This study involving 76 amputated patients with non-insulin-dependent diabetes mellitus examined the relationship between their beliefs regarding diabetes and its treatment and their- self-evaluation of adherence to diabetes self-care behaviors. Descriptive results showed a high level of adherence to medication, foot care, and blood glucose testing, and a low level of adherence to diet and exercise. The correlative analysis revealed significant relationships between perceived social support and adherence to diet, and between perceived social support, barriers, and adherence to the practice of exercise. The regression analysis showed a significant influence of perceived social support on adherence to diet. The same relationship was observed for the influence of perceived social support and barriers on adherence to exercise. Findings support the importance of giving more attention to patients' needs regarding adherence to diet and exercise, improving social support, and removing barriers to patients' treatment. After an amputation it is important to provide patients with an appropriate diabetes teaching andfollow-up program.
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References
1.
Janzon L., Bergent SE, Ericsson BF, Hanson M., Lindell SELeg blood flow in intermittent claudication. A comparison between non-insulin-dependent diabetics and non diabetics. Angiology1984 ;36:724-28.
2.
Pirart J.Diabetes mellitus and its degenerative complications: a perspective study of 4400 patients observed between 1947 and 1973. Diabetes Care1978;1:168-88.
3.
Melton LJ, Macken KM, Palumbo PJ, Elveback LRIncidence and prevalence of clinical peripheral vascular disease in a population-based cohort of diabetic patients. Diabetes Care1980;3:650-54.
4.
Delbridge L. , Appleburg M., Reeve TSFactors associated with the development of foot lesions in the diabetic. Surgery1983 ;93:78-82.
5.
Levin METhe diabetic foot: pathophysiology, evaluation, and treatment. In: Levin WM, O'Neal LW, eds. The diabetic foot. St. Louis: Mosby, 1987:1-50.
6.
Edmons ME, Blundell MP, Morris HE, Thomas EM, Cotton LT, Watkins PJThe diabetic foot: impact of a foot clinic. Q J Med1986;232: 763-71.
7.
Boulton Ajm, Kubrusly DB, Bowker JH, et al. Impaired vibratory perception and diabetic foot ulceration. Diabetic Med1986;3:335-37.
8.
Rosenstock IMHistorical origins of the health belief model . Health Educ Monogr1974;2:328-35.
9.
Becker MH, Janz NKThe health belief model applied to understanding diabetes regimen compliance . Diabetes Educ1985; 11:41-47.
10.
Becker MHPatients adherence to prescribed therapies. Med Care1985;23:539-55.
11.
Miaman LA, Becker MHThe health belief model: origins and correlates in psychological theory. In: Becker MH, ed. The health belief model and personal health behavior. NJ: Charles B. Slack, 1974: 9-26.
12.
Menard D.Assidueité au traitement d'une clientèle diabétique de type II non insulino-traitée [Master's thesis]Montreal: Presented to the Faculté des Sciences Infirmières, University of Montreal, 1987:55-79.
13.
Corcoran K., Fisher J.Measures for clinical practice — a sourcebook. Toronto : Free Press, 1987:11-19.
14.
Polit DF, Hungler BPNursing research. Principles and methods. 4th ed. New York: JB Lippincott, 1991:459-96.
15.
Morsiani M.Epidemiology and screening of diabetes. Boca Raton, Fla : CRC Press, 1989:1-7.
16.
Bild DE, Sleby JV, Sinnock P., Browner WS, Braveman P., Showstock JALower-extremity amputation in people with diabetes. Epidemiology and prevention . Diabetes Care1989;12:24-31.
17.
Palumbo PJ, Melton LJPeripheral vascular disease and diabetes. In: Diabetes in America: diabetes data compiled 1984. Washington, DC: US Government Printing Office, 1985:1-21.
18.
Kannel WB, McGee DL. Diabetes and glucose tolerance as risk factors for cardiovascular disease: the Framingham study. Diabetes Care1979;2:120-26.
19.
Most RS, Sinnock P.The epidemiology of lower-extremity amputation in diabetic individuals. Diabetes Care1983;6:87-91.
20.
Shumak SLNon-insulin-dependent diabetes mellitus. CanadianDiabetes/Le Diabète au Canada1990;3:1-5.
21.
Guthrie DW, Guthrie RAThe disease process of diabetes mellitus: definition, characteristics, trends, and developments. Nurs Clin North Am1983; 18:617-30.
22.
Medhat A., Huber PM, Medhat MAFactors that influence the level of activities in persons with lower-extremity amputation. Rehabil Nurs1990; 25:13-18.
23.
Moore WS, Malone JMLower-extremity amputation. Philadelphia: WB Saunders, 1989.
24.
Sherman RAStump and phantom limb pain. Neurol Clin1989 ;7: 249-64.
25.
Harris MIEpidemiology of diabetes mellitus among the elderly in the United States. In: Froom J, ed. Clinics in geriatric medicine. Montreal: WB Saunders , 1990:703-20.
26.
Gordis L.Conceptual and methodologic problems in measuring patient compliance. In: Haynes RB, Taylor DW, Sackett DL, eds. Compliance in health care. Baltimore, Md: Johns Hopkins University, 1979:23-45.
27.
Connell CMPsychosocial contexts of diabetes and older adulthood: reciprocal effects . Diabetes Educ1991; 17(5):364-71.
28.
Ary DV, Toobert D., Wilson W., Glasgow REPatients' perspective on factors contributing to non-adherence to diabetes regimen. Diabetes Care1986;9:168-72.
29.
Wilson W., Ary DV, Biglan A., Glasgow RE, Toobert DJ, Campbell DRPsychosocial predictors of self-care behaviors (compliance) and glycemic control in non-insulin-dependent diabetes mellitus. Diabetes Care1986;9:614-22.
30.
Cunningham McNett S.Social support, threat, and coping responses and effectiveness in the functionally disabled. Nurs Res1987;36:98-103.
31.
Edelstein J. , Linn MWThe influence of the family on control of diabetes. Soc Sci Med1985;21:541-44.
32.
Glasgow RE, Toobert DJSocial environment and regimen adherence among type II diabetic patients. Diabetes Care1988;11:377-86.
33.
Landry-Goguen O.Adhésion au traitement chez des sujets atteints de diabète de type II et chez leur conjointes [Master's thesis]. Montreal: Presented to the Facullé des Sciences Infirmières, University of Montreal, 1988:62-106.
34.
Epstein LH, Wing RR, Koeske R., Valoski A.A comparison of life-style exercise, aerobic exercise, and calisthenics on weight loss in obese children. Behav Ther1985;16:345-56.
