Submitted: 17 Sep 2021
Accepted: 10 Feb 2022
ePublished: 30 Jun 2022
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J Educ Community Health. 2022;9(2): 104-110.
doi: 10.34172/jech.2022.16

Scopus ID: 85136615389
  Abstract View: 836
  PDF Download: 418

Self-care of Chronic Diseases

Original Article

Determinants of Self-care Behaviors in Diabetic Patients in Yazd: An Application of the Protection Motivation Theory

Zohreh Rahaei 1 ORCID logo, Sorayya Eshghi 1, Faezeh Afkhami 2, Zahra Khazir 3* ORCID logo

1 Department of Health Education, School of Public Health, Yazd Shahid Sadoughi University of Medical Sciences,Yazd, Iran.
2 Department of Elderly Health, School of Public Health, Yazd University of Medical Sciences, Yazd, Iran
3 Department of Nursing, Tabas School of Nursing, Birjand University of Medical Sciences, Birjand, Iran
*Corresponding Author: Corresponding author: Zahra Khazir, Department of Nursing, Tabas School of Nursing, Birjand University of Medical Sciences, Birjand, Iran. Postal code: 9791654445, Tel:+985632383469. Fax:+985632830062, Email: , Email: zahrakhazir@gmail.com


Background: Diabetes is an increasingly important public health concern. Self-care behaviors should be improved to help diabetic patients better control the disease, highlighting the importance of understanding the factors that affect a diabetic patient’s self-care behaviors. Therefore, the goal of the present study was to determine factors related to self-care behaviors in patients with type 2 diabetes (T2D) using the protection motivation theory (PMT).

Methods: In general, 160 type 2 diabetic patients referring to Yazd Diabetes Research Center were randomly selected and included in this analytical cross-sectional study. The data were gathered by a reliable and valid questionnaire, which is a summary of a multi-question questionnaire. It included PMT constructs and demographic information through interviewing the patients. Finally, data were analyzed using t test, ANOVA, linear regression, and Pearson correlation tests.

Results: The mean age of the patients and the mean self-care behaviors were 55.87±9.62 years and 37.56±12.94, respectively. In the regression model, perceived susceptibility (β=0.294, P<0.001) and protection motivation (β=0.247, P=0.003) were significant predictors of diabetes self-care behaviors. This model was able to explain 20% of the variance of these behaviors.

Conclusion: PMT is effective in recognizing the determinants of diabetes self-care behaviors; therefore, to increase patients’ motivation to adopt diabetes self-care behaviors, a framework similar to this theory can be used to design educational programs. It is suggested that other studies in the field of self-care be conducted with other educational models in different populations of patients, and their results be compared accordingly.

Please cite this article as follows: Rahaei Z, Eshghi S, Afkhami F, Khazir Z. Determinants of self-care behaviors in diabetic patients in yazd: an application of the protection motivation theory. J Educ Community Health. 2022; 9(2):104-110. doi:10.34172/jech.2022.16
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