Volume 13, Issue 1 (4-2018)                   sija 2018, 13(1): 28-37 | Back to browse issues page

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Kahe M, Vameghi R, Foroughan M, Bakhshi E, Bakhtyari V. The Relationships Between Self-Concept and Self-Efficacy With Self-Management Among Elderly of Sanatoriums in Tehran. sija. 2018; 13 (1) :28-37
URL: http://salmandj.uswr.ac.ir/article-1-1124-en.html
1- Department of Rehabilitation Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- MD Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. , r_vameghi@yahoo.com
3- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
4- Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Abstract:   (342 Views)

Objectives The present study determined the correlation of self-concept and self-efficacy with self-management among elderly in the sanatoriums in Tehran in2015.
Methods & Materials This descriptive-analytic research, conducted in a cross-sectional study, enrolled 217 elderlies from the sanatoriums of Tehran in 2015 via a simple random sampling method. Three tools including Rogers self-concept scale, general self-efficacy scale (GSE-10), and self-management ability scale  (SMAS-30) were utilized to measure the variables. After sampling and gathering the questionnaires, collected data were entered into SPSS and analyzed using the analytical tests such as Kolmogorov–Smirnov test, Pearson’s test, and regression.
Results The mean of self-concept, self-efficacy, and self-management were 8.25±1.47, 17.68±4.00, and 59.69±11.59 , respectively. Other findings indicated significant relationships of self-concept and self-efficacy with self-management (P<0.05). Multiple regression analysis showed that self-concept and self-efficacy could predict about 14% of self-management.
Conclusion The elderly in the sanatoriums of Tehran had a low self-concept, self-efficacy, and self-management. Thus, it could be concluded that by improving the self-concept and self-efficacy of elderly, we might witness an increase in self-management.

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Type of Study: Research | Subject: Rehabilitation Management
Received: 2017/08/21 | Accepted: 2018/01/09 | Published: 2018/04/01

1. World Health Organization. World Health Organization statistics 2012. Geneva: World Health Organization; 2012.
2. Habibi A, Nikpour S, Seyedoshohadaei M, Haghani H. [Health promoting behaviors and its related factors in elderly (Persian)]. Iran Journal of Nursing. 2006; 19(47):35-48.
3. Behravan H, Saeedi R. [Factors affecting organizational commitment of the Gas Company's staff: The case of the central office in Khorasan Razavi, Mash-had (Persian)]. Journal of Social Sciences. 2009; 6(2):181-99.
4. Vitley D. Victorious psychology [A. Shayeq, Persian trans]. Tehran: Kavir; 2001.
5. Akbaryboorang M, Aminyazdi S. [Test-anxiety and self-efficacy: A study on the students of Islamic Azad University, branch of southern Khorasan (Per-sian)]. Horizon of Medical Sciences. 2009; 15(3):70-76
6. Rajabi G. [Reliability and validity of the general self-efficacy beliefs scale (GSE-10) comparing the psychology students of Shahid Chamrin University and Azad University of Marvdasht (Persian)]. New Thoughts on Education . 2006; 2(1-2):111-22.
7. Rabiei L, Mostafavi F, Masoudi R, Hassanzadeh A. [Effects of family-centered interventions on empowerment of the elderly (Persian)]. Health System Re-search. 2012; 8(2):301-13.
8. Lev EL, Daley KM, Conner NE, Reith M, Fernandez C, Owen SV. An intervention to increase quality of life and self-care self-efficacy and decrease symp-toms in breast cancer patients. Scholarly Inquiry for Nursing Practice. 2001; 15(3):277-94. PMID: 11871585 [PMID]
9. Chang S, Crogan N, Wung S. The self-care self-efficacy enhancement program for Chinese nursing home elders. Geriatric Nursing. 2007; 28(1):31-6. doi: 10.1016/j.gerinurse.2006.11.006 [DOI:10.1016/j.gerinurse.2006.11.006]
10. Bhupinder S, Rakhi U. Self-Efficacy and well-being of adolescents. Journal of the Indian Academy of Applied Psychology. 2009; 35(2):227-32.
