Self-esteem mediates the relationship perceived stigma with self-efficacy for diabetes management in individuals with type 2 diabetes mellitus
Saudi Medical Journal, cilt.43, sa.10, ss.1157-1164, 2022 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 43 Sayı: 10
- Basım Tarihi: 2022
- Doi Numarası: 10.15537/smj.2022.43.10.20220344
- Dergi Adı: Saudi Medical Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Arab World Research Source, BIOSIS, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database
- Sayfa Sayıları: ss.1157-1164
- Anahtar Kelimeler: type 2 diabetes mellitus, stigmatization, self esteem, self efficacy
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objectives: To determine the mediating effect of self-esteem in the relationship between the perceived stigmatization of individuals with type 2 diabetes mellitus)T2DM(and their self-efficacy regarding diabetes management. Methods: The study was carried out with 162 patients with T2DM who visited the Internal Medicine outpatient clinic, Bartin Public Hospital, Bartin, Turkey, between December 2020 and May 2021. A descriptive information form, diabetes management self-efficacy scale, Rosenberg self-esteem scale, and type-2 diabetes stigma assessment scale were used in data collection. Results: As a result of regression analyses, it was determined that the variables of stigmatization)ß= -0.294(and self-esteem)ß=0.875(had a significant predictive effect on self-efficacy of patients with T2DM, and that as self-esteem was added to the model, the effect of stigmatization on self-efficacy)ß= -0.294(decreased)ß= -0.230, p<0.05(. According to these findings and the results of the Sobel test, it was determined that self-esteem had a partial mediator role)z= -3.347; p< 0.05(. Conclusion: Minimizing the perceived stigmatization can improve patients' diabetes management self-efficacy. With patient training programs and individualized nursing care plans prepared by psychiatric nurses to provide psychological support patients and through their interventions that increase self-esteem, self-stigmatization can be reduced.