Adherence to self-care and social support

J Clin Nurs. 2001 Sep;10(5):618-27. doi: 10.1046/j.1365-2702.2001.00520.x.


The purpose of the study reported in this paper was to describe adherence to self-care, perceived difficulties and social support in a group of adult patients (n = 213) with insulin-treated diabetes from two outpatient clinics in Northern Finland. Data were collected by questionnaire. The instruments were developed to measure adherence to self-care, difficulties in self-care and social support. The response rate was 76%. One-way ANOVA, logistic regression analysis, contingency and Pearson's correlation coefficients were used in the statistical analysis. A fifth of the respondents were neglecting their self-care. The others undertook flexible, regimen-adherent or self-planned self-care. The subjects had no difficulties with insulin treatment, but had more problems with other aspects of self-care. Poor metabolic control, smoking and living alone predicted neglect of self-care, but if patients had support from family and friends, living alone was not a predictor of neglect of self-care. Those with poor metabolic control perceived themselves as getting peer support from other persons with diabetes.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Analysis of Variance
  • Diabetes Mellitus, Type 1 / metabolism
  • Diabetes Mellitus, Type 1 / prevention & control*
  • Diabetes Mellitus, Type 1 / psychology*
  • Factor Analysis, Statistical
  • Family / psychology
  • Female
  • Finland
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interpersonal Relations
  • Logistic Models
  • Male
  • Nursing Methodology Research
  • Patient Compliance / psychology*
  • Patient Compliance / statistics & numerical data
  • Patient Education as Topic / standards
  • Peer Group
  • Predictive Value of Tests
  • Residence Characteristics
  • Risk Factors
  • Self Care / psychology*
  • Self Care / statistics & numerical data
  • Smoking / adverse effects
  • Social Support*
  • Surveys and Questionnaires