Factors influencing diabetes self-management in Chinese people with type 2 diabetes.
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
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Related Subject Headings
- Social Support
- Self Efficacy
- Self Care
- Risk Factors
- Patient Compliance
- Nursing
- Middle Aged
- Male
- Hypoglycemic Agents
- Humans
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Social Support
- Self Efficacy
- Self Care
- Risk Factors
- Patient Compliance
- Nursing
- Middle Aged
- Male
- Hypoglycemic Agents
- Humans