Browse > Article
http://dx.doi.org/10.7586/jkbns.2022.24.4.219

Factors Affecting Self-management Behavior among Patients with Type 2 Diabetes in a Border Area of Southwest China  

Yuan, Yingmei (College of Nursing, Keimyung University)
Jun, Sangeun (College of Nursing, Keimyung University)
Publication Information
Journal of Korean Biological Nursing Science / v.24, no.4, 2022 , pp. 219-226 More about this Journal
Abstract
Purpose: This study aimed to investigate the status and factors associated with self-management behavior (SMB) of patients with type 2 diabetes (T2DM) in a border area of southwest China. Methods: A cross-sectional study was conducted with T2DM patients in Dali, China. The participants filled in the questionnaires including demographic and disease-related characteristics, psychosocial status, resources of DM knowledge, knowledge of DM care, competency in DM care skills, the Chinese Diabetes Management Self-Efficacy Scale (C-DMSES), and the Chinese Summary of Diabetes Self-Care Activities (C-SDSCA). All the data were analyzed with SPSS version 26. Multiple linear regression analysis examined associations between predictors and SMB. Results: A total of 470 valid questionnaires have been collected. The score for overall SMB was 50.71± 11.99; 19.6% of patients were at a good level, 48.3% were moderate, and 32.1% were poor. The significant factors that influenced SMB included self-efficacy (β= 0.37; p< .001), competency in DM care skills (β= 0.22; p< .001) and lacked in the treatment confidence (β= -0.09; p= .023). Conclusion: The level of self-management among T2DM patients in this area was medium-low state. For future studies, our findings suggest that self-efficacy, competency in DM care skills, and treatment confidence should be considered essential factors in improving the self-management behavior of T2DM patients in the border area of southwest China.
Keywords
Type 2 diabetes mellitus; Self-management; National minority; China;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Mao Q. Study on self-management behavior of diabetic patients. Chinese General Practice Nursing. 2010;8(12):1069-1071. https://doi.org/10.3969/j.issn.1674-4748.2010.12.024   DOI
2 Zhong X, Tanasugarn C, Fisher EB, Krudsood S, Nityasuddhi D. Awareness and practices of self-management and influence factors among individuals with type 2 diabetes in urban community settings in Anhui Province, China. Southeast Asian Journal of Tropical Medicine and Public Health. 2011;42(1):184-196.
3 Liu S, Bi A, Fu D, Fu H, Luo W, Ma X, et al. Effectiveness of using group visit model to support diabetes patient self-management in rural communities of Shanghai: a randomized controlled trial. BMC Public Health. 2012;12(1):1-9. https://doi.org/10.1186/1471-2458-12-1043   DOI
4 Fu D, Fu H, Patrick M, Shen Y, Zhu L, Yang H, et al. Evaluation on Shanghai chronic disease self-management program. Chinese Journal of Public Health. 2003;19(2):223-225. https://doi.org/10.3321/j.issn:1001-0580.2003.02.055   DOI
5 Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Education and Counseling. 2002;48(2):177-187. https://doi.org/10.1016/S0738-3991(02)00032-0   DOI
6 Chen A, Zhang ZL, Liao ZH, Wan L, Deng W, Yuan H. Self-management and quality of life in patients with diabetes mellitus. Chinese Journal of Behavioral Medicine and Brain Science. 2006;15(5):434-436. https://doi.org/10.3760/cma.j.issn.1674-6554.2006.05.024   DOI
7 Johnston-Brooks CH, Lewis MA, Garg S. Self-efficacy impacts self-care and HbA1c in young adults with type I diabetes. Psychosomatic Medicine. 2002;64(1):43-51. https://doi.org/10.1097/00006842-200201000-00007   DOI
8 Gonzalez JS, Safren SA, Delahanty LM, Cagliero E, Wexler DJ, Meigs JB, et al. Symptoms of depression prospectively predict poorer self-care in patients with type 2 diabetes. Diabetic Medicine. 2008;25(9):1102-1107. https://doi.org/10.1111/j.1464-5491.2008.02535.x   DOI
9 Ravi S, Kumar S, Gopichandran V. Do supportive family behaviors promote diabetes self-management in resource limited urban settings? a cross sectional study. BMC Public Health. 2018;18(1):1-9. https://doi.org/10.1186/s12889-018-5766-1   DOI
10 Persell SD, Keating NL, Landrum MB, Landon BE, Ayanian JZ, Borbas C, et al. Relationship of diabetes-specific knowledge to self-management activities, ambulatory preventive care, and metabolic outcomes. Preventive Medicine. 2004; 39(4):746-752. https://doi.org/10.1016/j.ypmed.2004.02.045   DOI
11 Aronson R, Brown RE, Jiandani D, Walker A, Orzech N, Mbuagbaw L. Assessment of self-management in patients with diabetes using the novel LMC Skills, Confidence and Preparedness Index (SCPI). Diabetes Research and Clinical Practice. 2018;137:128-136. https://doi.org/10.1016/j.diabres.2017.10.028   DOI
12 Gao Y, Guo P. Management of development of situation by oneself on diabetic patients in community. China Modern Medicine. 2013;20(28):177-178. https://doi.org/10.3969/j.issn.1674-4721.2013.28.084   DOI
13 Chen X, Zhou H, Zhang B, Yang J, Yao X, Yang B, et al. Epidemiological characteristics analysis of prediabetes and diabetes in adult population of Dali Bai Autonomous Prefecture of Yunnan. Clinical Focus. 2015;30(8):909-914.   DOI
14 Zhang L, Dong J. Progress in the self-management in patients with chronic diseases. Chinese Journal of Prevention and Control of Chronic Diseases. 2010;18(2):207-211.
