Investigating the Relationship Between Perceived Spousal Sacrificial Behavior and Self-Efficacy with Behavior Management in Patients with Type 2 Diabetes

Farzaneh  Esbochin; Ghodratollah  Abbasi; Ozra  Akha

doi:10.18502/ijdl.v25i6.20859

Farzaneh Esbochin Department of Psychology, Sar.C., Islamic Azad University, Sari, Iran
Ghodratollah Abbasi Department of Psychology, Sar.C., Islamic Azad University, Sari, Iran
Ozra Akha Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran

DOI: https://doi.org/10.18502/ijdl.v25i6.20859

Keywords: Perceived Spousal Sacrificial Behavior, Self-efficacy, Behavior management, Type 2 diabetes

Abstract

Background: Type 2 diabetes is a common chronic metabolic disease whose effective management requires attention to psychological and interpersonal factors. This study aimed to examine the relationship between the Perceived Spousal Sacrificial Behavior and self-efficacy with behavior management in patients with type2 diabetes.

Methods: This descriptive-correlational and cross-sectional study was conducted among married patients with type 2 diabetes who were referred to endocrinology and metabolism centers and primary health care units in Sari, Iran. Based on inclusion and exclusion criteria, 97 participants were selected using purposive sampling. The research instruments included the Perceived Spousal Sacrifice Scale (Harper & Figuerres, 2008), the Diabetes Self-Efficacy Scale (Fappa et al 2016), and the Behavioral Management Scale (Toobert et al., 2000). Data were analyzed using SPSS version 24 through descriptive statistics (mean, standard deviation) and inferential statistics (Pearson correlation coefficient and multiple regression analysis).

Results: Perception of the Perceived Spousal Sacrificial Behavior and self-efficacy showed a significant positive correlation with behavioral management among diabetic patients (p < 0.01). Together, these variables explained 30% of the variance in behavioral management, with Perceived Spousal Sacrificial Behavior making a greater contribution to prediction.

Conclusion: The findings highlight the significant role of Perceived Spousal Sacrificial Behavior and self-efficacy in improving behavioral management among patients with type 2 diabetes. Enhancing spousal support and strengthening patients’ self-efficacy through educational and psychological interventions may promote better self-care behaviors and disease control.