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강지순 ( Kang Ji-Soon ) - Hansei University College of Nursing Science
박준희 ( Park Jun-Hee ) - Kyung Hee University College of Nursing Science
한정원 ( Han Jeong-Won ) - Kyung Hee University College of Nursing Science
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Abstract
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Purpose: This study aimed to identify the effects of psychological insulin resistance, diabetes distress, and diabetes self-efficacy of patients and their spouses on insulin therapy adherence of patients with type 2 diabetes.
Methods: A path analysis based on the actor-partner interdependence model, a couple analysis method, was used to identify the actor and partner effects of psychological insulin resistance, diabetes distress, diabetes self-efficacy on the insulin therapy adherence of patients with type 2 diabetes. Data were collected between February 25 and May 1, 2019, from 200 patients with type 2 diabetes and their spouses.
Results: The psychological insulin resistance of the patient had an actor effect on the diabetes self-efficacy of the patient and a partner effect on the diabetes self-efficacy of the spouse, and the patient’s diabetes distress had a partner effect on the diabetes self-efficacy of the spouse. The psychological insulin resistance of the spouse had an actor effect on the diabetes self-efficacy of the spouse, and the diabetes self-efficacy of the patient and spouse were found to affect the insulin therapy adherence of the patient directly.
Conclusion: This study provided basic data for the development of programs that can enhance insulin therapy adherence in patients with type 2 diabetes, focusing on the perspectives of both the patient and spouse.
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KeyWords
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Psychological insulin resistance, Self-efficacy, Type 2 diabetes mellitus
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원문 및 링크아웃 정보
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등재저널 정보
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