Exploring Self-Efficacy and Special Support in Relation to Medication Adherence Among Type 2 Diabetic Patients

https://doi.org/10.70228/YJHER2024032

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Yao, Q., & Lachica, T. A. (2022). Exploring self-efficacy and special support in relation to medication adherence among type 2 diabetic patients. Journal of Higher Education Research. Vol, 10. 1-31. https://doi.org/10.70228/YJHER2024032
ABSTRACT

Type 2 diabetes requires regular medication and care. For effective interventions, it is crucial to understand the factors that affect medication adherence and self-efficacy. This study aimed to investigate the factors influencing medication adherence and self-efficacy in patients with type 2 diabetes, hypothesizing that both demographic and psychological factors play significant roles. A cross-sectional study was conducted to evaluate these factors among individuals with type 2 diabetes to improve clinical practice. In Anhui province, 260 hospitalized patients were surveyed using questionnaires on general information, medication compliance, and rational drug use self-efficacy. The correlation analysis showed significant relationships (p<0.05) between age, blood glucose levels, and self-efficacy. Significant differences in medication compliance (p<0.05) were found based on comorbidities, drug type, income, and the length of the condition. The regression analysis showed that duration of drug use and cardiovascular disease were negatively associated with compliance (p<0.05), while income and self-efficacy were positively correlated. Factors such as age and wealth influenced self-efficacy and medication adherence. Clinical personnel should enhance patient education and support to increase adherence and self-efficacy and improve blood sugar control and patients' quality of life. Treatment outcomes can be improved by using tailored interventions to address psychological and social aspects. A nursing intervention model based on a theoretical framework was proposed to improve blood sugar control and patient safety. This model targets medication adherence through specific interventions.

Keywords: influencing factors, self-efficacy, medication compliance, type 2 diabetic patients
JOURNAL OF HIGHER EDUCATION RESEARCH

Volume 10, 2022 EDITION
Published 2022


Editor's Note

Dear Readers,        Welcome to Volume 10 of the Journal of Higher Education Research, where we proudly present a collection of scholarly works that explore the complex intersections of nursing education, professional development, and healthcare practice. This edition is a testament to the dedication of educators, researchers, and practitioners who continue to address the challenges and opportunities shaping healthcare today.        In this volume, Yao and Lachica investigated on some factors that affect self-efficacy and medication adherence in patients with type-2 diabetes. Their study sheds light on how both demographic and psychological factors play significant role in type-2 diabetes and how nursing inventions can address these challenges. Meanwhile, Wang and Cadena explore the dynamic interplay of self-efficacy, resilience, and professional identity among nursing students, a foundation for their success in clinical environments.      The study of Zhou and Trajera focuses on the lived experiences of people with heart failure throughout the different phases of life’s transition. Their work emphasizes the importance of moving from hospital to homes as an important stage affecting the quality of life, adherence to medication and readmission rates of heart failure patients. Similarly, Shan and Trajera highlight the lived experiences of postgraduate nursing students in clinical settings, enlightening the complexities and nuances that impact their educational experiences.        In the realm of aging and chronic illness, Min and Diva investigate cognitive frailty in older adults with coronary heart disease during hospitalization. Their study offers holistic approach into improving both cognitive and physical outcomes for this vulnerable population. This theme of resilience and coping extends into the workplace, where Wu and Cadena explore burnout levels among nurses during the COVID-19 pandemic, identifying key stressors and strategies for addressing them.        Jiang and Garcia contribute an insightful examination of occupational identity and humanistic care among nursing interns and clinical nurses. Their findings highlight the factors influencing the levels occupational character and humanistic services for interns and clinical nurses. Similarly, Xin and Espinosa investigate professional identity, occupational self-efficacy, and adaptability among nursing students, shedding light on the attributes necessary to thrive in today’s dynamic healthcare environments.        Finally, Flores and Trajera offer a poignant exploration of the lived experiences of COVID-19-infected nurses on the frontlines. Their study is a powerful reminder of the resilience and sacrifices made by healthcare workers during one of the most challenging times in modern history.        Together, these works provide a rich tapestry of insights that reflect the evolving challenges in nursing education and healthcare practice. They invite us to rethink strategies for teaching, learning, and delivering care in ways that prioritize adaptability, resilience, and humanistic values.        We extend our gratitude to the authors for their invaluable contributions and to our reviewers for their diligent efforts in shaping this volume. Special thanks to the dedicated staff and Dr. Lota Largavista, Director of our Publication and Engagement Office, for their unwavering support in making this issue possible.        We look forward to fruitful engagement with you through this publication and hope these studies inspire you to innovate, collaborate, and contribute to the advancement of education and healthcare research.   Sincerely, JOVAL N. MARTINEZ  Editor-in-Chief