https://doi.org/10.4081/jbr.2022.10261
Investigating the factors affecting self-care behaviors in diabetic patients: A systematic review
Submitted: October 31, 2021
Accepted: May 2, 2022
Published: May 11, 2022
Accepted: May 2, 2022
Abstract Views: 2725
PDF: 835
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Diabetes is one of the most common non-communicable diseases, which have far-reaching economic and social consequences and threaten the national production and economy of countries. However, diabetes is a disease of self-control. Therefore, self-care strategies can maintain patients’ independence while reducing the burden imposed on health care resources. This study aimed to investigate the factors affecting self-care behaviors in diabetic patients. This study is a systematic review; Google Scholar, SID, Scopus, PubMed, Science Direct, and ISI databases were used; 17,500 articles were found including the keywords “self-care”, “diabetes” and “affecting factors” in the search process, and all studies after 2010 were included. After reviewing the titles and abstracts, 51 studies were included. The studies’ reports on selfcare behaviors and their prevalence were very different depending on the tools used. The studies show the relationship between selfcare behaviors in patients with diabetes and various factors, including demographic, socio-economic, and psychological factors. The most important variables included are educational status, age, gender, marital status, BMI, occupational status, duration of illness, comorbidities, income, having glucometer, perceived severity of the disease and its complications, perceived barriers, diabetes distress, diabetes knowledge, perceived susceptibility, self-efficacy, social and family support, depression, and anxiety. Due to the relationship of demographic, socio-economic, and psychological factors with self-care behaviors in patients with diabetes, it is suggested that a comprehensive program for the management of caring behaviors in diabetic patients should be designed to include all of the above.
Ahmadi A, Niknami S, Ghaffari M. Determinants of Self-care Behaviors Among People with Type II Diabetes: A One-decade Systematic Review. J Diab Nurs 2019;1604-21.
Oluma A, Mosisa G, Abadiga M, et al. Predictors of adherence to self-care behavior among patients with diabetes at public hospitals in West Ethiopia. Diab Metab Synd Obes Targets Ther 2020;13:3277.
DOI: https://doi.org/10.2147/DMSO.S266589
Malta DC, Duncan BB, Schmidt MI, et al. Prevalence of diabetes mellitus as determined by glycated hemoglobin in the Brazilian adult population, National Health Survey. Revista Brasileira De Epidemiol 2019;22:E190006.SUPL.2.
World Health Organization. Classification of diabetes mellitus. WHO, 2019. Available from: https://apps.who.int/iris/handle/10665/325182
Ishak NH, Yusoff SSM, Rahman RA, et al. Diabetes self-care and its associated factors among elderly diabetes in primary care. J Taibah Uni Med Sci 2017;12:504-11.
DOI: https://doi.org/10.1016/j.jtumed.2017.03.008
Barlow J, Wright C, Sheasby J, et al. Self-management approaches for people with chronic conditions: a review. Patient Educ Counseling 2002;48:177-87.
DOI: https://doi.org/10.1016/S0738-3991(02)00032-0
Lu Y, Xu J, Zhao W, Han H-R. Measuring self-care in persons with type 2 diabetes: a systematic review. Evaluation Health Profes 2016;39:131-84.
DOI: https://doi.org/10.1177/0163278715588927
Dalal J, Williams JS, Walker RJ, et al. Association between dissatisfaction with care and diabetes self-care behaviors, glycemic management, and quality of life of adults with type 2 diabetes mellitus. Diab Educ 2020;46:370-7.
DOI: https://doi.org/10.1177/0145721720922953
Amelia R, Lelo A, Lindarto D, et al. Analysis of factors affecting the self-care behaviors of Diabetes Mellitus type 2 patients in Binjai, North Sumatera-Indonesia. Asian J Microbiol Biotechnol Environ Sci 2018;20:361-7.
Soltanbeigi A, Dastyar N, Khajoei Nejad F, Shokri S. Medicinal herbs affecting cancers in Iran and the world. Plant Biotechnol Persa 2022;4:1-3.
DOI: https://doi.org/10.52547/pbp.4.1.1
Sorato MM, Tesfahun C, Lamessa D. Levels and predictors of adherence to self-care behaviour among adult type 2 diabetics at Arba Minch general hospital, Southern Ethiopia. J Diabetes Metab 2016;7:11.
