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