Author/Authors :
Kerman Saravi, Fatieh Community Nursing Research Center - Zahedan University of Medical Sciences, Iran , Navidian, Ali Pregnancy Health Research Center - Zahedan University of Medical Sciences , Iran , Ebrahimi Tabas, Ebrahim Community Nursing Research Center - Zahedan University of Medical Sciences, Iran , Sargazi Shad, Tayebeh School of Nursing and Midwifery - Zahedan University of Medical Sciences, Iran
Abstract :
Background: The improvement of the diabetic patients’ quality of life and detection of
the associated influential factors are some of the most important goals of the health
care system. Self-efficacy is one of the variables that can affect the quality of life;
however, there is no sufficient evidence about the componential effect of this variable
on the quality of life of the patients, especially adolescents, with diabetes. Regarding
this, the present study aimed to predict the quality of life in the adolescents with
diabetes mellitus based on their self-efficacy.
Methods: This correlational study was conducted on the diabetic adolescents, who
referred to the diabetes clinic of Zahedan, Iran, in 2016. In total, 100 adolescents were
selected using the census method. The data were collected using the Diabetes Quality
of Life for Youth questionnaire and self-efficacy scale for diabetes management through
self-report. The data analysis was performed in the SPSS version 18 using the
descriptive statistics, Pearson’s correlation coefficient, and multiple regression.
Results: In this study, the mean scores of the quality of life and self-efficacy were
54.61±5.15 and 45.84±10.53, respectively. According to the results, there was a direct
relationship between the total self-efficacy score and the subscale of satisfaction with
quality of life (P<0.001, r=0.49). Nevertheless, the total self-efficacy score showed an
indirect correlation with other subscales, including the effect of treatment on the quality
of life (P<0.001, r=-0.35), disease symptoms (P=0.04, r=-0.20), and the effect of
diabetes on patient’s activities (P<0.001, r=-0.33). The results of the regression
analysis indicated that all the variables of self-efficacy were able to predict the changes
in the quality of life. Moreover, the results of the multiple regression revealed that the
medical treatment had a significant impact on the patients’ quality of life (P<0.001)
Conclusion: Given the fact that the medical care component could predict the quality
of life in the adolescents with diabetes, it is recommended to pay special attention to
various aspects of this component in the health care programs held for this population.
Keywords :
Quality of life , Self-efficacy , Diabetes , Adolescent
