Knowledge and Self-efficacy in Individuals with Type 2 Diabetes Mellitus

Authors

DOI: https://doi.org/10.6018/eglobal.553591
Keywords: Diabetes Mellitus, Type 2, Knowledge, Self Efficacy, Health Promotion

Abstract

Objective: To analyze the knowledge and self-efficacy of individuals with type 2 diabetes mellitus.
Methodology: A cross-sectional and quantitative study was conducted in a public hospital in Recife, PE, with 86 individuals with diabetes. Sociodemographic, clinical, and laboratory variables were analyzed, in addition to knowledge and self-efficacy in diabetes, using the Diabetes Knowledge Scale and the Diabetes Management Self-Efficacy Scale, respectively. Descriptive statistics and Student's t-test for independent samples were used to verify homogeneity and compare means.
Results: Most patients were female, under 60, with low education, low income, and inadequate diabetes control. Insufficient knowledge and low self-efficacy prevailed. Sufficient knowledge positively interfered with self-efficacy regarding physical exercise, and insufficient knowledge interfered with self-efficacy for blood glucose control. Individuals were self-efficacious regardless of age.
Conclusion: Individuals with diabetes have insufficient knowledge and low self-efficacy, and nurses need to consider these aspects when planning nursing interventions aimed at these persons to promote self-care.

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References

Sociedade brasileira de diabetes. Diretrizes da Sociedade Brasileira de Diabetes. [Internet]. São Paulo: Editora Clannad, 2019. [citado 2022 Jan 03]. Disponível em: https://www.diabetes.org.br/publico/diabetes/diagnostico-e-tratamento

International diabetes federation. IDF Diabetes Atlas. [Internet] 10. ed.; 2021. [citado 2022 Jan 03]. Disponível em: https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf.

Muzy J, Campos MR, Raulino IE, da Silva R, Schramm JMA. Prevalência de diabetes mellitus e suas complicações e caracterização das lacunas na atenção à saúde a partir da triangulação de pesquisas. Cad. Saúde Pública. 2021; 37(5):e00076120. https://doi.org/10.1590/0102-311X00076120

Bandura A. Applying Theory for Human Betterment. Perspectives on Psychological Science. 2019; 14(1):12-15. doi:10.1177/1745691618815165

Tharek Z, Ramli AS, Whitford DL, Ismail Z, Mohd Zulkifli M, Ahmad Sharoni SK, et al. Relationship between self-efficacy, self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting. BMC Fam Pract. 2018 Mar 9;19(1):39. https://doi.org/10.1186/s12875-018-0725-6

Qin W, Blanchette JE, Yoon M. Self-Efficacy and Diabetes Self-Management in Middle-Aged and Older Adults in the United States: A Systematic Review. Diabetes Spectrum, 2020; 33(4):315-323. https://doi.org/10.2337/ds19-0051

Nouwen A, Speight J, Pouwer F, Holt RIG. How psychosocial and behavioural research has shaped our understanding of diabetes. Diabet Med. 2020 Mar;37(3):377-379. https://doi.org/10.1111 / dme.14254

Mazzuchello FR, Tuon L, Simões PW, Mazon J, Dagostin VS, Tomasi CD, et al. Knowledge, attitudes and adherence to treatment in individuals with hypertension and diabetes mellitus. O mundo da saúde, 2016 dez 30; 40(4):418–432. https://doi.org/10.15343/0104-7809.20164004418432

Figueira ALG, Gomes-Villas Boas LC, Coelho ACM, Foss-Freitas MC, Pace AE. Educational interventions for knowledge on the disease, treatment adherence and control of diabetes mellitus. Rev. Latino-Am. Enfermagem. 2017;25:e2863. https://doi.org/10.1590/1518-8345.1648.2863

Santos CMJ, Faro A. Autoeficácia, lócus de controle e adesão ao tratamento em pacientes com diabetes tipo 2. Rev. SBPH [Internet]. 2018 Jun [citado 2022 Jan 16];21(1):74-91. Disponível em: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1516-08582018000100005&lng=pt.

Torres HC, Hortale VA, Schall VT. Validação dos questionários de conhecimento (DKN-A) e atitude (ATT-19). RevSaude Publica. 2005; 39(6):906-11. https://doi.org/10.1590/S0034-89102005000600006

Pace AE, Gomes LC, Bertolin DC, Loureiro HMAML, Van der Bijl JJ, Shortridge-Baggett L. Adaptation and validation of the Diabetes Management Self-Efficacy Scale to Brazilian Portuguese. Rev. Latino-Am. Enfermagem. 2017;25:e2861. https://doi.org/10.1590/1518-8345.1543.2861.

Sousa MC, Malaquias BSS, Chavaglia SRR, Ohl RIB, Paula FFS, Silva KS, et al. Self-efficacy in elderly with type 2 Diabetes Mellitus. Rev Bras Enferm. 2020;73(Suppl 3):e20180980. http://dx.doi.org/10.1590/0034-7167-2018-0980

Medina LAC, Silva RA, de Sousa Lima MM, Barros LM, Lopes ROP, Melo GAA, et al. Correlation Between Functional Health Literacy and Self-efficacy in People with Type 2 Diabetes Mellitus: Cross-sectional Study. Clin Nurs Res. 2022 Jan;31(1):20-28. https://doi.org/10.1177/10547738211006841

Batista IB, Pascoal LM, Gontijo PVC, Brito PS, Sousa MA, Santos Neto M, et al. Association between knowledge and adherence to foot self-care practices performed by diabetics. Rev Bras Enferm. 2020; 73(5):e20190430. http://dx.doi.org/10.1590/0034-7167-2019-0430

Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes. Oman Med J. 2016 Jan;31(1):52-9. https://doi.org/10.5001/omj.2016.10.

