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Journal of Education, Health and Sport

The Impact of Life Satisfaction on Self-Care Engagement Among Patients with Type 2 Diabetes
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The Impact of Life Satisfaction on Self-Care Engagement Among Patients with Type 2 Diabetes

Authors

  • Dominika Worek Faculty of Health Sciences, University of Bielsko-Biała, Bielsko-Biała, Poland, https://orcid.org/0009-0000-8797-4171
  • Joanna Ziemiańska University of Bielsko-Biala, Bielsko-Biala, Poland; Faculty of Health Sciences –student https://orcid.org/0009-0005-9090-3098
  • Marzena Stanisławska SPZOZ Railway Hospital in Wilkowice–Bystra https://orcid.org/0009-0007-8575-8097
  • Ewelina Bąk Faculty of Health Sciences, Bielsko-Biała, Poland https://orcid.org/0000-0002-2014-3717

DOI:

https://doi.org/10.12775/JEHS.2026.94.74300

Keywords

type 2 diabetes, engagement in self-care, life satisfaction

Abstract

Introduction: Self-care in type 2 diabetes refers to the daily management of the disease by the patient, that is, the actions patients take to control the disease and maintain their health.
It includes, among other things, glucose monitoring, following a diet, taking medications, engaging in physical activity, and attending regular medical visits and follow-up examinations. Life satisfaction, on the other hand, is a subjective sense of contentment with one’s own life. Among people with type 2 diabetes, it depends on health status, disease control, mental well-being, and social support.

Objective of the Study: The objective of the study was to investigate the relationship between life satisfaction and the level of engagement in self-care among patients with type
2 diabetes.

Materials and Methods: The study was conducted on a group of 100 patients at the “Vita” Health Clinic in Kamesznica between September of 2025 and January of 2026. The study was conducted using a diagnostic survey method. The researchers used a self-designed questionnaire and standardized Self-Care of Diabetes Inventory (SCODI), and the Satisfaction with Life Scale (SWLS).

Results: It was demonstrated that patients with type 2 diabetes exhibit greater autonomy
in self-care with regard to self-confidence, and the lowest level of autonomy in terms of controlling their health status. The extent of glucose control and health behaviors are at
a moderate level. In the study group, life satisfaction was average, with a tendency toward lower scores. The results also showed that the higher the level of life satisfaction, the higher the level of self-care among patients in all areas—namely, health behaviors, health status control, and glucose control—as well as a higher level of self-confidence.

Conclusions: A higher level of life satisfaction promotes good self-care in type 2 diabetes. Both sociodemographic and clinical factors influence patients’ life satisfaction and engagement in self-care.

References

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2. Łagoda K. Type 2 diabetes. [in:] K. Łagoda, A. Łebkowska (eds.) Internal Medicine Nursing. Nursing Recommendations for Patients and Their Caregivers, PZWL Publishing House, Warsaw 2023, pp. 580–601.

3. Bonarska E, Chudiak A, Jankowska-Polańska B. Sociodemographic and clinical factors in disease acceptance among patients with type 2 diabetes. Contemporary Nursing and Health Care 2015; 3: 58–62.

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and selected health behaviors in patients with type 2 diabetes. Forum of Metabolic Disorders 2018; 9(1): 36-44.

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7. Bielecka K. Adherence to physician recommendations among patients with diabetes and knowledge of type 2 diabetes among these patients. Specialized Nursing 2021; 1: 16-22.

8. Rosiek A, Kornatowski T, Frąckowiak-Maciejewska N. Health behaviors of patients diagnosed with type 2 diabetes mellitus. Ther Clin Risk Manag. 2016;12:1783–1792.

9. Krzemińska S, Lomper K, Chudiak A, Ausili D, Uchmanowicz I. The association between the level of self-care and adherence to treatment. Acta Diabetol. 2021;58(4):437–445.

10. Cho MK, Kim MY. Self-management nursing intervention for controlling glucose. Int J Environ Res Public Health. 2021;18(23):12750.

11. Uchmanowicz I, Krzemińska S, Ausili D, Luciani M, Lisiak M. Polish adaptation of the Self-Care of Diabetes Inventory. Patient Prefer Adherence. 2020;14:1341–1350.

12. Krok D. The Relationship Between Spirituality and Happiness. Polish Psychological Forum. 2016;21(2):238–254.

13. American Diabetes Association. Prevention or delay of type 2 diabetes: Standards of medical care in diabetes—2018. Diabetes Care. 2018;41(Suppl 1):S51–S54.

14. Sieradzki, J. (Ed.). Diabetes. Vol. 2. Gdańsk: Via Medica; 2016.

15. Tomczyszyn, D, Ławnik, A. Life satisfaction among people with diabetes. Rozprawy Społeczne 2022;16(1), 92–104

16. Rosiek A, Kornatowski T, Frąckowiak-Maciejewska N, Rosiek-Kryszewska A, Wyżgowski P, Leksowski K. Health behaviors of patients diagnosed with type 2 diabetes and their impact on patients’ life satisfaction. Therapy and Clinical Risk Management 2016;12:1783–1792.

17. Jafari A, Moshki M, Ghelichi-Khojogh M, Nejatian M. The role of diabetes health literacy, psychological status, self-care behaviors, and life satisfaction in predicting quality of life in type 2 diabetes 2024;14:1635.

18. Krzemińska S., Czapor E. Assessment of the level of self-care in patients with type 2 diabetes using the Self-Care of Diabetes Inventory (SCODI) questionnaire. Contemporary Nursing and Health Care 2019; Vol. 8, No. 4: 109–114.

19. Ausili D, Rossi E, Rebora P, et al. Socio-demographic and clinical determinants of self-care in adults with type 2 diabetes: a multicenter observational study. Acta Diabetologica 2018; 55(7): 691–702.

Journal of Education, Health and Sport

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Published

2026-07-15

How to Cite

1.
WOREK, Dominika, ZIEMIAŃSKA, Joanna, STANISŁAWSKA, Marzena and BĄK, Ewelina. The Impact of Life Satisfaction on Self-Care Engagement Among Patients with Type 2 Diabetes. Journal of Education, Health and Sport. Online. 15 July 2026. Vol. 94, p. 74300. [Accessed 24 July 2026]. DOI 10.12775/JEHS.2026.94.74300.
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Issue

Vol. 94 (2026)

Section

Medical Sciences

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Copyright (c) 2026 Dominika Worek, Joanna Ziemiańska, Marzena Stanisławska, Ewelina Bąk

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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