Dissertation
Social support, social problem-solving and adherence to self glucose monitoring in Type 2 diabetes
Doctor of Nursing Practice (D.N.P.), Drexel University
Aug 2016
DOI:
https://doi.org/10.17918/etd-6960
Abstract
Background and Significance: Type 2 diabetes is one of the fastest growing chronic diseases in the United States affecting one in four adults ages 65 and older. Proper disease management is crucial. It involves not only technical skills, but social support and social problem-solving abilities to prevent barriers to regimen adherence. However, the impact of social support and social problem-solving on adherence is not well understood. The purpose of this study is to examine the relationships of social support and social problem-solving to adherence in adults with type 2 diabetes. Methods: A cross-sectional, descriptive, correlation design was used. One hundred and one patients participated in the study. Social support was measured using the Social Support Scale for Self-Care in Middle-Aged Patients with Type 2 Diabetes (S4-MAD). Problem solving was measured using the Social Problem-Solving Inventory-Revised Short Form (SPSI-R:S). Adherence was measured by calculating the average blood glucose over seven days as recorded in the glucometer. Descriptive statistics and multiple regression analyses were used to analyze the data. Results: H1 was supported. The findings showed that there was a significant relationship (rho= -0.32; p=0.001) between social support and S4MAD nutrition subscale; 4% of the variance in adherence was accounted for by social support in the nutrition subscale. H2 was not supported. Specifically, there was no significant relationship (rho=-0.20; p=0.41) between problem solving and adherence. Less than 1 % of the variance in adherence was accounted for by problem solving. H3 was not supported. There was no significant interaction between social support and problem solving on adherence. Conclusion: This study suggests that there are other domains that need to be examined as predictors of adherence to blood glucose monitoring among adult diabetic patients.
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Details
- Title
- Social support, social problem-solving and adherence to self glucose monitoring in Type 2 diabetes
- Creators
- Barbara M. Holdren - DU
- Contributors
- Elizabeth W. Gonzalez (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 6960; 991014632821104721