PT  - JOURNAL ARTICLE
AU  - Ozturk, Ayfer
AU  - Akin, Semih
AU  - Kundakci, Necla
TI  - Self-esteem mediates the relationship perceived stigma with self-efficacy for diabetes management in individuals with type 2 diabetes mellitus
AID  - 10.15537/smj.2022.43.10.20220344
DP  - 2022 Oct 01
TA  - Saudi Medical Journal
PG  - 1157--1164
VI  - 43
IP  - 10
4099  - http://smj.org.sa/content/43/10/1157.short
4100  - http://smj.org.sa/content/43/10/1157.full
SO  - Saudi Med J2022 Oct 01; 43
AB  - Objectives: To determine the mediating effect of self-esteem in the relationship between the perceived stigmatization of individuals with type 2 diabetes mellitus (T2DM) and their self-efficacy regarding diabetes management.Methods: The study was carried out with 162 patients with T2DM who visited the Internal Medicine outpatient clinic, Bartin Public Hospital, Bartin, Turkey, between December 2020 and May 2021. A descriptive information form, diabetes management self-efficacy scale, Rosenberg self-esteem scale, and type-2 diabetes stigma assessment scale were used in data collection.Results: As a result of regression analyses, it was determined that the variables of stigmatization (ß= -0.294) and self-esteem (ß=0.875) had a significant predictive effect on self-efficacy of patients with T2DM, and that as self-esteem was added to the model, the effect of stigmatization on self-efficacy (ß= -0.294) decreased (ß= -0.230, p<0.05). According to these findings and the results of the Sobel test, it was determined that self-esteem had a partial mediator role (z= -3.347; p< 0.05).Conclusion: Minimizing the perceived stigmatization can improve patients’ diabetes management self-efficacy. With patient training programs and individualized nursing care plans prepared by psychiatric nurses to provide psychological support patients and through their interventions that increase self-esteem, self-stigmatization can be reduced.