Washida K, Matsui N, Shoji M, Nakaizumi D, Terada S. Long-term changes of psychological factors regarding exercise in patients with type 2 diabetes after discharge and the effect of these changes on glycemic control.
J Phys Ther Sci 2021;
33:898-902. [PMID:
34873370 PMCID:
PMC8636910 DOI:
10.1589/jpts.33.898]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Accepted: 09/08/2021] [Indexed: 11/24/2022] Open
Abstract
[Purpose] In the medical treatment guidelines for type 2 diabetes, the utility of the
approach using self-efficacy and stage of change has been previously demonstrated.
Although the effects of short-term approaches have been shown, a few studies have examined
long-term changes over time. The purpose of the present study was to investigate
longitudinally the factors that affect the stage of change, self-efficacy for exercise,
and glycemic control for 12 months in patients with type 2 diabetes after the intervention
of the disease by receiving diabetes and glycemic control education. [Participants and
Methods] The study included 29 patients with type 2 diabetes as participants who were able
to follow up for 12 months after the intervention. The changes over time were investigated
using stage of change and self-efficacy as psychological indicators of exercise. Factors
affecting HbA1c values after 12 months of intervention were examined with information on
diabetes and social background. [Results] There was no significant difference in
self-efficacy for exercising at 3, 6, and 12 months after discharge. In contrast,
participants in the stage of change showed a significant improvement at 6 and 12 months
after discharge in comparison to 3 months after discharge. HbA1c values decreased at 12
months while comparing patients after 3 months and 12 months after discharge. The only
factor affecting HbA1c value 12 months after discharge was the duration of diabetes.
[Conclusion] The results suggested that stage of change and self-efficacy for exercise
might have a little long-term effect on glycemic control.
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