文章基本信息

标题：Low Self-Efficacy Lead to Failure in Adopting CHO-Counting Approach to Control Diabetes: Pilot Study
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作者：Reema Fayez Tayyem ; Suhad S. Abu-Mweis ; Hiba A. Bawadi 等
期刊名称：Pakistan Journal of Nutrition
印刷版ISSN：1680-5194
电子版ISSN：1994-7984
出版年度：2013
卷号：12
期号：7
页码：651-654
DOI：10.3923/pjn.2013.651.654
出版社：Asian Network for Scientific Information
摘要：This study aimed to evaluate the impact of self-efficacy in adopting carbohydrate counting behavior on their glycemic control, lipid profile and body weight among patients with type 2 diabetes. Self-efficacy was measured using chwarzer and Renner self-efficacy scale. All patients, regardless of their self-efficacy score, received an intervention composed of tailored diet plans based on the carbohydrate counting method. Anthropometric and laboratory measurements were performed at baseline, 3 and 6 months after the intervention. The short-acting insulin dose was modified based on the total amount of carbohydrate per meal. Two patients (1 and 2) out of five recorded high self-efficacy scores. A significant decrease (p<0.001) in FBG, HbA1c, total cholesterol and LDL and an increase in HDL levels were observed in patients 1 and 2 when baseline readings compared to the six-month readings. A decrease in daily insulin dose was observed after the intervention for patients 1 and 2. The significant differences were also found in weight, BMI and body fat percentage after intervention period. Regarding the three patients (3, 4 and 5) who recorded low self-efficacy scores, a significant improvement was found in total cholesterol and triglycerides in patients 3 and 4. It could be concluded that high self-efficacy for adopting carbohydrate counting-based dietary regimens may be effective in improving health status for patients with diabetes.