PMID- 36060500
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220907
IS  - 2668-0572 (Electronic)
IS  - 2602-0807 (Print)
IS  - 2602-0807 (Linking)
VI  - 95
IP  - 3
DP  - 2022 Jul
TI  - Self-efficacy, stress levels and daily style of living among older patients with 
      type 2 diabetes in a rural primary care setting: a cross-sectional study.
PG  - 267-274
LID - 10.15386/mpr-2152 [doi]
AB  - AIMS: To identify to what extent stress and self-efficacy may be associated with 
      specific features in the elderly with type 2 diabetes, such as lifestyle habits, 
      multi-morbidity, sleep quality and duration, and treatment regimen. METHODS: A 
      cross-sectional study of 92 out of 103 recruited patients >/=65 year old with a 
      diagnosis of type 2 diabetes was conducted at a rural primary care unit in 
      Northern Greece. The General Self-Efficacy Scale (GSES), the Short Anxiety 
      Screening Test (SAST) and an original questionnaire to assess health habits and 
      disease monitoring information were completed after structured personal 
      interviews. RESULTS: In the multiple linear regression analysis, patients with 
      higher education, with more night sleeping hours and physical exercise weekly had 
      a higher GSES score than their counterparts (p<0.05). Stress levels assessed with 
      SAST were shown mostly associated with poor sleep quality, fewer days of meat and 
      legumes consumption, increased body mass index and multi-morbidity (p<0.05), as 
      emerged from the multiple linear regression analysis. Glycemic control in the 
      elderly does not have a significant correlation with stress levels or general 
      self-efficacy. CONCLUSIONS: Self-efficacy and stress levels are not predictors 
      for glycemic control, but can indirectly be seen as co-determinants, contributing 
      to the overall daily life quality among patients with diabetes. Mental health 
      well-being, expressed by higher self-efficacy and less stress scale rating, 
      showed positive interferences with eating, sleep and daily life attitudes among 
      elderly with diabetes.
FAU - Klinis, Spyridon
AU  - Klinis S
AD  - Primary Health Care Unit of Alonakia, Health Center of Kozani, Kozani, Greece.
FAU - Symvoulakis, Emmanouil K
AU  - Symvoulakis EK
AD  - Clinic of Social and Family Medicine, Faculty of Medicine University of Crete, 
      Voutes, Heraklion, Crete, Greece.
FAU - Stefanidou, Maria
AU  - Stefanidou M
AD  - General Hospital of Kozani, Kozani, Greece.
FAU - Bertsias, Antonis
AU  - Bertsias A
AD  - Department of Social Medicine, Faculty of Medicine University of Crete, Voutes, 
      Heraklion, Crete, Greece.
FAU - Christodoulou, Nikolaos
AU  - Christodoulou N
AD  - Department of Psychiatry, University Hospital of Larisa, University of Thessaly 
      Medical School, Larisa, Greece.
FAU - Tsiouri, Ioanna
AU  - Tsiouri I
AD  - Department of Psychiatry, University Hospital of Larisa, Larisa, Greece.
LA  - eng
PT  - Journal Article
DEP - 20220726
PL  - Romania
TA  - Med Pharm Rep
JT  - Medicine and pharmacy reports
JID - 101742144
PMC - PMC9387573
OTO - NOTNLM
OT  - elderly
OT  - glycemic control
OT  - self-efficacy
OT  - stress
OT  - type 2 diabetes
EDAT- 2022/09/06 06:00
MHDA- 2022/09/06 06:01
PMCR- 2022/07/01
CRDT- 2022/09/05 03:54
PHST- 2021/04/07 00:00 [received]
PHST- 2022/03/03 00:00 [revised]
PHST- 2022/05/17 00:00 [accepted]
PHST- 2022/09/05 03:54 [entrez]
PHST- 2022/09/06 06:00 [pubmed]
PHST- 2022/09/06 06:01 [medline]
PHST- 2022/07/01 00:00 [pmc-release]
AID - cm-95-267 [pii]
AID - 10.15386/mpr-2152 [doi]
PST - ppublish
SO  - Med Pharm Rep. 2022 Jul;95(3):267-274. doi: 10.15386/mpr-2152. Epub 2022 Jul 26.