Relationships Among Self-Care Agency, Self-Efficacy, Self-Care, and Glycemic Control
Abstract:Costly complications of diabetes often arise from poor glycemic control. Appropriate diabetes self-care management may improve control. This study examined whether self-care management affects glycemic control and mediates relationships between self-efficacy and self-care agency with glycemic control. In a cross-sectional correlational design, data from a prior study of 141 insulin-requiring adults with type 1 or type 2 diabetes were examined using descriptive statistics, Pearson's correlation, and multiple hierarchical regression. Findings indicated that greater self-care agency and self-efficacy lead to greater self-care management, in turn leading to better glycemic control. Self-care management did not mediate between self-efficacy or self-care agency and glycemic control. Thus, beliefs or capabilities for self-care are insufficient to improve glycemic control; doing so requires self-care management.
Document Type: Research Article
Publication date: 2005-09-01
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- Research and Theory for Nursing Practice focuses on research and theory issues relevant to improving nursing practice and patient care.
formerly published as Scholarly Inquiry for Nursing Practice
The journal's 2014 impact factor is 0.364.
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