Factors influencing diabetes self‐management in Chinese people with type 2 diabetes

Abstract

Patients with diabetes must incorporate a complicated regimen of self-management into their daily lives (e.g., taking medication, diet, exercise). Diabetes self-management (DSM) is the cornerstone for controlling diabetes and preventing diabetic complications. The purpose of this study was to test a model describing the effects of individual and environmental factors on DSM in a sample of patients with diabetes in Beijing, China. Survey data were gathered from a convenience sample of 201 Chinese adults with type 2 diabetes during outpatient visits. Data were analyzed using structural equation modeling. Model fit indices indicated a good fit to the data. In the final model, belief in treatment effectiveness and diabetes self-efficacy were proximate factors affecting DSM. Knowledge, social support, and provider-patient communication affected self-management indirectly via beliefs and self-efficacy. The findings provide a theoretical basis to direct the development of interventions for improving DSM in Chinese individuals with diabetes.

Factors associated with self‐management among Vietnamese adults with type 2 diabetes

“…(Xu et al., 2008) and SCT (Bandura, 2004) was that SCT postulates that healthcare professionals’ support influences DSM through self‐efficacy and belief in treatment effectiveness (Bandura, 2004), yet, the findings did not show an association between healthcare professionals’ support and diabetes self‐efficacy, or a belief in treatment effectiveness. One possible explanation is that the target group received limited support from their healthcare providers and therefore a significant relationship between healthcare providers’ support and diabetes management self‐efficacy and belief in treatment effectiveness could not be detected because of our modest sample size, or because of the limited spectrum of healthcare professional support captured in our sample.…”

“…This means that when adults with T2DM are more confident in performing DSM activities and believe more strongly in the effectiveness of diabetes management, they are more likely to modify their DSM behaviours to achieve a better health outcome. This finding is consistent with previous studies (van der Heide et al., 2014; Xu et al., 2008) and SCT (Bandura, 2004). As presented, SCT indicates that people will be more motivated to modify their behaviours when they believe these behaviours will lead to desirable health outcomes and when people possess a high level of self‐efficacy to perform a task, they will be more likely to perform the task (Bandura, 2004).…”

“…With SEM, this study also found an indirect impact on diabetes knowledge and family and friends’ support on DSM via belief in treatment effectiveness and diabetes management self‐efficacy (Xu et al., 2008). These findings are also consistent with those of a previous study (Xu et al., 2008) and SCT (Bandura, 2004).…”

“…These findings are also consistent with those of a previous study (Xu et al., 2008) and SCT (Bandura, 2004). Using SEM statistics, Xu et al.…”

Relationships between Diabetic Knowledge, Self-Care Behaviors and HbA1c in Diabetic Patients using public hospitals

“…그런데 선행연 구에서 당뇨 지식과 자가간호행위가 상관관계가 있음을 보고 한 연구들이 있는 반면 (Al-Maskari et al, 2013;Choi & Jung, 2010;Tahmasebi, Noroozi, & Tavafian, 2013) 당뇨병 환자의 당뇨 지식과 자가간호행위가 유의한 상관관계가 없다고 보고 한 연구도 있다 (Lee, 2003;Xu, Toobert, Savage, Pan, & Whitmer, 2008). 또한 자가간호행위가 당뇨병 환자의 당화혈색소에 긍정적인 영향을 미칠 수 있고 (Al-Khawaldeh, Al-Hassan, & Froelicher, 2012;Park, 2010), 당뇨 지식 도 당화혈색소에 바람직한 결과를 제공하는 것으로 나타났으 나 (Lee, Kang, & Kim, 2008), 당화혈색소가 당뇨병 환자의 당 뇨 지식이나 자가간호행위와 유의하지 않다는 결과도 있었다 (Al-Maskari et al, 2013;Lee, 2003 • 대상자의 당뇨 지식, 자가간호행위와 당화혈색소 정도를 파 악한다.…”