11. Chang SH, Crogan NL, Wung SF. The self-care self-efficacy enhancement program for Chinese nursing home elders. Geriatr Nurs. 2007;28(1):31-6. [DOI:10.1016/j.gerinurse.2006.11.006] [PMID]
12. Hellstrom K, Lindmark B, Wahlberg B, Fugl-Meyer AR. Self-efficacy in relation to impairments and activities of daily living disability in elderly patients with stroke: A prospective investigation. Journal of Rehabilitation Medicine. 2003; 35(5):202-7. doi: 10.1080/16501970310000836 [DOI:10.1080/16501970310000836]
13. Frieswijk N, Steverink N, Buunk B, Slaets J. The effectiveness of a bibliotherapy in increasing the self-management ability of slightly to moderately frail older people. Patient Education and Counseling. 2005; 61(2):219-27. doi: 10.1016/j.pec.2005.03.011 [DOI:10.1016/j.pec.2005.03.011]
14. Clark DO, Frankel RM, Morgan DL, Ricketts G, Bair MJ, Nyland KA, et al. The meaning and significance of selfmanagement among socioeconomically vulnerable older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2008; 63(5):S312–S319. doi: 10.1093/geronb/63.5.s312 [DOI:10.1093/geronb/63.5.S312]
15. Madah SB. [Assessing the needs, health problems and capabilities of old age people who lived at home in Iran and Sweden (Persian)] [MSc. thesis]. Teh-ran: University of Social Welfare and Rehabilitation Sciences; 2000.
16. Clark DO, Stump TE, Miller DK, Long JS. Educational disparities in the prevalence and consequence of physical vulnerability. The Journals of Gerontolo-gy Series B: Psychological Sciences and Social Sciences. 2007; 62(3):S193-S7. doi: 10.1093/geronb/62.3.s193 [DOI:10.1093/geronb/62.3.S193]
17. Gholi Zadeh S, Khankeh H R, Mohammadi F. [The Effect of book therapy on elderly self-management capabilities (Persian)]. Iranian Journal of Ageing. 2012; 6(4):51-57.
18. Khezri R, Ravanipour M, Motamed N, Vahedparast H. [Effect of self-management empowering model on the quality of life in the elderly patients with hy-pertension (Persian)]. Iranian Journal of Ageing. 2016; 10(4):68-79.
19. Marani M. [The relationship between job satisfaction and self concept (Persian)] [MSc. thesis]. Isfahan: Isfahan University; 2001.
20. ShafiAbadi A, Valinouri A. [Relationship between exotic feelings and self-Concept (Persian)]. Psychological Research. 1994; 5:20-34.
21. Raqibi M, Minakhani Q. [Body management and its relation with body image and self concept (Persian)]. Knowledge & Research in Applied Psychology. 2012; 12(46):72-81.
22. Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In: Wright S, Johnston M, Weinman J, editors. Measures in health psychology : a user's portfolio. Windsor: NferNelson; 1995. [PMCID]
23. Nezami E, Schwarzer R, Jerusalem M. [Persian Adaptation (Farsi) of the General Self-Efficacy Scale 1996 (Persian)] [Internet]. 1997 [1997 Dec 26]. Availa-ble from: http://userpage.fu-berlin.de/~health/persean.htm
24. Moeini B, Shafii F, Hidarnia A, Babaii GR, Birashk B, Allahverdipour H. Perceived stress, selfefficacy and its relations to psychological well-being status in Iranian male high school students. Social Behavior and Personality: An international journal. 2008; 36(2):257-66. doi: 10.2224/sbp.2008.36.2.257 [DOI:10.2224/sbp.2008.36.2.257]
25. DibajNia P. [Comparative investigation of self-concept between the freshman and senior students (Persian)]. Research in Medicine. 2005; 29(3):231-34
26. Torki Y, Hajikazemi E, Bastani F, Haghani H. [General self efficacy in elderly living in rest-homes (Persian)]. Iran Journal of Nursing. 2011; 24(73):55-62.
27. Gilliam CM, Steffen AM. The relationship between caregiving self-efficacy and depressive symptoms in dementia family caregivers. Aging & Mental Health. 2006; 10(2):79–86. doi: 10.1080/13607860500310658 [DOI:10.1080/13607860500310658]
28. Holland JM, Thompson LW, Tzuang M, Gallagher-Thompson D. Psychosocial factors among Chinese American women dementia caregivers and their asso-ciation with salivary cortisol: results of an exploratory study. Ageing International. 2010; 35(2):109-27. doi: 10.1007/s12126-010-9057-0 [DOI:10.1007/s12126-010-9057-0]
29. Keefe FJ, Ahles TA, Porter LS, Sutton LM, McBride CM, Pope MS, et al. The self-efficacy of family caregivers for helping cancer patients manage pain at end-of-life. Pain. 2003; 103(1):157–62. doi: 10.1016/s0304-3959(02)00448-7 [DOI:10.1016/S0304-3959(02)00448-7]
30. Bastani F, Ghasemi E, Negarandeh R, Haghani h. [General self-efficacy among family's female caregiver of elderly with Alzheimer's disease (Persian)]. Hayat. 2012; 18(2):27-37.