15 Gao J, Han Q. Research progress of diabetes health education. Chinese Journal of Prevention and Control of Chronic Diseases. 2008;16(2):220. https://doi.org/10.3969/j.issn.1004-6194.2008.02.044   DOI
16 Yang Y. Summary of chronic disease self-management and its application in community nursing. Journal of Nursing. 2011;18(20):8-11. https://doi.org/10.3969/j.issn.1008-9969.2011.20.003   DOI
17 Chinese Diabetes Society. Standards of care for type 2 diabetes in China (2013). Chinese Journal of Diabetes Mellitus. 2014;6(7):447-498. https://doi.org/10.3969/j.issn.1006-6187.2014.08.027   DOI
18 Wan Q, Shang S, Lai X, Pan J. Study on the reliability and validity of summary of diabetes self-care activities for type 2 diabetes patients. Chinese Journal of Practical Nursing. 2008;24(7):26-27. https://doi.org/10.3760/cma.j.issn.1672-7088.2008.07.009   DOI
19 Anderson RM. Patient empowerment and the traditional medical model: a case of irreconcilable differences? Diabetes Care. 1995;18(3):412-415. https://doi.org/10.2337/diacare.18.3.412   DOI
20 Yue P, Chen X, Wang Y, Su X, Wu Y. The current status and influential factors of self-management behaviors among type 2 diabetic community patients. Journal of Nursing Administration. 2013(7):478-480. https://doi.org/10.3969/j.issn.1671-315X.2013.07.009   DOI
21 Liu W, Peng Q, Jiang Y. Study on self-efficacy of patients with type-2 diabetes mellitus and affecting factors. Chinese Journal of Nursing. 2008;15(8):11-13. https://doi.org/10.3969/j.issn.1008-9969.2008.08.004   DOI
22 Jia Y, Gong T, Sang M. Invesigation on self-management and self-efficacy of patients with type-2 diabetes mellitus. Chinese Journal of Modern Nursing. 2005;11(19):1586-1588. https://doi.org/10.3760/cma.j.issn.1674-2907.2005.19.007   DOI
23 You Y, Luan Y, Guo H, Zhang B, Guo Z, He Q. Health literacy status and influencing factors of elderly people of the Bai ethnic group with chronic diseases in Yunnan province. Journal of Dali University. 2022;7(2):82-87. https://doi.org/10.3969/j.issn.2096-2266.2022.02.016   DOI
24 Strom JL, Lynch CP, Egede LE. Rural/urban variations in diabetes self-care and quality of care in a national sample of US adults with diabetes. The Science of Diabetes Self-Management and Care. 2011;37(2):254-262. https://doi.org/10.1177/0145721710394875   DOI
25 Ji J, Liu L, Lou Q, Yuan X, Yao P, Zhang D. Self-management behaviors and glycemic control in patients with type 2 diabetes mellitus. Chinese Journal of Nursing. 2014;49(5):617-620. https://doi.org/10.3761/j.issn.0254-1769.2014.05.026   DOI
26 Whittemore R, Melkus GDE, Grey M. Metabolic control, self-management and psychosocial adjustment in women with type 2 diabetes. Journal of Clinical Nursing. 2005;14(2):195-203. https://doi.org/10.1111/j.1365-2702.2004.00937.x   DOI
27 Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469-2475. https://doi.org/10.1001/jama.288.19.2469   DOI
28 Dou K, Yu P, Deng N, Liu F, Guan Y, Li Z, et al. Patients' acceptance of smartphone health technology for chronic disease management: a theoretical model and empirical test. JMIR mHealth and uHealth. 2017;5(12):e177. https://doi.org/10.2196/mhealth.7886   DOI
29 Bandura A, Walters RH. Social learning theory. Englewood Cliffs: Prentice Hall; 1977.
30 Fisher L, Polonsky WH, Parkin CG, Jelsovsky Z, Petersen B, Wagner RS. The impact of structured blood glucose testing on attitudes toward self-management among poorly controlled, insulin-naive patients with type 2 diabetes. Diabetes Research and Clinical Practice. 2012;96(2):149-155. https://doi.org/10.1016/j.diabres.2011.12.016   DOI
31 Holroyd FA, Creer TC. Self-management of chronic disease handbook of clinical interventions and research. Orlando, FL: Academic Press Inc; 1986. p. 605
32 Noar SM, Chabot M, Zimmerman RS. Applying health behavior theory to multiple behavior change: considerations and approaches. Preventive Medicine. 2008;46(3):275-280. https://doi.org/10.1016/j.ypmed.2007.08.001    DOI
33 Chinese Diabetes Society. Guideline for the prevention and treatment of type 2 diabetes mellitus in China (2020 edition). Chinese Journal of Diabetes Mellitus. 2021;13(4):315-409. https://doi.org/10.3760/cma.j.cn115791-20210221-00095   DOI
34 Xu Y, Wang L, He J, Bi Y, Li M, Wang T, et al. Prevalence and control of diabetes in Chinese adults. JAMA. 2013;310(9):948-959. https://doi.org/10.1001/jama.2013.168118   DOI
35 Chinese Diabetes Society. Standards of care for type 2 diabetes in China. Diabetes/Metabolism Research and Reviews. 2016;32(5):442-458. https://doi.org/10.1002/dmrr.2827   DOI
36 Qian R, Xiang K, Kong L. Guidelines for prevention and treatment of diabetes in China. 1st ed. Beijing: Beijing Medical University Press; 2004. p. 199