#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes


Autoři: Jingjing Yao aff001;  Haipeng Wang aff001;  Xiao Yin aff002;  Jia Yin aff001;  Xiaolei Guo aff003;  Qiang Sun aff001
Působiště autorů: School of Health Care management, NHC Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, China aff001;  Jinan Central Hospital, Jinan, China aff002;  Shandong Center for Disease Control and Prevention, Jinan, China aff003
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0224869

Souhrn

Background

Self-management is the cornerstone of diabetes care, however, despite the numerous recommendations available for self-management, type-2 diabetes mellitus (T2DM) patients’ performance is suboptimal in China. This study aimed to explore the association between self-efficacy and self-management behaviors among Chinese T2DM patients, which might provide evidence to inform effective self-management interventions for these patients.

Methods

A cross-sectional survey was conducted using a multi-stage stratified randomized sampling in Shandong Province, China. The Diabetes Empowerment Scale-Short Form (DES-SF) was used to measure patients’ self-efficacy to manage diabetes. Latent class analysis (LCA) was used to explore the observed classes of self-management behaviors (dietary control, physical exercise, regular medication and self-monitoring of blood glucose). A two-class solution for self-management behaviors was tested to be the fittest based on LCA; we labelled active and inactive self-management groups. Univariate and multivariate logistic regression analysis were used to examine the associations between self-efficacy and self-management behaviors.

Results

A total of 2166 T2DM patients were included in the analysis. The mean DES-SF score was 31.9 (standard deviation: 5.2). The estimated proportions of T2DM in the active and inactive groups were 54.8% and 45.2%, respectively. The multivariate logistic regression showed that higher DES-SF score was significantly associated with higher possibility of active self-management behaviors (odds ratio = 1.06; 95% confidence interval: 1.04–1.08).

Conclusions

Self-efficacy in managing diabetes is associated with self-management behaviors among Chinese T2DM patients. To improve self-management behaviors, multiple strategies should be conducted to improve patients’ self-efficacy.

Klíčová slova:

Blood sugar – Exercise – Chinese people – Patients – Schools – Sports and exercise medicine


Zdroje

1. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380:2095–128. doi: 10.1016/S0140-6736(12)61728-0 23245604

2. International Diabetes Federation. IDF Diabetes Atlas. 8th ed. Belgium: International Diabetes Federation, 2017.

3. Martinovic AB, Zdravkovic A. A mass survey of diabetes mellitus in a population of 300,000 in 14 provinces and municipalities in China. Zhonghua nei ke za zhi. 1981; 20:678–83. 7341098

4. Wang L, Gao P, Zhang M, Huang Z, Zhang D, Deng Q, et al. Prevalence and Ethnic Pattern of Diabetes and Prediabetes in China in 2013; Jama. 2017; 317:2515–23. doi: 10.1001/jama.2017.7596 28655017

5. World Health Organization. Global report on diabetes. 1st ed. Geneva: World Health Organization, 2016.

6. Internarional Diabetes Federation. Global Guideline for Type 2 Diabetes. Diabetes Res Clin Pract. 2014; 104:1–52. doi: 10.1016/j.diabres.2012.10.001 24508150

7. Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Educ Couns. 2016; 99:926–43. doi: 10.1016/j.pec.2015.11.003 26658704

8. He X, Li J, Wang B, Yao Q, Li L, Song R, et al. Diabetes self-management education reduces risk of all-cause mortality in type 2 diabetes patients: a systematic review and meta-analysis. Endocrine. 2017; 55:712–31. doi: 10.1007/s12020-016-1168-2 27837440

9. Van Hecke A, Heinen M, Fernandez-Ortega P, Graue M, Hendriks JM, Høy B, et al. Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status. J Adv Nurs. 2017; 73:775–93. doi: 10.1111/jan.13159 27653960

10. Reyes J, Tripp-Reimer T, Parker E, Muller B, Laroche H. Factors Influencing Diabetes Self-Management Among Medically Underserved Patients with Type II Diabetes. Glob Qual Nurs Res. 2017; 4:e2333393617713097.