31. Mohammadi Shahbolaghi F. [Self- efficacy and caregiver strain in Alzheimer's caregivers (Persian)]. Iranian Journal of Ageing. 2006; 1(1):26-33.
32. Zhang JJ, Verhoef MJ. Illness management strategies among Chinese immigrants living with arthritis. Social Science & Medicine. 2002;55(10):1795-802. doi: 10.1016/s0277-9536(01)00311-2 [DOI:10.1016/S0277-9536(01)00311-2]
33. Von AD, Ebert S, Ngamvitroj A, Park N, Kang DH. Predictors of health behaviours in college students. Journal of Advanced Nursing. 2004; 48(5):463-74. doi: 10.1111/j.1365-2648.2004.03229.x [DOI:10.1111/j.1365-2648.2004.03229.x]
34. Coonrod B. Overcoming physical barriers to diabetes self-care: Reframing disability as an opportunity for ingenuity. Diabetes Spectrum. 2001; 14(1):28-32. doi: 10.2337/diaspect.14.1.28 [DOI:10.2337/diaspect.14.1.28]
35. Wong LY, Toh MP. Understanding of diabetes mellitus and health-preventive behaviour among Singaporeans. Annals Academy of Medicine Singapore. 2009; 38(6):478-9. PMID: 19565097 [PMID]
36. Barcelo A, Aedo C, Rajpathak S, Robles S. The cost of diabetes in Latin America and the Caribbean.Bulletin of the World Health Organization. 2003; 81(1):19-27. [PMID] [PMCID]
37. Bandura A. Self-efficacy mechanism in human agency. American Psychologist. 1982; 37(2):122–47. doi: 10.1037/0003-066x.37.2.122 [DOI:10.1037/0003-066X.37.2.122]
38. Knight KM, Dornan T, Bundy C. The diabetes educator: trying hard, but must concentrate more on behaviour. Diabetic Medicine. 2006; 23(5):485–501. doi: 10.1111/j.1464-5491.2005.01802.x [DOI:10.1111/j.1464-5491.2005.01802.x]
39. Baranowski T. Crisis and chaos in behavioral nutrition and physical activity. International Journal of Behavioral Nutrition and Physical Activity. 2006; 3(1):27. doi: 10.1186/1479-5868-3-27 [DOI:10.1186/1479-5868-3-27]
40. Issa BA, Baiyewu O. Quality of life of patients with diabetes mellitus in a Nigerian teaching hospital. Hong Kong Journal of Psychiatry. 2006; 16:27-33.
41. Fu D, Fu H, McGowan P, Shen YE, Zhu L, Yang H, et al. Implementation and quantitative evaluation of chronic disease self-management programme in Shanghai, China: randomized controlled trial. Bulletin of the World Health Organization. 2003; 81(3):174-82. PMID: 12764513 [PMID] [PMCID]
42. Rahimian Boogar E, Besharat MA, Mohajeri Tehrani MR, Talepasand S. [Predictive role of self-efficacy, belief of treatment effectiveness and social support in diabetes mellitus self-management (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2011; 17(3):232- 40.
43. Aljasem LI, Peyrot M, Wissow L, Rubin RR. The impact of barriers and self-efficacy on selfcare behaviors in type 2 diabetes. The Diabetes Educator. 2001; 27(3):393-404. doi: 10.1177/014572170102700309 [DOI:10.1177/014572170102700309]
44. Xu Y. Understanding the factors influencing diabetes self-management in Chinese people with type 2 diabetes using structural equation modeling [PhD dissertation]. Cincinnati, Ohio: University of Cincinnati; 2005.
