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Factors influencing diabetes self-management in Chinese people with type 2 diabetes.

Publication ,  Journal Article
Xu, Y; Toobert, D; Savage, C; Pan, W; Whitmer, K
Published in: Research in nursing & health
December 2008

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.

Duke Scholars

Published In

Research in nursing & health

DOI

ISSN

1098-240X

Publication Date

December 2008

Volume

31

Issue

6

Start / End Page

613 / 625

Related Subject Headings

  • Social Support
  • Self Efficacy
  • Self Care
  • Risk Factors
  • Patient Compliance
  • Nursing
  • Middle Aged
  • Male
  • Hypoglycemic Agents
  • Humans
 

Citation

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Xu, Y., Toobert, D., Savage, C., Pan, W., & Whitmer, K. (2008). Factors influencing diabetes self-management in Chinese people with type 2 diabetes. Research in Nursing & Health, 31(6), 613–625. https://doi.org/10.1002/nur.20293
Xu, Y., D. Toobert, C. Savage, W. Pan, and K. Whitmer. “Factors influencing diabetes self-management in Chinese people with type 2 diabetes.Research in Nursing & Health 31, no. 6 (December 2008): 613–25. https://doi.org/10.1002/nur.20293.
Xu Y, Toobert D, Savage C, Pan W, Whitmer K. Factors influencing diabetes self-management in Chinese people with type 2 diabetes. Research in nursing & health. 2008 Dec;31(6):613–25.
Xu, Y., et al. “Factors influencing diabetes self-management in Chinese people with type 2 diabetes.Research in Nursing & Health, vol. 31, no. 6, Dec. 2008, pp. 613–25. Manual, doi:10.1002/nur.20293.
Xu Y, Toobert D, Savage C, Pan W, Whitmer K. Factors influencing diabetes self-management in Chinese people with type 2 diabetes. Research in nursing & health. 2008 Dec;31(6):613–625.
Journal cover image

Published In

Research in nursing & health

DOI

ISSN

1098-240X

Publication Date

December 2008

Volume

31

Issue

6

Start / End Page

613 / 625

Related Subject Headings

  • Social Support
  • Self Efficacy
  • Self Care
  • Risk Factors
  • Patient Compliance
  • Nursing
  • Middle Aged
  • Male
  • Hypoglycemic Agents
  • Humans