Descripción del tipo de motivación de pacientes con diabetes tipo 2 para realizar actividad física

  1. Cristina Papín Cano
  2. Rubén Martín Payo
  3. Xana González Méndez
Journal:
Revista Iberoamericana de Enfermería Comunitaria: RIdEC

ISSN: 1988-5474

Year of publication: 2018

Volume: 11

Issue: 2

Pages: 8-45

Type: Article

More publications in: Revista Iberoamericana de Enfermería Comunitaria: RIdEC

Abstract

Purpose: to describe types of motivation and basic psychological needs (BPN) related to physical activity, as well as resilience of patients with type 2 diabetes mellitus (T2DM) in Health Area III in the Principality of Asturias. Material and methods: a cross-sectional descriptive study was conducted in a sample of 235 patients with T2DM based on consecutive sampling in several health centers in the health area. A questionnaire specifically designed to measure motivation in patients with T2DM was used to describe physical activity, and another one was used to measure resilience. The SPSS package version 24.0 was used for data analyses. Results: near to 80% of interviewees showed motivation to perform routine PA, but only in 23.1% a variation in types of activity is used. A positive correlation was found between motivation to perform PA and time since the diagnosis of the disease, BPN (autonomy, competence and social support), and resilience in interviewees. Additionally, a negative relationship was observed between HbA1c and motivation to perform PA and BPN. Conclusions: focusing health education in patients with T2DM based on their motivation and BPN related to PA could provide them with a better self-control for the disease, an enhanced quality of life, and avoidance or reduction of their high complications of the disease.

Bibliographic References

  • Anderson RM, Funnell MM. Patient empowerment: myths and misconceptions. Patient education and counseling. 2010; 79(3):277-82.
  • Broadbent E, Donkin L, Stroh JC. Illness and treatment perceptions are associated with adherence to medications, diet, and exercise in diabetic patients. Diabetes Care. 2011; 34(2):338-40.
  • De Feo P, Schwarz P. Is physical exercice a core therapeutical element for most patients with type 2 diabetes? Diabetes Care. 2013; 36 Suppl 2:S149-54.
  • Deci E, Ryan R. The general causality orientations scale: Self-determination in personality. Journal of Research in Personality. 1985; 19(2):109-34.
  • Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, et al. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care. 2014; 37 Suppl 1:S120-43.
  • Federación Internacional de Diabetes. Atlas de la Diabetes de la FID. 7ª ed. International Diabetes Federation [internet]; 2015 [citado 8 nov 2018]. Disponible en: http://www.fundaciondiabetes.org/upload/publicaciones_ficheros/95/IDF_Atlas_2015_SP_WEB_oct2016.pdf
  • Limonero JT, Tomás-Sábado J, Gómez-Romero MJ, Maté-Méndez J, Sinclair VG, Wallston KA, et al. Evidence for Validity of the Brief Resilient Coping Scale in a Young Spanish Sample. Span J Psychol. 2014; 17:1-9.
  • Martín Payo R, González Méndez X, Papín Cano C, Suarez Álvarez J. Development and validation of a questionnaire for assessing the characteristics of diet and physical activity in patients with type 2 diabetes. Psicothema. 2018; 30(1):116-22.
  • Mayberry LS, Osborn CY. Empirical validation of the information-motivation-behavioral skills model of diabetes medication adherence: a framework for intervention. Diabetes Care. 2014; 37(5):1246-53.
  • Ministerio de Sanidad, Servicios Sociales e Igualdad. Estrategia en Diabetes del Sistema Nacional de Salud [internet]. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2012. [citado 8 nov 2018]. Disponible en: http://www.fundaciondiabetes.org/upload/publicaciones_ficheros/72/estrategia_diabetes_sns.pdf
  • Moreno-Murcia JA, Hernández EH. The Importance of Supporting Adolescents’ Autonomy in Promoting Physical-Sport Exercise. The Spanish Journal of Psychololy. 2013; 16:E81.
  • Organización Mundial de la Salud (OMS). Informe Mundial sobre la Diabetes. Génova: OMS Document Production Services; 2016.
  • Quiceno JM, Vinaccia S. Resiliencia: una perspectiva desde la enfermedad crónica en población adulta. Pensamiento Psicológico. 2011; 9(17):69-82.
  • Ryan R, Deci E. The darker and brighter sides of human existence: basic psychological needs as a unifying concept. Psychological Inquiry. 2000; 11(4):319-38.
  • Ryan R. Psychological Needs and the Facilitation of Integrative Processes. Journal of Personality. 1995; 63(3):397-427.
  • Soriguer F, Goday A, Bosch Comas A, Boriú E, Pascual A, Carmena R, et al. Prevalence of diabetes mellitus and impaired glucose regulation in Spain: the di@betes.es Study. Diabetología. 2012; 5(1):88-93.
  • Trief PM, Cibula D, Delahanty LM, Weinstock RS. Self-determination theory and weight loss in a Diabetes Prevention Program translation trial. J Behav Med. 2016.
  • Williams GC, Patrick H, Niemiec CP, Williams LK, Divine G, Lafata JE, et al. Reducing the health risks of diabetes: how self-determination theory may help improve medication adherence and quality of life. The Diabetes Educator. 2009; 35(3):484-92.
  • Williams G, McGregor H, King D, Nelson C, Glasgow R. Variation in perceived competence, glycemic control, and patient satisfaction: relationship to autonomy support from physicians. Patient Education and Counseling. 2005; 57(1):39-45.