Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1394
10
1
gregorian
2016
1
1
30
1
online
1
fulltext
en
Determinants of adherence to self-care behavior among women with type 2 diabetes: an explanation based on health belief model
Health Education
Health Education
Original Research
Original Research
<p dir="ltr" style="text-align: justify"><strong> Background: </strong>Self-care is an essential element in treating a person with diabetes; and managing diabetes is of prime importance. The aim of this study was to investigate the predictors of adherence to self-care behavior among women with Type 2 diabetes.</p>
<p dir="ltr" style="text-align: justify"><strong> Methods</strong>: This cross-sectional study was conducted on 210 female patients aged 30 to 60. Data collection tool was an anonymous valid and reliable questionnaire designed based on the Health Belief Model (HBM), which acquired information about the followings: Perceived susceptibility, severity, benefits, barriers, self-efficacy and diabetes self-care behavior. Data were analyzed by t-test, chi-square and regression analysis.</p>
<p dir="ltr" style="text-align: justify"><strong> Results</strong>: The multiple regression models revealed 59.9% of the variance of self-care behavior with self-efficacy, perceived barrier, benefit and susceptibility. Additionally, the highest weight for β (β=0.87) was found for self-efficacy. Self-care behavior was positively correlated with all HBM variables except for perceived barriers showing a negative correlation.</p>
<p dir="ltr" style="text-align: justify"><strong> Conclusion</strong>: The Health Belief Model may be used as a framework to design intervention programs in an attempt to improve adherence to self-care behaviors of women with diabetes. In addition, the results indicated that self-efficacy might play a more crucial role in developing self-care behaviors than t other HBM components. Therefore, if the focus is placed on self-efficacy when developing educational programs, it may increase the likelihood of adherence to self-care behavior.</p>
Diabetes, Health Beliefs Model, Self- Care, Self-Efficacy, Iran.
476
483
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-1000&slc_lang=en&sid=1
Mahmood
Karimy
karimymahmoo@yahoo.com
200319475328460025191
200319475328460025191
No
Public Health Department, Faculty of Health, Saveh University of Medical Sciences, Saveh, Iran.
Marzieh
Araban
araban62@gmail.com
200319475328460025192
200319475328460025192
No
Social Determinants of Health Research Center, Health Education and Health Promotion Department, Faculty of Health, Ahvaz Jun-dishapur University of Medical Sciences, Ahvaz, Iran.
Iraj
Zareban
zareban@yahoo.com
200319475328460025193
200319475328460025193
Yes
Health education Department, Faculty of Health, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Mohammad
Taher
tahermohammad38@gmail.com
200319475328460025194
200319475328460025194
No
Nursing Department, Faculty of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran.
Ahmadreza
Abedi
abedi.a@arakmu.ac.ir
200319475328460025195
200319475328460025195
No
Nursing Department, Faculty of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran.