Volume : (13), Issue : (6), April - 2020
Abstract : [Purpose] The purpose of this study was to identify the effect of a support program based on self-regulation. [Methods] Participants: Patients with type-2 diabetes mellitus in rural areas; Research design: Quasi-experimental research. A t-test and Mann-Whitney U test were performed to compare the intervention and control groups before the intervention. For the comparison within the groups before and after the interventions, a t-test and the Wilcoxon signed-rank test were performed. For statistical analysis, the significance level was set to 5%. [Results] The intervention group included 19 participants (age 59.8 ± 6.14) and 10 participants in the control group (age 64.3 ± 3.95). After the program, the scores in knowledge about diabetes (p = 0.001) and sub-items of the diabetes self-management (foot care) (p = 0.048) of the intervention group statistically significantly increased, and the calorie intake decreased (p = 0.080). The intervention group had higher scores in all three sub items of the self-efficacy (positiveness, control, and total score). There were no statistically significant differences in the changes in BMI, HbA1c, and the subscales of self-efficacy between the two groups. However, the scores of these items of the intervention and control groups were 3.3 and 2.9, 2.2 and −0.3, and 5.5 and 2.6, respectively. [Conclusions] The support program based on self-regulation in this study helped the participants to acquire general knowledge of diabetes to assess own medical condition and problems in self-care behavior and practical knowledge to manage diabetes in daily life, and this shows the effectiveness of the program.
Keywords :Diabetes Mellitus, Self-Control, Program, Rural Health Services
Article: Download PDF Journal DOI : 11547
Cite This Article:
Intervention Effect Based on Self-Regulation to Promote the Continuation of Self-Care Behavior of Patients with Type-2 Diabetes Mellitus
Vol.I (13), Issue.I (6)
Article No : 11234
Number of Downloads : 100
References :
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https://www.mhlw.go.jp/stf/houdou/0000177189.html
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- 2018 National Health and Nutrition Survey Results Summary. Ministry of Health, Labour and Welfare, Tokyo, Japan. (In Japanese) https://www.mhlw.go.jp/stf/houdou/0000177189.html
- Horioka, N., Horiguti, I., Sakagami, Y., Marui, E. and Tanigawa, T. (2015) Examination of the Geographical Distribution of Specialists in Japan. Journal of Health and Welfare Statistics, 62, 23-28. (In Japanese)
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- Watkins, K.W., Klim, L., Connell, C.C. and Hickey, T. (2000) Effect of Adults Self-Regulation of Diabetes on Quality-of-Life Outcome. Diabetes Care, 23, 1511-1515. https://doi.org/10.2337/diacare.23.10.1511
- Bandura, A. (1986) Social Foundations of Thought & Action: A Social Cognitive Theory. Prentice Hall, Inc., Upper Saddle River, NJ.
- Sasaki, S. (2009) Todai Sasaki-Style Dietary Habit Assessment (BHQD/DHQ), Site for Support What Is BHQD? EBN Japan, Tokyo, Japan. (In Japanese) http://ebnjapan.org/bdhqdhq/
- Kinoshita, Y. (1995) Creation of Measuring Tools Related to Self-Management of Diabetes and Examination of Reliability and Validity. Japan Journal of Nursing Science, 15, 39. (In Japanese)
- Tsuchida, Y. and Fukushima, O. (2007) Self-Monitoring in Behavioral Coordination-Creation of Cognitive-Behavioral Self-Monitoring Scale. Mejiro University Psychology Research, 3, 85-93. (In Japanese).
- Kim, W., Shimada, H. and Sakano, Y. (1996) Relationship between Self-Efficacy and Stress Response to Health Behavior of Patients with Chronic Diseases. Japanese Journal of Psychosomatic Medicine, 36, 499-505. (In Japanese).
- Nishikata, K. and Fukuya, S. (2005) Examination of Dietary Performance by Self-Evaluation of Diabetic Patients. The Journal of Japan Academy of Diabetes Education and Nursing, 9, 124-132. (In Japanese)
- Usui, R., Kaku, F., Higuchi, T., Naka, S., Kagawa, Y. and Nakagawa, Y. (2007) Approach to Diabetic Patients Using Change Stage Model in General Clinic Outpatient Department. The Journal of Japan Academy of Diabetes Education and Nursing, 11, 177-184. (In Japanese)
- Kozai, H., Naruse, Y., Watanabe, K. and Imai, S. (2008) Improvement of Dietary Habits in Patients with Impaired Glucose Tolerance: Effects of Group Education on Self-Management. Journal of Rehabilitation and Health Sciences, 6, 11-15. (In Japanese)
- Shiramizu, M., Sugimoto, T., Mase, Y., et al. (2011) Actual Conditions of Diabetes Education Program for Type 2 Diabetic Patients at the Institution to Which a Certified Diabetic Nursing Nurse/Chronic Disease Nursing Specialist Belongs. Journal of Japan Diabetes Education and Nursing Society, 15, 179-187. (In Japanese)