DOI: https://doi.org/10.4172/2155-6156.1000684
Ayele K, Tesfa B, Abebe L, et al. Self care behavior among patients with diabetes in Harari, Eastern Ethiopia: The health belief model perspective. PloS One 2012;7:e35515.
DOI: https://doi.org/10.1371/journal.pone.0035515
Sharoni SKA, Wu SFV. Self‐efficacy and self‐care behavior of Malaysian patients with type 2 diabetes: A cross sectional survey. Nurs Health Sci 2012;14:38-45.
DOI: https://doi.org/10.1111/j.1442-2018.2011.00658.x
Zhou Y, Liao L, Sun M, He G. Self-care practices of Chinese individuals with diabetes. Experimental Therap Med 2013;5:1137-42.
DOI: https://doi.org/10.3892/etm.2013.945
Pandit AU, Bailey SC, Curtis LM, et al. Disease-related distress, self-care and clinical outcomes among low-income patients with diabetes. J Epidemiol Community Health 2014;68:557-64.
DOI: https://doi.org/10.1136/jech-2013-203063
Dehghani-Tafti A, Mahmoodabad SSM, Morowatisharifabad MA, et al. Determinants of self-care in diabetic patients based on health belief model. Global J Health Sci 2015;7:33.
DOI: https://doi.org/10.5539/gjhs.v7n5p33
Bigdeli MA, Hashemi Nazari SS, Khodakarim S, et al. Factors associated with self-care behavior in patients with type II diabetes. J Mazandaran Uni Med Sci 2015;25:61-72.
Walker RJ, Gebregziabher M, Martin-Harris B, Egede LE. Understanding the influence of psychological and socioeconomic factors on diabetes self-care using structured equation modeling. Patient Educ Counseling 2015;98:34-40.
DOI: https://doi.org/10.1016/j.pec.2014.10.002
Mansyur CL, Rustveld LO, Nash SG, Jibaja-Weiss ML. Social factors and barriers to self-care adherence in Hispanic men and women with diabetes. Patient Educ Counseling 2015;98:805-10.
DOI: https://doi.org/10.1016/j.pec.2015.03.001
Sharoni SA, Shdaifat EA, Abd Majid HM, et al. Social support and self-care activities among the elderly patients with diabetes in Kelantan. Malaysian Family Phys 2015;10:34.
Karimy M, Araban M, Zareban I, et al. Determinants of adherence to self-care behavior among women with type 2 diabetes: An explanation based on health belief model. Med J Islamic Republic of Iran 2016;30:368.
Kassahun T, Gesesew H, Mwanri L, Eshetie T. Diabetes related knowledge, self-care behaviours and adherence to medications among diabetic patients in Southwest Ethiopia: a cross-sectional survey. BMC Endocr Dis 2016;16:1-11.
DOI: https://doi.org/10.1186/s12902-016-0114-x
Eyüboğlu E, Schulz PJ. Do health literacy and patient empowerment affect self-care behaviour? A survey study among Turkish patients with diabetes. BMJ Open 2016;6:e010186.
DOI: https://doi.org/10.1136/bmjopen-2015-010186
Borhaninejad V, Iranpour A, Shati M, et al. Predictors of self-care among the elderly with diabetes type 2: using social cognitive theory. Diab Metabolic Syndr Clin Res Reviews 2017;11:163-6.
DOI: https://doi.org/10.1016/j.dsx.2016.08.017
Ausili D, Rebora P, Di Mauro S, et al. Clinical and socio-demographic determinants of self-care behaviours in patients with heart failure and diabetes mellitus: A multicentre cross-sectional study. Int J Nursing Stud 2016;63:18-27.
DOI: https://doi.org/10.1016/j.ijnurstu.2016.08.006
Masoompour M, Tirgari B, Ghazanfari Z. The relationship between health literacy, self-efficacy, and self-care behaviors in diabetic patients. Evidence Based Care 2017;7:17-25.
D’Souza MS, Karkada SN, Parahoo K, et al. Self-efficacy and self-care behaviours among adults with type 2 diabetes. Appl Nurs Res 2017;36:25-32.
DOI: https://doi.org/10.1016/j.apnr.2017.05.004
Mogre V, Abanga ZO, Tzelepis F, et al. Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana. BMC Endocr Dis 2017;17:1-8.
