The influence of psychological factors on the self-management of insulin-dependent diabetes mellitus

J Adv Nurs. 1998 Mar;27(3):528-37. doi: 10.1046/j.1365-2648.1998.00546.x.

Abstract

This study investigated the influence of a number of psychological factors upon the practice and outcome of diabetic self-management among young adults with insulin-dependent diabetes mellitus. Health beliefs, perception of control and knowledge were assessed by scales and questionnaires and glycosylated haemoglobin results and clinic attendance records obtained for 263 patients. The results demonstrated that the sample members perceived that they were responsible for the control of their diabetes, that the benefits of following treatment were greater than any barriers and that they were knowledgeable about their diabetes. However, these factors were not predictive of the outcome variables of metabolic control or clinic attendance according to multiple regression analysis. Implications of these results for nursing practice and for future research are discussed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Attitude to Health
  • Blood Glucose Self-Monitoring / psychology
  • Diabetes Mellitus, Type 1 / blood
  • Diabetes Mellitus, Type 1 / nursing*
  • Diabetes Mellitus, Type 1 / psychology*
  • Female
  • Glycated Hemoglobin / metabolism
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Northern Ireland
  • Patient Compliance / psychology*
  • Self Administration / psychology*
  • Surveys and Questionnaires

Substances

  • Glycated Hemoglobin A