11. Kurnia AD, Amatayakul A, Karuncharernpanit S. Predictors of diabetes self-management among type 2 diabetics in Indonesia: Application theory of the health promotion model. Int J Nurs Sci. 2017; 4:260–265. doi: 10.1016/j.ijnss.2017.06.010 31406750

12. Huang MJ, Zhao R, Li SY, Jiang XL. Self-Management Behavior in Patients with Type 2 Diabetes: A Cross-Sectional Survey in Western Urban China. PLoS One. 2014; 9:e95138. doi: 10.1371/journal.pone.0095138 24743326

13. Cai L, Su R, You DY, Cui WL. Socioeconomic disparities in type 2 diabetes mellitus prevalence and self-management behaviors in rural southwest China. Diabetes Res Clin Pract. 2016; 121:9–16. doi: 10.1016/j.diabres.2016.07.032 27620854

14. Wu D, Lam TP, Lam KF, Zhou XD, Sun KS. Public views towards community health and hospital-based outpatient services and their utilisation in Zhejiang, China: a mixed methods study. Bmj Open. 2017; 7:e017611. doi: 10.1136/bmjopen-2017-017611 29101139

15. Yeh JZ, Wei CJ, Weng SF, Tsai CY, Shih JH, Shih CL, et al. Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan. BMC Public Health. 2018; 18:1062. doi: 10.1186/s12889-018-5972-x 30143020

16. Kalkura MP, Umakanth S, Maiya AG, Mayya SS, Vasudeva K, Pai MS, et al. Evolving a Structural Model in Type 2 Diabetes Mellitus: Influence of Knowledge, Attitudes, and Self-Management Practices on Glycaemic Control. J Clin Diagn Res. 2018; 12(9):LC1–5.

17. Sabourin BC, Pursley S. Psychosocial Issues in Diabetes Self-Management: Strategies for Healthcare Providers. Can J Diabetes. 2013; 37(1):36–40. doi: 10.1016/j.jcjd.2013.01.002 24070746

18. Al-Dwaikat TN, Hall LA. Systematic Review and Critical Analysis of Measures of Social Support Used in Studies of Persons with Type 2 Diabetes. J Nurs Meas. 2017; 25(2):e74–107.

19. Stajkovic AD, Luthans F. Social cognitive theory and self-efficacy: Going beyond traditional motivational and behavioral approaches. Organ Dyn. 1998;26(4):62–74.

20. Jang Y, Yoo H. Self-management programs based on the social cognitive theory for Koreans with chronic disease: A systematic review. Contemporary Nurse. 2012; 40(2): 147–159. doi: 10.5172/conu.2012.40.2.147 22554209

21. Tougas ME, Hayden JA, McGrath PJ, Huguet A, Rozario S. A Systematic Review Exploring the Social Cognitive Theory of Self-Regulation as a Framework for Chronic Health Condition Interventions. PLoS One. 2015; 10(8):e0134977. doi: 10.1371/journal.pone.0134977 26252889

22. Yuk-Sim C, Ann Tak-Ying S, Suk-Fan M, Tak-Yi Au. A nurse-led walking exercise program for Hong Kong Chinese diabetic patients: implications for facilitating self-efficacy beliefs. J Clin Nurs. 2005; 14(10):1257–59. doi: 10.1111/j.1365-2702.2005.01221.x 16238772

23. Li SJ. Compliance and Self-efficacy of Drug Treatment in Community Hypertension Patients. Chin Gen Prac. 2017; 20:367–69.

24. Wei W, Ma LF, Shen SF, Le YJ. Status of and Influencing Factors for the Self-monitoring of Blood Glucose in Type 2 Diabetes. Chin Gen Prac. 2015; 33:4039–42.

25. Tung HH, Lien RY, Wei J, Clinciu DL, Lee JY, Huang HC. The role of adherence in the relationship between self-efficacy and self-management in diabetic patients undergoing CABG in Taiwan. Heart Asia. 2012; 4(1): 114. doi: 10.1136/heartasia-2012-010155 27326045

26. Zhang GH, Jun HU, Chen X, Xu CX, Tang JL, Lu ZL, et al. Morbidity, awareness rate, treatment and control among residents with diabetes (≥ 18 years old) of Shandong Province in 2013. Chin J Prev Contr Chron Dis. 2017; 25:881–84.

27. Krejcie R, Morgan D, Measurement P. Determining Sample Size for Research Activities. Educ Psychol Meas. 1970; 30(3): 607–10.

28. Weinger K, Butler HA, Welch GW, La Greca. Measuring diabetes self-care: a psychometric analysis of the Self-Care Inventory-Revised with adults. Diabetes Care. 2005; 28(6):1346–52. doi: 10.2337/diacare.28.6.1346 15920050

29. Lee NP, Fisher WP. Evaluation of the Diabetes Self-Care Scale. 2005; 6(4):366–81.

30. Chinese Diabetes Society. China guideline for type 2 diabetes. Chin J Diabete. 2012; 20 (1): S1–35.

31. Anderson RM, Fitzgerald JT, Gruppen LD, Funnell MM, Oh MS. The diabetes empowerment scale-short form (DEST-SF). Diabetes care. 2003; 26(5):1641.

