Self-Efficacy and Outcome Expectations to the Dietary Self-Management in Patients with Type 2 Diabetes Etsuko Matsuda 1 , Fumiko Yasukata 2 , Kizuna Yamazaki 3 , Keiko Furuse 3 , Fujiko Hijikata 3 , Yoshihito Atsumi 4 , Kenpei Matsuoka 5 1Japanese Red Cross College of Nursing 2Okayama University 3Tokyo Saiseikai Central Hospital, Nursing 4Tokyo Saiseikai Central Hospital, Medicine 5Saiseikai Diabetes Center, Tokyo Keyword: 2型糖尿病 , 食事自己管理行動 , 自己効力(効力予期) , 結果予期 , Type 2 diabetes , Dietary self-management behavior , Self-efficacy (Efficacy beliefs) , Outcome expectations pp.99-111
Published Date 2001/9/15
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 One of the purposes of the present study was to clarify the relationship among self-efficacy (SE) and outcome expectations (OE) to dietary self-management, and dietary self-management behavior (DSMB). The other one was to examine the differences in demographic (age, gender, job condition) and disease (duration of diabetes, regimen, complications) characteristics and DSMB among 4 combination patterns of SE and OE which Bandura has mentioned. 312 outpatients with Type 2 diabetes were asked to complete a self-administered questionnaire which include the scales of SE, OE, and DSMB on their routine clinical visit. Participants had to meet the following criteria: over 20 years of age, diagnosed as having Type 2 diabetes for a minimum of 1 year, and without medical or psychological conditions that would affect performance of diabetes self-care (e.g., blindness, dialysis, major stroke, alcoholics). Data of 235 (75.3%) subjects who completed the questionnaire was used. SE and OE were correlated, and it was stronger in male than in female. SE, OE, and DSMB were correlated respectively, but not between OE and DSMB in case of female. Multiple regression analysis revealed that SE was the strongest predictor of DSMB (32.2%), since OE had only 0.2%. It was indicated that the groups with higher SE had higher DSMB regardless of OE, and that the rate of the patients who answered they have constant daily life, meals on time, a meal with family, and different or partly different menu from family was significantly higher in the group with higher SE and OE.

Copyright © 2001, Japan Academy of Diabetes Education and Nursing. All rights reserved.


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