G4 Doctoral dissertation (monograph)
Psyykkinen itsesäätely itsehoidon perustana : itsehoito I-tyypin diabetesta sairastavilla aikuisilla (1994)
Self-Care Based on Self-Regulation : Self-Care in Adult Type I Diabetics

Kuusinen, K.-L. (1994). Psyykkinen itsesäätely itsehoidon perustana : itsehoito I-tyypin diabetesta sairastavilla aikuisilla [Doctoral dissertation]. Jyväskylän yliopisto. Jyväskylä studies in education, psychology and social research, 106. http://www.urn.fi/URN:ISBN:978-951-39-8019-1

JYU authors or editors

Publication details

All authors or editors: Kuusinen, Kirsti-Liisa

ISBN: 951-34-0294-0

Journal or series: Jyväskylä studies in education, psychology and social research

ISSN: 0075-4625

Publication year: 1994

Number in series: 106

Number of pages in the book: 258

Publisher: Jyväskylän yliopisto

Place of Publication: Jyväskylä

Publication country: Finland

Publication language: Finnish

Persistent website address: http://www.urn.fi/URN:ISBN:978-951-39-8019-1

Publication open access: Openly available

Publication channel open access: 

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/66775

Abstract

It was assumed that self-care practices are carried out depending on a person's motive structure and ways of maintaining emotional equilibrium and identity, which are derived from the autonomy development of a person. Personality was conceived to be comprised of hierarchical, coherently interconnected cognitions. It was hypothesized that based on the nature of a person's autonomy, four self-care orientations could be distinguished: autonomous, externally controlled, autonomy defending and labile self-care orientation. The main task was to verify these self-care orientations. It was also investigated whether a person's self-rated personality characteristics and mediating cognitions appear as was theoretically assumed and how the outcome of self-care, in this case the glucose level (HbA1c), can be understood in relation to self-care orientation. 30 adult type I diabetic subjects participated in the study. The data were gathered by in-depth interviews and questionnaires. The subjects were classified into four groups according to information from qualitatively analyzed interviews. The groups were compared with each other quantitatively using data from questionnaires. Six subjects were classified as having autonomous, eleven externally controlled, six autonomy defending and seven labile self-care orientation. The results showed that there were many ways to maintain good glucose control. It was concluded that individualized regimens were needed and that the nature of a person's problems in self-care should be analyzed individually. It is important to look at the problems in self-care in a theoretical and psychological way taking the whole personality into account.

Keywords: diabetes; juvenile diabetes; care; home care; self-care; instructions; motivation (mental objects); health behaviour; self-regulation (psychology); personality; doctoral dissertations

Free keywords: Diabetes Mellitus, Type 1; Diabetes Mellitus, insulin-dependent; autonomy; self-regulation; self care; patient compliance; personality; adherence to regimen

Contributing organizations

Ministry reporting: Yes