32. Hu BB, Lou QQ, Tian Y, Zhang QW. Study on empowerment and its influencing factors among diabetes inpatients. Chin J Nurs. 2011; 46(3): 225–28.

33. Collins LM, Lanza ST. Latent Class and Latent Transition Analysis: With Applications in the Social, Behavioral, and Health Sciences. NJ: John Wiley & Sons, 2010.

34. Lin T H, Dayton C M. Model selection information criteria for non-nested latent class models. J Educ Behav Stat. 1997; 22(3): 249–64.

35. Lo Y T, Mendell N R, Rubin D B. Testing the number of components in a normal mixture. Biometrika, 2001; 88(3):767–78.

36. Meng Q, Fang H, Liu X, Yuan B, Xu J. Consolidating the social health insurance schemes in China: towards an equitable and efficient health system. Lancet. 2015; 386(10002):1484–92. doi: 10.1016/S0140-6736(15)00342-6 26466052

37. He M, Gao J, Liu W, Tang X, Tang S, Long Q. Case management of patients with Type 2 diabetes mellitus: a cross-sectional survey in Chongqing, China. BMC Health Serv Res. 2017; 17(1):129. doi: 10.1186/s12913-017-2039-0 28187724

38. Chua SS, Ong WM, Ng CJ. Barriers and facilitators to self-monitoring of blood glucose in people with type 2 diabetes using insulin: a qualitative study. Patient Prefer Adherence. 2014; 8:237–46. doi: 10.2147/PPA.S57567 24627628

39. Geng Z, Ogbolu Y, Wang J, Hinds PS, Qian H, Yuan C. Gauging the Effects of Self-efficacy, Social Support, and Coping Style on Self-management Behaviors in Chinese Cancer Survivors. Cancer Nursing, 2018; 41(5):e1–10. doi: 10.1097/NCC.0000000000000571 29461285

40. Do V, Young L, Barnason S, Tran H. Relationships between activation level, knowledge, self-efficacy, and self-management behavior in heart failure patients discharged from rural hospitals. F1000Res. 2015; 4:e150.

41. Mishali M, Omer H, Heymann AD. The importance of measuring self-efficacy in patients with diabetes. Family Practice. 2011; 28(1):82–87. doi: 10.1093/fampra/cmq086 21047940

42. Browning C, Chapman A, Yang H, Liu S, Zhang T, Enticott JC, et al. Management of type 2 diabetes in China: the Happy Life Club, a pragmatic cluster randomised controlled trial using health coaches. BMJ Open. 2016;6(3):e009319. doi: 10.1136/bmjopen-2015-009319 26944692

43. Coulter A, Entwistle VA, Eccles A, Ryan S, Shepperd S, Perera R. Personalised care planning for adults with chronic or long-term health conditions. Cochrane Database Syst Rev. 2013; 3(3):CD010523.

44. Tang TS, Funnell MM, Gillard M, Nwankwo R, Heisler M. The Development of a Pilot Training Program for Peer Leaders in Diabetes Process and Content. Diabetes Educ. 2011; 37(1):67–77. doi: 10.1177/0145721710387308 21220362

45. Garabedian LF, Ross-Degnan D, Wharam JF. Mobile Phone and Smartphone Technologies for Diabetes Care and Self-Management. Curr Diab Rep. 2015; 15(12):109. doi: 10.1007/s11892-015-0680-8 26458380

46. Schiøtz M, Strandberg-Larsen M, Frølich A, Krasnik A, Bellows J, Kristensen JK, et al. Self-management support to people with type 2 diabetes—a comparative study of Kaiser Permanente and the Danish Healthcare System. BMC Health Serv Res. 2012; 12(1):160

47. Sarkar U, Fisher L, Schillinger D. Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy?. Diabetes care. 2006; 29(4): 823–29. doi: 10.2337/diacare.29.04.06.dc05-1615 16567822


Článek vyšel v časopise

PLOS One


2019 Číslo 11
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

KOST
Koncepce osteologické péče pro gynekology a praktické lékaře
nový kurz
Autoři: MUDr. František Šenk

Sekvenční léčba schizofrenie
Autoři: MUDr. Jana Hořínková

Hypertenze a hypercholesterolémie – synergický efekt léčby
Autoři: prof. MUDr. Hana Rosolová, DrSc.

Svět praktické medicíny 5/2023 (znalostní test z časopisu)

Imunopatologie? … a co my s tím???
Autoři: doc. MUDr. Helena Lahoda Brodská, Ph.D.

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#