Personality Traits Are Important Predictors of Glycemic Control in Patients With Diabetes

Friday, 28 July 2017

Shu-Fen Lee, PhD, MSN
Nursing department, Cardinal Tien College of Healthcare & Management, New Taipei City, Taiwan, Taipei, Taiwan

Background: A close relationship between personality traits and diseases. Most diabetic patients understand the importance of complying with the healthy lifestyle of drugs, but the actual implementation situation is not ideal, because the performance behavior of dominant personality is an important factor affecting your doctor compliances. Today, limited clinical diabetes health teacher time and manpower considerations, provide personal and exclusive knowledge of diabetes care in the limited time is quite high challenge, due, personality traits and self-efficacy and self-care with a high degree of correlation. Therefore, to understand the case of personality traits as the core of the case management of blood glucose hub.


Objective: To investigate the personality traits of their diabetes patients with different body composition and blood parameters of difference, and to identify associated factors affect blood glucose control.


Methods: In this study, patients with certain metabolic Branch of the teaching hospital for the study, a total of 219 accepted questionnaires, 214 valid questionnaires. The resulting data with SPSS 18.0 descriptive statistics, one-way analysis of variance, chi-square test, Pearson's product-moment correlation and multiple regression analysis.


Results: The results showed that (1) Personal property, sex, marital status, education level, work patterns, exercise phase, the presence or absence of chronic diseases, perceived health status and other variables have significant differences in glycated hemoglobin. (2) the impact of glucose control important factors including age, morbidity time (years), perceived health status unhealthy - Other, fasting glucose, triglycerides and nervous personality - other personality traits and other variables have a relationship with glycated hemoglobin, age the elderly, the lower the risk of poor glycemic control, and reached statistical significance (B = -0.097, OR = 0.908,95% CI = 0.833-0.988) for each additional 10 years of age, the risk of poor glycemic control reduced by an average of 9.2% . The longer diabetes, poor glycemic control risk, the higher (B = 0.181, OR = 1.199,95% CI = 1.064-1.351), each additional year an increase of 1.199 times the chance of poor glycemic control. Perceived health status is unhealthy healthy than those who consciously poor glycemic control its 40.44-fold increased risk. Fasting plasma glucose each additional 10mg / dl an increase of 59 per cent of poor glycemic control probability. And triglycerides each additional 10 g / dl increase 39 percent risk of poorly controlled blood sugar. Prudential risks personality (OR = 0.646, 95% CI = 0.109-3.838) and a friendly personality (OR = 0.605,95% CI = 0.123-2.988) poorly controlled blood sugar is relatively low, but less significant. However, nervous personality as significant predictors (B = 2.017), compared to other personality personality nerve have 7.52 times the risk of poorly controlled blood sugar.00


Conclusion: The study confirmed that patients with personality traits diabetes control and have a direct relationship. Long-term implementation of health behavior in order to maintain a stable blood sugar, in this personality trait crucial influence. Theoretical concepts to determine personality traits and health status is an important cornerstone of a nursing care to enhance the quality, if the medical staff can indirectly predict and assess the relationship between personality traits through the interaction of their health behavior and disease, and to give according to the characteristics of the personality traits adaptive health education will be able to improve the quality of care nursing care.