Lima AP, Benedetti TRB, Rech CR, Cardoso FB, Portella M. Conhecimento e atitude sobre a diabetes tipo 2 em idosos: Estudo de base populacional.. Cien Saude Colet. 2020; 25(2). https://doi.org/10.1590/1413-81232020252.14662018.

Teston EF, Serafim D, Cubas MR, Haddad MCL, Marcon SS. Fatores associados ao conhecimento e à atitude em relação ao diabetes mellitus. Cogitare Enfermagem. 2017; 22(4). http://dx.doi.org/10.5380/ce.v22i4.50850

Amaral VRS, Ribeiro IJS, Rocha RM. Factors associated with knowledge of the disease in people with type 2 Diabetes Mellitus. Invest. Educ. Enferm. 2021; 39(1):e02. https://doi.org/10.17533/udea.iee.v39n1e02.

Vietta G, Volpato G, Kretzer M, da-Gama F, Nazário N, Pereira E. Impacto do conhecimento nas atitudes, no sofrimento e qualidade de vida do paciente diabético. Arquivos Catarinenses de Medicina [Internet]. 2019 Dez 26; [Citado em 2022 Jan 03]; 48(4): 51-61. Disponível em: http://www.acm.org.br/acm/seer/index.php/arquivos/article/view/520

Hartono D, Salam A, Prasetyanto D, Handayani E, Hasina S. The Correlation Between Self Efficacy and the Stability of Blood Sugar Levels on Type II Diabetes Mellitus Patients. Jurnal Keperawatan. 2021; 13(2), 589-596. https://doi.org/10.32583/keperawatan.v13i2.1730

Saad AMJ, Younes ZMH, Ahmed H, Brown JA, Al Owesie RM, Hassoun AAK. Self-efficacy, self-care and glycemic control in Saudi Arabian patients with type 2 diabetes mellitus: A cross-sectional survey. Diabetes Res Clin Pract. 2018 Mar;137:28-36. https://doi.org/10.1016/j.diabres.2017.12.014.

Lee SK, Shin DH, Kim YH, Lee KS. Effect of Diabetes Education Through Pattern Management on Self-Care and Self-Efficacy in Patients with Type 2 Diabetes. Int J Environ Res Public Health. 2019 Sep 9;16(18):3323. https://doi.org/10.3390/ijerph16183323

Mirtha LT, Permatahati V. The effectivenessofaerobicexercise in improvingperipheralnervefunctions in Type 2 diabetes Mellitus: na evidencebased case report. [Internet] Acta Med Indones. 2018 [citado 2022 Jan 03]50(1):82-7. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/29686181

Santos AL, Marcon SS, Teston EF, Back IR, Lino IGT, Batista VC, et al. Adesão ao tratamento de diabetes Mellitus e relação com a assistência na Atenção Primária. REME – Rev Min Enferm. 2020[citado em 2022 Jan 03];24:e-1279. https://doi.org/10.5935/1415-2762.20200008

Winahyu KM, Anggita R, Widakdo G. Characteristics of Patients, Self-Efficacy and Quality of Life among Patients with Type 2 Diabetes Mellitus Jurnal Keperawatan Padjadjaran. 2019; 7(3). https://doi.org/10.24198/jkp

Bano A, Afzal M, Sarwar H, Waqas A, Kousar S, Gulzar S. Dietary knowledge, Attitude and Practices of Diabetes Patients at Services Hospital Lahore. International Journal of Applied Sciences and Biotechnology. 2017; 5(2), 227–236. https://doi.org/10.3126/ijasbt.v5i2.17625

Borba AKOT, Arruda IKG, Marques APO, Leal MCC, Diniz AS. Conhecimento sobre o diabetes e atitude para o autocuidado de idosos na atenção primária à saúde. Ciência & Saúde Coletiva. 2019; 24(1):125-136. https://doi.org/10.1590/1413-81232018241.35052016

Romero I, Sousa R, de Oliveira IF, Pedro AB, Urza J. Hipoglicemia em doentes diabéticos idosos: experiência de uma unidade de diabetes. [Internet] Rev Clin Hosp Prof Dr Fernando Fonseca. 2017[ Citado 2022 Jan 03]; 5 (1/2): 11-18. Disponível em: https://revistaclinica.hff.min-saude.pt/index.php/rhff/article/view/234/129

Hurst CP, Rakkapao N, Hay K. Impact of diabetes self-management, diabetes management self-efficacy and diabetes knowledge on glycemic control in people with Type 2 Diabetes (T2D): A multi-center study in Thailand. PLoS One. 2020 Dec 31;15(12):e0244692. https://doi.org/10.1371/journal.pone.0244692

Published
01-07-2023
How to Cite
[1]
Gouveia Bezerra, K.M. et al. 2023. Knowledge and Self-efficacy in Individuals with Type 2 Diabetes Mellitus. Global Nursing. 22, 3 (Jul. 2023), 68–109. DOI:https://doi.org/10.6018/eglobal.553591.
Issue
Section
ORIGINAL RESEARCH