Self-Care Management and Its Predictors Among Jordanian Patients with Type 1 Diabetes Mellitus: Cross-Sectional Study

Background Self-care management (SCM) is a cornerstone in the management of diabetes mellitus (DM), as it has a positive impact on glycemic control. Aims To investigate the level, specific practices, correlates, and predictors of SCM practices among Jordanian adult patients with type 1 diabetes (DM1...

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Main Authors: Aziza Salem RN, PhD, Arwa Masadeh RN, PhD, Basema Nofal RN, PhD, Elham Othman RN, PhD, Ali M. Saleh RN, PhD, Muhammad W. Darawad RN, PhD
Format: Article
Language:English
Published: SAGE Publishing 2025-02-01
Series:SAGE Open Nursing
Online Access:https://doi.org/10.1177/23779608251322603
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author Aziza Salem RN, PhD
Arwa Masadeh RN, PhD
Basema Nofal RN, PhD
Elham Othman RN, PhD
Ali M. Saleh RN, PhD
Muhammad W. Darawad RN, PhD
author_facet Aziza Salem RN, PhD
Arwa Masadeh RN, PhD
Basema Nofal RN, PhD
Elham Othman RN, PhD
Ali M. Saleh RN, PhD
Muhammad W. Darawad RN, PhD
author_sort Aziza Salem RN, PhD
collection DOAJ
description Background Self-care management (SCM) is a cornerstone in the management of diabetes mellitus (DM), as it has a positive impact on glycemic control. Aims To investigate the level, specific practices, correlates, and predictors of SCM practices among Jordanian adult patients with type 1 diabetes (DM1). Methodology Using an online self-report questionnaire, a convenience sample of 127 DM type 1 patients were recruited who agreed to complete the questionnaire. The questionnaire had four sections; demographics, the diabetes self-efficacy scale (DSES), the appraisal of self-care agency scale-revised (ASAR-R), and the Diabetes Self-Management Scale (DSMS). Results The mean score of the total Diabetes Self-Management Scale (DSMS) of patients was 204.16 ( SD  = 40.35, range =  97–299). We found that SCM practices differed between patients according to their characteristics; the SCM-Activity and SCM-Food differed according to gender, educational level, and income. Furthermore, there were significant negative relationships between the duration of being diagnosed with DM and SCM-activity, and between BMI and each of SCM-Blood glucose monitoring and SCM-adherence to the medication regimen. Lastly, sequential regression showed that income, self-efficacy (SE), and self-care agency (SCA) were significant predictors of SCM. Conclusions Patients with DM type 1 exhibit different levels of SCM according to their personal and clinical characteristics. Tailored health education plans should be provided to patients according to their risk factors for low SCM practices.
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spelling doaj-art-ce99e7ea856b4eb491ce764f533e9e082025-08-20T02:57:04ZengSAGE PublishingSAGE Open Nursing2377-96082025-02-011110.1177/23779608251322603Self-Care Management and Its Predictors Among Jordanian Patients with Type 1 Diabetes Mellitus: Cross-Sectional StudyAziza Salem RN, PhD0Arwa Masadeh RN, PhD1Basema Nofal RN, PhD2Elham Othman RN, PhD3Ali M. Saleh RN, PhD4Muhammad W. Darawad RN, PhD5 Nursing Department, University of Tabuk, Tabuk, Saudi Arabia Faculty of Nursing, As-Salt, Jordan School of Nursing, Amman, Jordan School of Nursing, Amman, Jordan School of Nursing, Amman, Jordan School of Nursing, Amman, JordanBackground Self-care management (SCM) is a cornerstone in the management of diabetes mellitus (DM), as it has a positive impact on glycemic control. Aims To investigate the level, specific practices, correlates, and predictors of SCM practices among Jordanian adult patients with type 1 diabetes (DM1). Methodology Using an online self-report questionnaire, a convenience sample of 127 DM type 1 patients were recruited who agreed to complete the questionnaire. The questionnaire had four sections; demographics, the diabetes self-efficacy scale (DSES), the appraisal of self-care agency scale-revised (ASAR-R), and the Diabetes Self-Management Scale (DSMS). Results The mean score of the total Diabetes Self-Management Scale (DSMS) of patients was 204.16 ( SD  = 40.35, range =  97–299). We found that SCM practices differed between patients according to their characteristics; the SCM-Activity and SCM-Food differed according to gender, educational level, and income. Furthermore, there were significant negative relationships between the duration of being diagnosed with DM and SCM-activity, and between BMI and each of SCM-Blood glucose monitoring and SCM-adherence to the medication regimen. Lastly, sequential regression showed that income, self-efficacy (SE), and self-care agency (SCA) were significant predictors of SCM. Conclusions Patients with DM type 1 exhibit different levels of SCM according to their personal and clinical characteristics. Tailored health education plans should be provided to patients according to their risk factors for low SCM practices.https://doi.org/10.1177/23779608251322603
spellingShingle Aziza Salem RN, PhD
Arwa Masadeh RN, PhD
Basema Nofal RN, PhD
Elham Othman RN, PhD
Ali M. Saleh RN, PhD
Muhammad W. Darawad RN, PhD
Self-Care Management and Its Predictors Among Jordanian Patients with Type 1 Diabetes Mellitus: Cross-Sectional Study
SAGE Open Nursing
title Self-Care Management and Its Predictors Among Jordanian Patients with Type 1 Diabetes Mellitus: Cross-Sectional Study
title_full Self-Care Management and Its Predictors Among Jordanian Patients with Type 1 Diabetes Mellitus: Cross-Sectional Study
title_fullStr Self-Care Management and Its Predictors Among Jordanian Patients with Type 1 Diabetes Mellitus: Cross-Sectional Study
title_full_unstemmed Self-Care Management and Its Predictors Among Jordanian Patients with Type 1 Diabetes Mellitus: Cross-Sectional Study
title_short Self-Care Management and Its Predictors Among Jordanian Patients with Type 1 Diabetes Mellitus: Cross-Sectional Study
title_sort self care management and its predictors among jordanian patients with type 1 diabetes mellitus cross sectional study
url https://doi.org/10.1177/23779608251322603
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