Korean J Adult Nurs.  2019 Feb;31(1):61-67. 10.7475/kjan.2019.31.1.61.

Psychological Insulin Resistance and Low Self-efficacy as Barriers to Diabetes Self-care Management in Patients with Type 2 Diabetes

• Kim B
• Song Y
• Kim JI

• KMID: 2438761
• DOI: http://doi.org/10.7475/kjan.2019.31.1.61

Abstract

PURPOSE
This study aimed to identify the associations among psychological insulin resistance, diabetes self-efficacy, and diabetes self-care management in Korean patients with type 2 diabetes requiring insulin therapy.
METHODS
This study was a part of a parent study, for which data were collected from December 2015 to March 2016. Participants were 192 patients with type 2 diabetes who were recommended insulin therapy but were either not taking insulin or had been taking it for less than one year. Data were analyzed using descriptive statistics and Pearson's correlation coefficient. To identify the predictors of diabetes self-care management, sociodemographic and disease-related characteristics, psychological insulin resistance, and diabetes self-efficacy were entered into the hierarchical multiple regression model.
RESULTS
The mean age of participants was approximately 63 years, and 56.3% were men. A significant negative correlation was found between diabetes self-care management and psychological insulin resistance (r=−.19, p=.010), whereas self-care management and diabetes self-efficacy were positively correlated (r=.56, p < .001). In the hierarchical multiple regression model, psychological insulin resistance and diabetes self-efficacy were both strong predictors of diabetes self-care management after controlling for covariates such as education and economic status.
CONCLUSION
The levels of both psychological resistance and diabetes self-efficacy should be considered when educating and counseling patients in order to promote diabetes self-care management. Further research is needed on what type of intervention will improve self-care management in terms of reducing psychological insulin resistance and improving self-efficacy.

MeSH Terms

Counseling
Diabetes Mellitus
Education
Humans
Insulin Resistance*
Insulin*
Male
Models, Psychological
Parents
Self Care*
Insulin

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