1. Relationship between self-efficacy, self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting.
- Author
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Tharek, Zahirah, Ramli, Anis Safura, Whitford, David Leonard, Ismail, Zaliha, Mohd Zulkifli, Maryam, Ahmad Sharoni, Siti Khuzaimah, Shafie, Asrul Akmal, and Jayaraman, Thevaraajan
- Subjects
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CONFIDENCE intervals , *PEOPLE with diabetes , *GLYCOSYLATED hemoglobin , *HEALTH behavior , *TYPE 2 diabetes , *PRIMARY health care , *QUESTIONNAIRES , *HEALTH self-care , *SELF-efficacy , *MULTIPLE regression analysis , *CROSS-sectional method , *DISEASE duration , *WAIST circumference , *GLYCEMIC control , *PSYCHOLOGY - Abstract
Background: Self-efficacy has been shown to be positively correlated with self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus. However, such evidence is lacking in the Malaysian primary care setting. The objectives of this study were to i) determine the levels of self-efficacy, self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting ii) determine the relationship between self-efficacy, self-care behaviour and glycaemic control iii) determine the factors associated with glycaemic control. Methods: This was a cross-sectional study involving patients with type 2 diabetes mellitus from two public primary care clinics in Malaysia. Self-efficacy and self-care behaviour levels were measured using previously translated and validated DMSES and SDSCA questionnaires in Malay versions, respectively. Glycaemic control was measured using HbA1c. Results: A total of 340 patients with type 2 diabetes mellitus were recruited. The total mean (±SD) of self-efficacy and self-care behaviour scores were 7.33 (±2.25) and 3.76 (±1.87), respectively. A positive relationship was found between self-efficacy and self-care behaviour (
r 0.538,P < 0.001). Higher self-efficacy score was shown to be correlated with lower HbA1c (r − 0.41,P < 0.001). Multiple linear regression analysis demonstrated that higher self-efficacy scores (b − 0.398; 95% CI: -0.024, − 0.014;P < 0.001), shorter duration of diabetes (b 0.177; 95% CI: 0.002, 0.007;P < 0.001) and smaller waist circumference (b 0.135; 95% CI: 0.006, 0.035;P = 0.006), were significantly associated with good glycaemic control. Conclusion: This study demonstrated that higher self-efficacy was correlated with improved self-care behaviour and better glycaemic control. Findings of this study suggest the importance of including routine use of self-efficacy measures in the management of type 2 diabetes mellitus in primary care. [ABSTRACT FROM AUTHOR]- Published
- 2018
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