Asunto(s)
Diabetes Mellitus Tipo 2 , Hiperglucemia , Consenso , Humanos , Hipoglucemiantes , Estilo de Vida , Estados UnidosRESUMEN
PURPOSE: The purpose of this study was to examine factors associated with increased diabetes self-efficacy among insulin-requiring Hispanic adults with diabetes. METHODS: A cross-sectional survey design was used to obtain self-reported data on a nonrandom sample of 97 insulin-requiring Hispanic adults with diabetes. The Insulin Management Diabetes Self-Efficacy Scale (IMDSES) was translated into Spanish and administered with a demographic questionnaire by trained bilingual/bicultural interviewers in each respondent's own home. Factor analysis of the IMDSES revealed 4 subscales that corresponded with major diabetes self-care management behaviors. RESULTS: Respondents gave low to average self-efficacy ratings on their ability to manage all aspects of their disease. Behaviors that required problem solving in changing circumstances received the lowest scores. Attending diabetes classes and having home nursing visits were associated with an increased sense of self-efficacy, particularly as it related to diet and insulin. English-speaking ability was associated with a general sense of self-efficacy in managing diabetes care. CONCLUSIONS: The model tested was able to explain modest levels of self-efficacy, particularly in 2 of the most important diabetes management areas, insulin and diet management.
Asunto(s)
Actitud Frente a la Salud/etnología , Diabetes Mellitus Tipo 1/etnología , Diabetes Mellitus Tipo 1/prevención & control , Hispánicos o Latinos/psicología , Autocuidado/psicología , Autoeficacia , Adulto , Anciano , Anciano de 80 o más Años , Estudios Transversales , Dieta para Diabéticos , Análisis Factorial , Femenino , Hispánicos o Latinos/educación , Humanos , Masculino , Persona de Mediana Edad , Solución de Problemas , Encuestas y CuestionariosRESUMEN
This paper explores the viewpoint that, as a group, adolescents with diabetes are oppressed by health care professionals who use approaches to diabetes care delivery that are paternalistic in nature. These approaches can lead to negative health/diabetes outcomes in this age group. As inherent in oppressed group characteristics, adolescents with diabetes may not realize that they are being treated unfairly or that they have rights as patients. Nurses are in a unique position to advocate for these adolescents and to help them become advocates for themselves.