Self-Efficacy, Self-Care, and Metabolic Control in Persons with Type 2, Diet and Exercised Controlled Diabetes

摘要

Although people with diabetes are often judged by numbers on a computer screen, tight metabolic control remains the ultimate clinical endpoint (Diabetes control and Complications Trial, 1993). Nurses' understanding of diabetes management coupled with a holistic view of person makes them the optimal professionals to facilitate patient movement toward tight metabolic control. Diabetes knowledge is essential to self-care, but alone is insufficient to produce and maintain behavioral change. psychological determinants of self- care and metabolic control must be explored. Self-efficacy (Bandura, 1977) has demonstrated its importance in behavioral modification but has been minimally investigated in diabetes. This pilot study describes relationships among self- efficacy, self-care, and metabolic control in a convenience sample of six persons with diet and exercise controlled diabetes. Additionally, the study evaluates an integrated multidisciplinary diabetes education program by pre and post measures of these same variables.