Self-efficacy-enhancing exercise and example application for people with diabetes mellitus
Wu, Shu-Fang, Courtney, Mary D., Edwards, Helen E., McDowell, Jan, Shortridge-Baggett, Lillie M., & Chang, P.J. (2008) Self-efficacy-enhancing exercise and example application for people with diabetes mellitus. Journal of the Formosan Medical Association, 107(3). (In Press)
Over several decades, with changes in lifestyle and improvements in health care, the leading causes of death have shifted from acute communicable diseases to chronic diseases. Diabetes Mellitus (DM) in adults is a global health problem. Because it can cause a variety of severe complications in many major organ systems, diabetes becomes one of the most costly and serious diseases. The order in the leading cause of death attributed to diabetes ranked from the 13th in 1980, the 7 th in1985 and the 5th since 1987 in Taiwan. A recent statistic from the Department of Health in Taiwan has revealed that diabetes was the fourth-highest cause of death among Taiwanese in 2002. Even though the health care system has persistently emphasized patients’ health education, the increased knowledge of individual cases may not represent the well-controlled levels of blood glucose. Diabetes mellitus is a self-management disease, of which the treatment and the prevention of complications are mainly determined by patients’ own desire to conduct self-care activities. The decreased levels of blood glucose may be achieved through modified lifestyles including diet or exercise, etc., which are difficult of course. The key point is to maintain the motivation and cooperation. In the recent 20 years, self-efficacy has been successively applied in health fields. Many studies have found that self-efficacy has the effect of predicting behavior. The strategy of development and application to improve individuals’ healthy lifestyles, is not only an appeal advocated by WHO but also an international tendency. The concept of self-efficacy provides scientific evidence base for health promotion strategies. It is very significant to develop the self-managed educational intervention of diabetes mellitus based on the self-efficacy theory, because this may improve the traditional health education of diabetes mellitus, of which only information or techniques may be modified. Through introducing the "self-efficacy theory" and proposing the relevant research results of diabetes mellitus, this text demonstrates the similarities and differences between the traditional health education of diabetes mellitus and the self-efficacy enhancing intervention program. Finally, through transforming the theory into actual clinical health plans, this demonstrates how to carry out and apply the self-efficacy-enhancing training program in individual cases with diabetes mellitus, and expects to strengthen the confidence of self-care ability and change health behaviors.
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|Item Type:||Journal Article|
|Additional Information:||For more information, please contact the author.Author contact details firstname.lastname@example.org email@example.com|
|Keywords:||Diabetes mellitus, Self, efficacy, Empowerment, Health education|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Primary (Preventative) (111002)|
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Institutes > Institute of Health and Biomedical Innovation
|Copyright Owner:||Copyright 2006 (please consult author)|
|Deposited On:||25 Oct 2005|
|Last Modified:||20 May 2010 02:36|
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