Purpose: Diabetes Mellitus is considered one of the most psychologically and
behaviorally demanding chronic medical disorders. HbA1c is the central clinical
indicator for glycemic control, a fundamental part of diabetic care. This study aimed
to analy...
Purpose: Diabetes Mellitus is considered one of the most psychologically and
behaviorally demanding chronic medical disorders. HbA1c is the central clinical
indicator for glycemic control, a fundamental part of diabetic care. This study aimed
to analyze the effects of emotion and healthcare provider interaction on
self-management behaviors and HbA1c in patients with Type 2 Diabetes Mellitus.
Methods: Data were collected from 120 patients at six local clinics from April 12 to
July 15, 2021. The Scale of Positive and Negative Experience(SPANE), the Client
Satisfaction Tool, the Summary of Diabetes Self-Care Activities Questionnaire(SDSCA),
and HbA1c were used. Data were analyzed using descriptive statistics, t-tests,
analysis of variance(ANOVA), pearson's correlation coefficient, and hierarchical
regression.
Results: The mean age of participants was 60.06 years, with an average diabetes
duration of 7.79 years. According to hierarchical regression analysis, interaction
with healthcare providers and smoking accounted for 11% of self-management behavior
variance. Negative emotion, gender, diabetic complications, and smoking accounted for
27% of HbA1c variance.
Conclusion: Negative feelings and interaction with healthcare providers are
considered to be important factors in self-management behavior and blood
glucose management for patients with Type 2 Diabetes Mellitus. Therefore, clinical
practice requires early identification of these high-risk groups and implementation
of multifaceted management strategies, including psychological interventions and
smoking cessation programs. Furthermore, patients should be provided with regular,
personalized education and feedback, along with emotional support that fully listens
to their stories and empathizes with them.
Keywords: Diabetes Mellitus, Type 2, Emotions, Self-Management, Hemoglobin A,
Glycosylated, Smoking