2.50
Hdl Handle:
http://hdl.handle.net/10755/159493
Type:
Presentation
Title:
Quality of Life and Adherence in Adults with Type 2 Diabetes
Abstract:
Quality of Life and Adherence in Adults with Type 2 Diabetes
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Poradzisz, Michele
P.I. Institution Name:Saint Xavier University
Title:Assistant Professor
Contact Address:School of Nursing, 3700 West 103rd Street, Chicago, IL, 60655, USA
Contact Telephone:773.298.3730
The purpose of this study was to examine the influence of selected variables on quality of life (QOL) and adherence to diabetes regimen in adults with Type 2 diabetes. The conceptual framework proposed a reciprocal relationship between QOL and adherence, with both outcomes influenced by self-efficacy, illness demand, family support, and satisfaction with care. The convenience sample included adults with Type 2 diabetes who were clients of a comprehensive outpatient diabetes treatment center. In Part 1, participants (n=94) completed a survey that included measures of all six variables. In Part 2, selected respondents (n=23) participated in an interview that focused on the same variables. Comparisons were made between those in the high and low adherence groups. Persons in the low adherence group, as well as those with longer duration of diabetes, had significantly lower self-efficacy and higher illness demand than those in the high adherence group. Individuals in both high and low adherence groups reported lower levels of self-efficacy when it was necessary to make adjustments in the diabetes self-care regimen. Self-efficacy was a significant predictor of both adherence (R2=0.35, p <.001) and QOL (R2=0.40, p <.001) . Illness demand and family support contributed to QOL, but did not significantly influence adherence. Adherence and QOL were moderately correlated (r=0.50, p <. 001). Data from the interview participants indicated that, while strict adherence was generally perceived as having a positive effect on QOL, low adherers had a tendency to perceive more negative effects. The results suggest that diabetes professionals should focus on efforts to improve self-efficacy and the individual's perception of QOL in order to enhance adherence to diabetes regimen, and that ongoing attention to these aspects is needed in order to provide optimal support to those with longer disease duration.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleQuality of Life and Adherence in Adults with Type 2 Diabetesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159493-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Quality of Life and Adherence in Adults with Type 2 Diabetes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Poradzisz, Michele</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Saint Xavier University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 3700 West 103rd Street, Chicago, IL, 60655, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">773.298.3730</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">poradzisz@sxu.edu</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this study was to examine the influence of selected variables on quality of life (QOL) and adherence to diabetes regimen in adults with Type 2 diabetes. The conceptual framework proposed a reciprocal relationship between QOL and adherence, with both outcomes influenced by self-efficacy, illness demand, family support, and satisfaction with care. The convenience sample included adults with Type 2 diabetes who were clients of a comprehensive outpatient diabetes treatment center. In Part 1, participants (n=94) completed a survey that included measures of all six variables. In Part 2, selected respondents (n=23) participated in an interview that focused on the same variables. Comparisons were made between those in the high and low adherence groups. Persons in the low adherence group, as well as those with longer duration of diabetes, had significantly lower self-efficacy and higher illness demand than those in the high adherence group. Individuals in both high and low adherence groups reported lower levels of self-efficacy when it was necessary to make adjustments in the diabetes self-care regimen. Self-efficacy was a significant predictor of both adherence (R2=0.35, p &lt;.001) and QOL (R2=0.40, p &lt;.001) . Illness demand and family support contributed to QOL, but did not significantly influence adherence. Adherence and QOL were moderately correlated (r=0.50, p &lt;. 001). Data from the interview participants indicated that, while strict adherence was generally perceived as having a positive effect on QOL, low adherers had a tendency to perceive more negative effects. The results suggest that diabetes professionals should focus on efforts to improve self-efficacy and the individual's perception of QOL in order to enhance adherence to diabetes regimen, and that ongoing attention to these aspects is needed in order to provide optimal support to those with longer disease duration.</td></tr></table>en_GB
dc.date.available2011-10-26T22:04:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:04:00Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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