This is a AIR FORCE INST OF TECH WRIGHT-PATTERSONAFB OH report
procured by the
Pentagon and made
available for public
release It has been
reproduced in the best form
available to the Pentagon. It is not spiral-bound, but rather assembled with Velobinding in a soft, white linen cover. The Storming Media report number is A451353. The abstract provided by the Pentagon follows: Although people with diabetes are often judged by numbers on a computer screen, tight metabolic control remains the ultimate clinical endpoint (Diabetes control and Complications Trial, 1993). Nurses' understanding of diabetes management coupled with a holistic view of person makes them the optimal professionals to facilitate patient movement toward tight metabolic control. Diabetes knowledge is essential to self-care, but alone is insufficient to produce and maintain behavioral change. psychological determinants of self- care and metabolic control must be explored. Self-efficacy (Bandura, 1977) has demonstrated its importance in behavioral modification but has been minimally investigated in diabetes. This pilot study describes relationships among self- efficacy, self-care, and metabolic control in a convenience sample of six persons with diet and exercise controlled diabetes. Additionally, the study evaluates an integrated multidisciplinary diabetes education program by pre and post measures of these same variables..
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