DOI: https://doi.org/10.1186/s12902-017-0169-3
Gurmu Y, Gela D, Aga F. Factors associated with self-care practice among adult diabetes patients in West Shoa Zone, Oromia Regional State, Ethiopia. BMC Health Services Res 2018;18:1-8.
DOI: https://doi.org/10.1186/s12913-018-3448-4
Mohebi S, Parham M, Sharifirad G, et al. Relationship between perceived social support and self-care behavior in type 2 diabetics: A cross-sectional study. J Education Health Prom 2018;7:48.
DOI: https://doi.org/10.4103/jehp.jehp_73_17
Karimy M, Koohestani HR, Araban M. The association between attitude, self-efficacy, and social support and adherence to diabetes self-care behavior. Diabetology Metabolic Synd 2018;10:1-6.
DOI: https://doi.org/10.1186/s13098-018-0386-6
Mariye T, Tasew H, Teklay G, et al. Magnitude of diabetes self-care practice and associated factors among type two adult diabetic patients following at public Hospitals in central zone, Tigray Region, Ethiopia, 2017. BMC Res Notes 2018;11:1-6.
DOI: https://doi.org/10.1186/s13104-018-3489-0
Bonger Z, Shiferaw S, Tariku EZ. Adherence to diabetic self-care practices and its associated factors among patients with type 2 diabetes in Addis Ababa, Ethiopia. Patient Pref Adher 2018;12:963.
DOI: https://doi.org/10.2147/PPA.S156043
Abate TW, Tareke M, Tirfie M. Self-care practices and associated factors among diabetes patients attending the outpatient department in Bahir Dar, Northwest Ethiopia. BMC Res Notes 2018;11:1-5.
DOI: https://doi.org/10.1186/s13104-018-3874-8
Allahyari J, Shirani N, Sargolzaei MS, et al. Self-care behavior and related factors of patients with diabetes type II in Saravan in 2017. J Diab Nursing 2018;6:550-7.
Jannoo Z, Khan NM. Medication adherence and diabetes self-care activities among patients with type 2 diabetes mellitus. Value Health Regional Issues 2019;18:30-5.
DOI: https://doi.org/10.1016/j.vhri.2018.06.003
Alvarado-Martel D, Ruiz Fernández M, Cuadrado Vigaray M, et al. Identification of psychological factors associated with adherence to self-care behaviors amongst patients with type 1 diabetes. J Diab Res 2019;2019:6271591.
DOI: https://doi.org/10.1155/2019/6271591
Ayele BH, Mengesha MM, Tesfa T. Predictors of self-care activities of outpatient diabetic residents in Harar and Dire Dawa: A hospital-based cross-sectional study. SAGE Open Med 2019;7:2050312119865646.
DOI: https://doi.org/10.1177/2050312119865646
Aschalew AY, Yitayal M, Minyihun A, Bisetegn TA. Self-care practice and associated factors among patients with diabetes mellitus on follow up at University of Gondar Referral Hospital, Gondar, Northwest Ethiopia. BMC Res Notes 2019;12:1-6.
DOI: https://doi.org/10.1186/s13104-019-4630-4
Mogre V, Johnson NA, Tzelepis F, Paul C. Barriers to diabetic self‐care: A qualitative study of patients’ and healthcare providers’ perspectives. J Clin Nursing 2019;28:2296-308.
DOI: https://doi.org/10.1111/jocn.14835
Kim MY, Lee EJ. Factors affecting self-care behavior levels among elderly patients with type 2 diabetes: A quantile regression approach. Medicina 2019;55:340.
DOI: https://doi.org/10.3390/medicina55070340
Dedefo MG, Ejeta BM, Wakjira GB, et al. Self-care practices regarding diabetes among diabetic patients in West Ethiopia. BMC Res Notes 2019;12:1-7.
DOI: https://doi.org/10.1186/s13104-019-4258-4
Tiruneh SA, Ayele AA, Emiru YK, et al. Factors influencing diabetes self-care practice among type 2 diabetes patients attending diabetic care follow up at an Ethiopian General Hospital, 2018. Jo Diab Metabolic Disor 2019;18:199-206.
DOI: https://doi.org/10.1007/s40200-019-00408-z
Badpar S, Bakhtiarpour S, Heidari A, Moradimanesh F. Causal model of self-care based on social support and health literacy through self-efficacy in managing diabetes in diabetic patients. J Diab Nurs 2019;7:752-63.
