INVESTIGATING THE STATE OF EXISTENTIAL ANXIETY AND CENTRAL SELF-EVALUATION AND THEIR RELATIONSHIP WITH LIFE ORIENTATION IN THE PATIENTS WITH TYPE 2 DIABETES REFERRING TO URMIA DIABETES SOCIETY IN 2021

Low physical activity increases the symptoms of mood disorders, including anxiety, depression, and stress in the patients with diabetes; so it will always be difficult for a person with diabetes to accept the fact that he has to change his life based on the disease. Therefore, this study was conducted to determine the state of existential anxiety and central self-evaluation in the patients with diabetes and their relationship with their life orientation in the patients with type 2 diabetes referring to Urmia Diabetes Society in 2021.

This descriptive-analytica study was conducted on 360 patients with type 2 diabetes in Urmia, Iran, in 2021. Demographic questionnaires, Good's existential anxiety questionnaire, life orientation questionnaire, and Jaj’s central self-evaluation scale were used to collect data. The collected data were analyzed using descriptive and inferential statistics by SPSS statistical software version 16. Independent t-test and ANOVA test were used to compare the mean score of variables between two groups or more than two groups. Pearson's correlation coefficient and regression test were used to investigate the correlation among the variables. The significance level was considered P<0.05 in this study.

The results showed no statistically significant relationship between the central self-evaluation scores and the existential anxiety of the participants in the research (P=0.547). However, based on the Pearson correlation test, there was a direct and significant statistical relationship between the central self-evaluation scores and the life orientation of the participants in the research (P=0.022). Also, there was no statistically significant relationship between the existential anxiety scores and the life orientation of the participants in the research (P=0.065).

Since there is a significant relationship between the central self-evaluation scores and the life orientation of patients with type 2 diabetes, it is recommended that necessary education be provided to these patients by nurses during hospitalization and discharge to increase the positive vision, reduce pessimism, increase the ability to achieve success, enhance emotional adaptability, and improve the attitude of the patients.