To explore psychological factors having an impact on diabetes control in order to provide a better psychological management for patients with diabetes.
Background and aims
Glycemic control in diabetes requires a good compliance to self care activities (diet, exercice, glycemic measure…). Self efficacy, has been found to have an impact on treatment compliance in chronic diseases such as diabetes.
This study aimed at determining the relationship between self efficacy and self care in Tunisian patients with type 2 diabetes.
Materials and methods
A cross sectional study was performed in primary care units assessing patients with type 2 diabetes for self efficacy (using the diabetes management self-efficacy scale (DMSES), diabetes related distress (using the problem areas in diabetes sclae (PAID 5) and diabetes slef care (using the summary of diabetes self care activities (SDSCA). Glycemic control was assessed using HbA1c. Demographic and clinical information (such as BMI, medications and comorbidities) were also recorded.
One hundred patients were enrolled in the study, with a mean age of 58.
In our study, high levels of self efficacy were associated with lower levels of distress and better self care activities compliance.
Glycemic conrol was associated with low levels of distress, thus indirectly associated with self efficacy.
Several studies performed in other countries found similar results.
Our study shows that patients with diabetes should be assessed for self efficacy and distress and appropriate psychological interventions should be implemented in order to help them achieve better compliance and thus better glycemic control.