Getie A, Geda B, Alemayhu T, et al. Self-care practices and associated factors among adult diabetic patients in public hospitals of Dire Dawa administration, Eastern Ethiopia. BMC Public Health 2020;20:1-8.
DOI: https://doi.org/10.1186/s12889-020-09338-5
Tuncay FÖ, Avcı D. Association between self-care management and life satisfaction in patients with diabetes mellitus. Europ J Integ Med 2020;35:101099.
DOI: https://doi.org/10.1016/j.eujim.2020.101099
İlhan N, Telli S, Temel B, Aştı T. Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey. Primary Care Diab 2021;15:74-9.
DOI: https://doi.org/10.1016/j.pcd.2020.06.009
Sari Y, Upoyo AS, Isworo A, et al. Foot self-care behavior and its predictors in diabetic patients in Indonesia. BMC Res Notes 2020;13:1-6.
DOI: https://doi.org/10.1186/s13104-020-4903-y
Robat Sarpooshi D, Mahdizadeh M, Siuki HA, et al. The relationship between health literacy level and self-care behaviors in patients with diabetes. Patient Related Outcome Measures 2020;11:129.
DOI: https://doi.org/10.2147/PROM.S243678
Afaya RA, Bam V, Azongo et al. Medication adherence and self-care behaviours among patients with type 2 diabetes mellitus in Ghana. PloS One 2020;15:e0237710.
DOI: https://doi.org/10.1371/journal.pone.0237710
Kim EJ, Han KS. Factors related to self‐care behaviours among patients with diabetic foot ulcers. J Clin Nurs 2020;29:1712-22.
DOI: https://doi.org/10.1111/jocn.15215
Mutyambizi C, Pavlova M, Hongoro C, Groot W. Inequalities and factors associated with adherence to diabetes self-care practices amongst patients at two public hospitals in Gauteng, South Africa. BMC Endocrine Disorders 2020;20:1-10.
DOI: https://doi.org/10.1186/s12902-020-0492-y
Al-Qahtani AM. Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia: Based on diabetes self-management questionnaire. Saudi Med J 2020;41:955.
DOI: https://doi.org/10.15537/smj.2020.9.25339
Kong S-Y, Cho M-K. Factors related to self-care in patients with type 2 diabetes. Open Nursing J 2020;14:64-73.
DOI: https://doi.org/10.2174/1874434602014010064
Babazadeh T, Jafaralilou H, Ghaffari-Fam S, et al. Self-care behaviors in diabetic type 2 patients in the countryside of Tabriz, Iran: application of the extended theory of reasoned action (ETRA). Ann Ig 2020;32:254-62.
Cinaroglu S. Associated patient demographic characteristics and disease-related self-care behaviors with diabetes: a mediation model. J Diabetes Metabolic Disor 2021;20:1301-18.
DOI: https://doi.org/10.1007/s40200-021-00856-6
Prakash R, Abute L, Erchafo B, et al. Self-care behavior and associated factors among patients with Type 2 Diabetes in Hossana, Southern Ethiopia: The Health Belief Model Perspective. Research Gate 2021. https://doi.org/10.21203/rs.3.rs-508773/v1
DOI: https://doi.org/10.21203/rs.3.rs-508773/v1
Weledegebriel M, Mulugeta A, Hailu A. Evaluation of Self-Care Practice and Its Associated Factors in Adult Diabetic Patients, Ayder Diabetic Clinic, Mekelle, Ethiopia. Diab Metab Syndr Obesity Targets Therapy 2019;3:23.
Al-Qahtani AM. Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia: Based on diabetes self-management questionnaire. Saudi Med J 2020;41:955.
DOI: https://doi.org/10.15537/smj.2020.9.25339
Mutyambizi C, Pavlova M, Hongoro C, Groot W. Inequalities and factors associated with adherence to diabetes self-care practices amongst patients at two public hospitals in Gauteng, South Africa. BMC Endocrine Disord 2020;20:1-0.
DOI: https://doi.org/10.1186/s12902-020-0492-y
Mogre V, Abanga ZO, Tzelepis F, et al. Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana. BMC Endocrine Disorders. 2017;17:1-8.
DOI: https://doi.org/10.1186/s12902-017-0169-3
Zhou Y, Liao L, Sun M, He G. Self-care practices of Chinese individuals with diabetes. Experimental Therap Med 2013;5:1137-42.
