Abstract:
AIMS AND OBJECTIVES:The aim of this paper is to explore self-care in diabetes and to present a model of factors that affect self-care according to reviewed literature. BACKGROUND:Self-care in diabetes is crucial to keep the disease under control. Self-care consists at least four aspects: (i) self-monitoring of blood glucose, (ii) variation of nutrition to daily needs, (iii) insulin dose adjustments to actual needs and (iv) taking exercise regularly. It is known that diverse factors influence self-care such as knowledge, physical skills and emotional aspects and self-efficacy which have been listed as being of high importance. METHODS:The searched databases were ProQuest, PsycINFO and Medline from 1995 to 2002. The search terms were "self-care" or "self-management" coexisting with diabetes and "self-efficacy". The search was limited to English and adults with type 1 diabetes. RESULTS:The main components of the model clarify how knowledge, physical skills and emotional factors as well as self-efficacy influence self-care which again affects metabolic control. Flexible self-care indicates high level of self-care when patients are able to care for and manage the disease in a responsible and flexible way that does not affect their life extensively, resulting in adequate glycosylated haemoglobin value. Self-efficacy is a strong predictor of flexible self-care and affects metabolic control through increased perceived ability to conduct self-care. CONCLUSIONS:The review illuminated that benefits of self-care should be emphasized and knowledge of the Diabetes Complication and Control Trial results can contribute to better self-care. However, factors affecting flexible self-care still require better identification. RELEVANCE TO CLINICAL PRACTICE:The review emphasizes and adds to the topic, that in daily practice health care practitioners must assess diabetes-related knowledge, physical skills and emotional factors in combination with self-efficacy and the four self-care areas. The effects of self-monitoring of blood glucose needs better clarifications as it is now regarded the cornerstone of flexible self-care.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Sigurdardóttir AKdoi
10.1111/j.1365-2702.2004.01043.xsubject
Has Abstractpub_date
2005-03-01 00:00:00pages
301-14issue
3eissn
0962-1067issn
1365-2702pii
JCN1043journal_volume
14pub_type
杂志文章,评审abstract:AIMS AND OBJECTIVES:To explore the assumption that people with ID are unable to communicate effectively about pain by examining the extent to which they were reported as using language and behaviour that was readily understandable to others to communicate pain as distinct from distress. BACKGROUND:The healthcare needs...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
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abstract:AIMS AND OBJECTIVES:To examine the role of trained health and personal care assistants in supporting district nurses and family carers in providing palliative and end of life care in the community. BACKGROUND:In the UK, there is a policy directive to improve end of life care and to enable greater numbers of people to ...
journal_title:Journal of clinical nursing
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abstract:AIMS AND OBJECTIVES:To explore expectant and new parents' reasons not to participate in parental education (PE) groups in antenatal care or child health care. BACKGROUND:In Sweden, expectant and new parents are offered PE groups in antenatal care and in child health care. Although many parents feel unprepared for pare...
journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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更新日期:2018-05-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:1997-11-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究,随机对照试验,收录出版
doi:10.1111/j.1365-2702.2008.02558.x
更新日期:2009-02-01 00:00:00
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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更新日期:2014-05-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
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更新日期:2016-04-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:1997-09-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2005-09-01 00:00:00
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2010-10-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2005-08-01 00:00:00