Diabetes Management Self-Efficacy: A Mediating Roles of Diabetes Health Literacy and Psychological Adjustment to Diabetes

Ghaidaa Hasan (1) , Arkan Bahloul Nagy (2)
(1) Academic Nurse, Ministry of Health/ Al-Diwaniyah Teaching Hospital, Iraq. , Iraq
(2) Prof. PhD, Community Health Nursing Department/ College of Nursing University of Baghdad, Iraq. , Iraq



Background: Self-efficacy in diabetes management means a person's belief in his or her skills to properly care for diabetes and keep it under control. The study aimed to explores the interaction between self-efficacy and two critical mediators such as diabetic health literacy and psychological diabetes adjustment.

Methods: A descriptive correlational study conducted at Diabetes and Endocrinology Center in Diwaniyah city for the period of October 1st 2023 to March 1st 2024. The study sample consist of 390 patients is selected according to non-probability sampling approach. The questionnaire, consisting of 14 items for health literacy, 11 for diabetic self-efficacy, and 20 for psychological adjustment, was validated by experts and tested for reliability through a pilot study. Data collection involved interviews, and both descriptive and inferential statistical analyses were applied for data analysis.

Results: The study indicate that the half of individuals with diabetes (50.3%) have low health literacy. Nearly 60% of individuals with diabetes show suboptimal self-efficacy in managing their condition, (75.9%) of individuals with diabetes exhibit moderate psychological adjustment. Results indicate that 50.3% have low health literacy, nearly 60% exhibit suboptimal self-efficacy, and 75.9% show moderate psychological adjustment. Positive associations are found between self-efficacy and both health literacy (p= .000) and psychological adjustment (p= .000).

Conclusions: The study suggests a concerning pattern of low health literacy and suboptimal self-efficacy in managing diabetes. Creating a supportive community on social media for diabetes patients focusing on health literacy, self-efficacy, and psychological adaptation to diabetes mellitus. Additionally, manual booklet of diabetic education and its management it should be write in simple words and use attractive pictures given to the diabetic patients.


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Ghaidaa Hasan
Arkan Bahloul Nagy
arkan_nagi_web2009@conursing.uobaghdad.edu.iq (Primary Contact)
Hasan, G., & Nagy , A. B. (2024). Diabetes Management Self-Efficacy: A Mediating Roles of Diabetes Health Literacy and Psychological Adjustment to Diabetes. Journal of Current Medical Research and Opinion, 7(07), 3124–3133. https://doi.org/10.52845/CMRO/2024/7-7-4

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