DOI: https://doi.org/10.3892/etm.2013.945
Sharoni SA, Shdaifat EA, Abd Majid HM, et al. Social support and self-care activities among the elderly patients with diabetes in Kelantan. Malays Family Phys 2015;10:34.
Dehghani-Tafti A, Mahmoodabad SS, Morowatisharifabad MA, et al. Determinants of self-care in diabetic patients based on health belief model. Global J Health Sci 2015;7:33.
DOI: https://doi.org/10.5539/gjhs.v7n5p33
Jannoo Z, Khan NM. Medication adherence and diabetes self-care activities among patients with type 2 diabetes mellitus. Value Health Regional Issue 2019;1;18:30-5.
DOI: https://doi.org/10.1016/j.vhri.2018.06.003
Weledegebriel M, Mulugeta A, Hailu A. Evaluation of Self-Care Practice and Its Associated Factors in Adult Diabetic Patients, Ayder Diabetic Clinic, Mekelle, Ethiopia. Diab Metabol Syndr Obesity 2021;14:2239.
DOI: https://doi.org/10.2147/DMSO.S285181
D’Souza MS, Karkada SN, Parahoo K, et al. Self-efficacy and self-care behaviours among adults with type 2 diabetes. Appl Nursing Res 2017;1;36:25-32.
DOI: https://doi.org/10.1016/j.apnr.2017.05.004
Kim EJ, Han KS. Factors related to self‐care behaviours among patients with diabetic foot ulcers. J Clin Nurs 2020;29:1712-22.
DOI: https://doi.org/10.1111/jocn.15215
Pantalone KM, Misra-Hebert AD, Hobbs TM, et al. The probability of A1C goal attainment in patients with uncontrolled type 2 diabetes in a large integrated delivery system: a prediction model. Diabetes Care 2020;43:1910-9.
DOI: https://doi.org/10.2337/dc19-0968
How to Cite
Zarei, L., Saleh, R. O., Arziev, I. A. ., Al-Gazally, M. E. ., Mahmudiono, T., Piri, N. ., Shokri, S. ., & Huldani, H. (2022). Investigating the factors affecting self-care behaviors in diabetic patients: A systematic review. Journal of Biological Research - Bollettino Della Società Italiana Di Biologia Sperimentale, 95(1). https://doi.org/10.4081/jbr.2022.10261
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Morenike Olutumbi Adeoye-Isijola, Aderonke Ariyike Olajuyigbe, Kehinde Oluwakemi Fagbemi, Kubendran Kista Naidoo, Roger Murugas Coopoosamy, Olufunmiso Olusola Olajuyigbe, Chemical compounds, FTIR and in vitro antibacterial analyses of the acetone stem bark extract of Ziziphus mucronata subsp. mucronata (Buffalo Thorn) against potential nosocomial bacterial pathogens , Journal of Biological Research - Bollettino della Società Italiana di Biologia Sperimentale: Early Access
- Claudia Giannetto, Francesca Arfuso, Maria Cristina Scaglione , Giuseppe Piccione, Caterina Faggio, Federica Arrigo, Raul Delmar Cerutti, Different wavelengths of light influence daily swimming activity in silver catfish (Rhamdia quelen) , Journal of Biological Research - Bollettino della Società Italiana di Biologia Sperimentale: Early Access
- Ahmed Sadoon Hassain, Hiba Muneer Abdel Hassan Al-Khafaji, Maryam Qasim Mohammed, The role of miRNA-4516 in regulating Bruton's tyrosine kinase expression and colorectal cancer progression in a sample of Iraqi population , Journal of Biological Research - Bollettino della Società Italiana di Biologia Sperimentale: Early Access
- Francesco Cappello, Melania I. Gratie, Unveiling the muco-microbiotic layer: a three-component framework for mucosal health and disease , Journal of Biological Research - Bollettino della Società Italiana di Biologia Sperimentale: Early Access
- Sara Saguem, Abdelouahab Sahli, Majida El Alami El Moutaouakil, Biometry of the red swamp crayfish Procambarus clarkii (Girard, 1852) in Ramsar sites in Morocco between 2016 and 2018 , Journal of Biological Research - Bollettino della Società Italiana di Biologia Sperimentale: Early Access
You may also start an advanced similarity search for this article.