Evidence map›Paper›PMID 33251559›Full record

Observational studyActa diabetologica2021

The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes.

Sylwia Krzemińska, Katarzyna Lomper, Anna Chudiak, Davide Ausili, Izabella Uchmanowicz

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Acta diabetologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sylwia KrzemińskaDepartment of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.ORCID http://orcid.org/0000-0001-7695-0967
Katarzyna LomperDepartment of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.ORCID http://orcid.org/0000-0001-6884-5200
Anna ChudiakDepartment of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.ORCID http://orcid.org/0000-0002-3812-2869
Davide AusiliDepartment of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.ORCID http://orcid.org/0000-0001-5212-6463
Izabella UchmanowiczDepartment of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland. izabella.uchmanowicz@umed.wroc.pl.ORCID http://orcid.org/0000-0001-5452-0210

Funding

Ministry of Science and Higher Education of Poland SUB.E020.19.003
6 · The paper itself

Abstract

aimsThe study aimed to assess the impact of self-care on adherence to treatment in patients diagnosed with type 2 diabetes and effect of complex interaction of social, lifestyle, economic, environmental and behavioural.

methodsThe study was carried out between June 2018 and May 2019 on 324 patients (162 females, 162 males) with type 2 diabetes. To measure the levels of self-care, the Self-Care of Diabetes Index (SCODI) questionnaire was used. Adherence to treatment was assessed with the Adherence in Chronic Diseases Scale (ACDS).

resultsThe highest scores of health behaviour were on the subscale of adherence with the mean value of 68.37, and the lowest results on the subscale of blood sugar self-monitoring, with the mean of 56.05. We found that low adherence to treatment was present in 52.47% of respondents, the moderate level in 39.20%, while only 8.33% of patients showed the high level. There were significant positive correlations between the ACDS and SCODI subscales (p < 0.05): self-care maintenance (0.436), self-care management (0.413), self-care monitoring (0.384), and self-care confidence (0.453).

conclusionsSelf-care affects on adherence in patients with type 2 diabetes. The higher self-efficacy in each of the areas of functioning, the higher the level of adherence to treatment. We found that demographic variables such as female sex, education and employment status can influence self-care in managing chronic illnesses such as type 2 diabetes.

Indexed as

Self CareAdultAgedAged, 80 and overBlood Glucose Self-MonitoringDiabetes Mellitus, Type 2FemaleHealth BehaviorHumansLife StyleMaleMiddle AgedPatient CompliancePolandSelf EfficacySurveys and QuestionnairesAdherence in chronic diseases scale (ACDS)Adherence to treatmentNursingSelf-careSelf-care of diabetes index (SCODI)Type 2 diabetes

Identifiers

PMID33251559
PMCPMC8053648

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.