J Korean Acad Nurs.  2011 Aug;41(4):491-499. 10.4040/jkan.2011.41.4.491.

A Predictive Model on Self Care Behavior for Patients with Type 2 Diabetes: Based on Self-Determination Theory

• Seo YM
• Choi WH

• KMID: 1018334
• DOI: http://doi.org/10.4040/jkan.2011.41.4.491

Abstract

PURPOSE
The study was conducted to develop and test a hypothetical model which explains self-care behavior in patients with type 2 diabetes was established based on the Self-Determination Theory.
METHODS
The participants were 218 patients with type 2 diabetes mellitus enrolled in an outpatient clinic of one endocrine center in Korea. The data were collected using questionnaires from April 5 through May 7, 2010. The descriptive and correlation statistics were analyzed using the SPSS/WIN 15.0 and the structural equation modeling procedure was performed using the AMOS 7.0 program.
RESULTS
The results of this study showed that competence and autonomous motivation were the strong factors influencing self-care behavior in patients in this sample. Support from health provider for autonomy was a significant indirect factor on self-care behavior. These factors explained 64.9% of variance in the participants' self care behavior. The proposed model was concise and extensive in predicting self-care behavior of the participants.
CONCLUSION
Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting self-care behavior in patients with type 2 diabetes.

Keyword

Diabetes mellitus; Type 2; Self-care; Motivation

MeSH Terms

Adult
Aged
Aged, 80 and over
Diabetes Mellitus, Type 2/*psychology
Female
Humans
Male
Middle Aged
*Models, Psychological
Motivation
Personal Autonomy
Questionnaires
*Self Care
Social Support

Figure

• 

  Figure 1 Hypothetical model. X1=Information and options; X2=Nonjudgmental and positive feedback; Y1=Diet; Y2=Medication; Y3=Exercise; Y4=Competence; Y5=Diet and exercise; Y6=Medication and sugar check.

• 

  Figure 2 Path diagram of the modified model. X1=Information and options; X2=Nonjudgmental and positive feedback; Y1=Diet; Y2=Medication; Y3=Exercise; Y4=Competence; Y5=Diet and exercise; Y6=Medication and sugar check.

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