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
prolekare.web.journal.doi_sk:
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:
Patients – Schools – Sports and exercise medicine – Exercise – Blood sugar – Chinese people
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
Článok vyšiel v časopise
PLOS One
2019 Číslo 11
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Nejasný stín na plicích – kazuistika
- Masturbační chování žen v ČR − dotazníková studie
- Je Fuchsova endotelová dystrofie rohovky neurodegenerativní onemocnění?
- Fixní kombinace paracetamol/kodein nabízí synergické analgetické účinky
Najčítanejšie v tomto čísle
- A daily diary study on maladaptive daydreaming, mind wandering, and sleep disturbances: Examining within-person and between-persons relations
- A 3’ UTR SNP rs885863, a cis-eQTL for the circadian gene VIPR2 and lincRNA 689, is associated with opioid addiction
- A substitution mutation in a conserved domain of mammalian acetate-dependent acetyl CoA synthetase 2 results in destabilized protein and impaired HIF-2 signaling
- Molecular validation of clinical Pantoea isolates identified by MALDI-TOF