Diabetes Self-Care Behaviors and Disease Control in Support Group Attenders and Nonattenders

• Published in: The Journal of Nursing Research Vol. 22; no. 4; pp. 231 - 241
• Main Author: 邱啟潤(Chii-Jun Chiou)
• Format: Journal Article
• Language: English
• Published: China (Republic : 1949- ) 台灣護理學會 01.12.2014; Copyright by the Taiwan Nurses Association
• Subjects: Adult; Aged; Chronic Disease; Cross-Sectional Studies; Diabetes Mellitus - prevention & control; Diabetes Mellitus - therapy; Female; Health Behavior; Humans; Middle Aged; Nursing; Self Care; Self-Help Groups; self-care behavior; disease control; 疾病控制; 自我照顧行為; diabetes support groups; 糖尿病支持團體
• ISSN: 1682-3141; 1948-965X
• DOI: 10.1097/jnr.0000000000000053

BACKGROUND:The prevalence rate and mortality rate of diabetes continue to increase annually. Complications associated with poor control of diabetes include renal dialysis, amputation, heart disease, stroke, retinopathy, and vascular disease, all of which have an impact at the individual, family, and national level. PURPOSE:This study compares diabetes self-care behavior and disease control efficacy between attenders and nonattenders of a diabetes support group. METHODS:We used a questionnaire with good validity and reliability to conduct a cross-sectional survey. Diabetes support groups have been established throughout Taiwan for around 2years. Participants for this study were recruited randomly from a register of support group participants. Support group instructors were asked to collect questionnaires from those attending and not attending their support groups. Ten groups volunteered to participate in this study. We received 147 valid questionnaires from participants attending support groups (attenders) and 93 questionnaires from participants who did not (nonattenders). RESULTS:There were no statistically significant differences between support group attenders and nonattenders in terms of age, educational level, or time since diagnosis of diabetes. Thus, we assumed these two groups as adequately similar to conduct statistical comparisons. Scores for diabetes self-care behavior, disease control, and use of the diabetes passport were all significantly higher among support group attenders than their nonattender peers. CONCLUSIONS/IMPLICATIONS FOR PRACTICE:Results indicate that people attending diabetes support groups are more likely to have better self-care behavior and disease control than nonattenders. Therefore, we suggest that the government actively promote policies supportive of diabetes support groups.