Commentary on Whittemore R, Melkus GD & Grey M (2005) Metabolic control, self-management and psychosocial adjustment in women with type 2 diabetes. Journal of Clinical Nursing 14, 195-203.

摘要

This commentary will dwell upon two main themes. Firstly, the importance of this subject area and the urgent need for robust research into behavioural aspects of patient self-management will be emphasized. Secondly, issues related to the design and analysis of results of this study will be commented upon.There is now robust evidence to confirm that good self-management leads to improved diabetes outcomes and Whittemore et al. (2005) cite important studies on this subject. The day-to-day management of diabetes is the responsibility of people with the condition yet those with Type 2 diabetes often experience great difficulty with self-management. The authors have selected diet and exercise behaviour as key variables in the self-management of Type 2 diabetes. These behaviours are indeed fundamental to the achievement of satisfactory metabolic control, yet our ability to understand them or to promote them effectively amongst this patient group is limited.