45. Siebolds M, Gaedeke O, Schwedes U. Self-monitoring of blood glucose—Psychological aspects relevant to changes in HbA1c in type 2 diabetic patients treated with diet or diet plus oral antidiabetic medication. Patient Education and Counseling. 2006; 62(1):104–10. doi: 10.1016/j.pec.2005.06.013 [DOI:10.1016/j.pec.2005.06.013]
46. Rose V, Harris M, Ho MT, Jayasinghe UW. A better model of diabetes self-management? Interactions between GP communication and patient self-efficacy in self-monitoring of blood glucose. Patient Education and Counseling. 2009; 77(2):260–5. doi: 10.1016/j.pec.2009.03.026 [DOI:10.1016/j.pec.2009.03.026]
47. Sousa V, Zauszniewski J, Musil C, Price Lea P, Davis S. Relationship among self-care agency, self-efficacy, self-care and glycemic control. Research and Theory in Nursing Practice. 2005; 19(3):217-30. doi: 10.1891/rtnp.2005.19.3.217 [DOI:10.1891/rtnp.2005.19.3.217]
48. Sigurðardóttir ÁK. Self-care in diabetes: model of factors affecting self-care. Journal of Clinical Nursing. 2005; 14(3):301–14. doi: 10.1111/j.1365-2702.2004.01043.x [DOI:10.1111/j.1365-2702.2004.01043.x]
49. MorovatiSharifabad N, RouhaniTonekaboni N. [Perceived self-efficacy in self-care behaviours among diabetic patients referring to Yazd diabetes research center (Persian)]. Journal of Birjand University of Medical Sciences. 2008; 15(4):91-100.
50. Shakibazade E, Rashidian A, Larijani B, Shojaeezade D, Frozanfar MH, Karimia, et al. [Perceived barriers and self-efficacy: Impact on self-care behaviors in adults with type 2 diabetes (Persian)]. Hayat. 2009; 15(4):69-78.
51. Rezasefat Balesbaneh A, Mirhaghjou SN, JafsriAsl M, Kohmanaee Sh, Kazemnejad Leili E, Monfared A. [Correlation between self-care and self-efficacy in adolescents with type 1 diabetes (Persian)]. Holistic Nursing & Midwifery. 2015; 24(72):18-24.
52. Didarloo A, Shojaeizadeh D, Eftekhar Ardebili H, Niknami Sh, Hajizadeh E, Alizadeh M. [Assessment of factors affecting self-care behavior among wom-en with type 2 diabetes in Khoy City Diabetes Clinic using the extended theory of reasoned action (Persian)].Journal of School of Public Health and Insti-tute of Public Health Research. 2011; 9(2):79-92.
53. Chlebowy DO, Garvin BJ. Social support, self-efficacy and outcome expectations: impact on self-care behaviors and glycemic control in Caucasian and Af-rican American adults with type 2 diabetes. The Diabetes Educator. 2006; 32(5):777-86. doi: 10.1177/0145721706291760 [DOI:10.1177/0145721706291760]
54. Gillibrand R, Stevenson J. The extended health belief model applied to the experience of diabetes in young people. British Journal of Health Psychology. 2006; 11(1):155–69. doi: 10.1348/135910705x39485 [DOI:10.1348/135910705X39485]
55. Ismail K, Winkley K, Rabe-Hesketh S. Systematic review and meta-analysis of randomised controlled trials of psychological interventions to improve gly-caemic control in patients with type 2 diabetes. The Lancet. 2004; 363(9421):1589–97. doi: 10.1016/s0140-6736(04)16202-8 [DOI:10.1016/S0140-6736(04)16202-8]
56. Williams KE, Bond MJ. The roles of self-efficacy, outcome expectancies and social support in the self-care behaviours of diabetics. Psychology, Health & Medicine. 2002; 7(2):127–41. doi: 10.1080/13548500120116076 [DOI:10.1080/13548500120116076]
57. Van Der Bijl JJ, Shortridge-Baggett LM. The theory and measurement of the self-efficacy construct. Scholarly Inquiry for Nursing Practice. 2001; 15(3):189-207. PMID: 11871579 [PMID]
58. Sharfirad GR, Azad Bakht L, Feizi A, Mohebi S, Kargar M, Rezaie AR. [The role of self-efficacy in self-care among diabetic patients (Persian)]. Journal of Health System Research. 2012; 7(6):648-59.
59. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1977; 84(2):191–215. doi: 10.1037/0033-295x.84.2.191 [DOI:10.1037/0033-295X.84.2.191]

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