Patient Knowledge, Perceived Self-Efficacy, and Self-Management Among Patients with Type II Diabetes Mellitus

<p>In the United States (U.S.), Type 2 Diabetes Mellitus (T2DM) has reached epidemic portions with a prevalence of approximately 29.1 million people and is the seventh-leading cause of death (Centers for Disease Control and Prevention [CDC], 2014; Healthy People 2020, n.d.). The U.S. spends an estimated $245 billion in direct and indirect medical costs. The indirect costs include disability and lost productivity (CDC, 2014).</p> <p>Previous studies focusing on diabetes education acknowledge the significance of self-management activities in managing T2DM. Extant studies examining self-management and treatment outcomes for persons with T2DM have paid limited attention to the relationship between patients' disease perceptions, diabetes knowledge, self-efficacy, self-management practices, and glycemic control. The purpose of this investigation was to identify factors and outcomes associated with healthy diabetes self-management practices among a cohort of individuals with T2DM residing in southern California. Nola Pender's Health Promotion Model (Pender et al., 2015) guided the study. Specific aims include:</p> <p>1) Provide conceptual clarity for the phenomenon of perception through a concept analysis using Walker and Avant (2011) methodology,</p> <p>2) Identify factors and outcomes associated with diabetes self-management through a systematic review of the literature, and</p> <p>3) Examine relationships among perceived self-efficacy, specific patient characteristics, diabetic knowledge, self-management practices, and HbA1C values among a sample of individuals with T2DM living in southern California. The research aims provided the structure to generate new scientific data and evidence towards the improvement of self-management practices and those characteristics leading to improved HbA1C outcomes.</p>

Name thesis:degree_name

PhD Nursing

Level thesis:degree_level

Dissertation: USD Users Only

Discipline thesis:degree_discipline

Nursing

Year dc:date.available

2017

Author dc:creator

• Milo, Razel Bacuetes

• diabetes
• diabetes knowledge
• diabetes self-efficacy
• diabetes self-management
• perception
• type 2 diabetes
• Nursing
• Psychology

Repository record dc:identifier

https://digital.sandiego.edu/dissertations/89

OAI identifier oai:identifier

oai:digital.sandiego.edu:dissertations-1089