|
|
|
| Self-care activities and their influencing factors among young and middle-aged patients with type 2 diabetes mellitus |
| HE Yawei, GE Huaying, LI Xiuying, YE Zhaofang, KONG Liping
|
| Department of Endocrinology, Hangzhou First People's Hospital Affiliated to Medical School of Zhejiang University, Hangzhou, Zhejiang 310006, China |
|
|
|
|
Abstract Objective To investigate the self-care activities and their influencing factors among young and middle-aged patients with type 2 diabetes mellitus ( T2DM ), so as to provide the basis for the care management of T2DM. Methods T2DM patients at ages of 18 to 59 years that were admitted to Department of Endocrinology, Hangzhou First People's Hospital Affiliated to Medical School of Zhejiang University were selected using the convenient sampling method from January to August 2021, and the demographic data were collected using questionnaires, including gender, age and educational levels. The self-care level was measured using the Summary of Diabetes Self-Care Activities ( SDSCA ) was used to assess self-management behaviors, and the social support level was evaluated using the Social Support Rating Scale ( SSRS ), while the coping modes were assessed using the Medical Coping Modes Questionnaire ( MCMQ ). Factors affecting the self-care activities were identified among young and middle-aged patients with T2DM using multivariable linear regression analysis. Results The 342 respondents included 185 men ( 54.07% ) and 157 women (45.93% ), and had a mean age of ( 43.76±3.82 ) years. The total score of self-care activities was ( 94.22±18.74 ), and the overall scoring rate was 72.48%, including 63 cases with high scores ( 18.42% ), 208 cases with moderate scores ( 60.82% ) and 71 cases with low scores ( 20.76% ). Multivariable linear regression analysis identified gender ( women, β'=0.213 ), educational level ( high school/technical secondary school, β'=0.187; diploma and above, β'=0.411 ), household monthly income per capita (5 000 Yuan and higher, β'=0.390), course of disease ( >5 years, β'=0.340 ), history of receiving health education targeting diabetes ( β'=0.411 ), coping mode ( avoidance, β'=0.195; confronce, β'=0.367 ) and social support level ( general, β'=0.206; high, β'=0.383 ) as factors affecting self-care activities among young and middle-aged patients with T2DM. Conclusions The overall self-care activities at a moderate level among young and middle-aged patients with T2DM, which are associated with gender, educational level, economic income, course of disease, health education targeting diabetes, coping mode and social support level.
|
|
Received: 15 October 2021
Revised: 25 December 2021
Published: 14 March 2022
|
|
|
|
|
|
[1] SAEEDI P,PETERSOHN I,SALPEA P,et al.Global and regional diabetes prevalence estimates for2019 and projections for 2030 and 2045:results from the International Diabetes Federation Diabetes Atlas,9th edition[J/OL].Diabetes Res Clin Pract,2019,157(2019-09-10)[2021-12-25].https://www.diabetesresearchclinicalpractice.com/article/S0168-8227(19)31230-6/fulltext.DOI:10.1016/j.diabres.2019.107843.
[2] ZHANG Y,LUK A O Y,CHOW E,et al.High risk of conversion to diabetes in first-degree relatives of individuals with young-onset type 2 diabetes:a 12-year follow-up analysis[J].Diabet Med,2017,34(12):1701-1709.
[3] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].中华糖尿病杂志,2021,13(4):315-409.
Chinese Diabetes Society.Guideline for the prevention and treatment of type 2 diabetes mellitus in China(2020 edition)[J].Chin J Diabetes Mellit,2021,13(4):315-409.
[4] 何巧,刘宇,赵芳,等.新诊断2型糖尿病青年患者自我管理现状及影响因素研究[J].护理学杂志,2018,33(11):26-30.
HE Q,LIU Y,ZHAO F,et al.The level and determinations of self-management among youth with newly-diagnosed type 2 diabetes mellitus[J].J Nurs Sci,2018,33(11):26-30.
[5] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].中华糖尿病杂志,2021,13(4):315-409.
Chinese Diabetes Society.Guideline for the prevention and control of type 2 diabetes in China(2020 edition)[J].Chin J Diabetes Mellit,2021,13(4):315-409.
[6] 喻喆,刘素贞.44岁以下2型糖尿病患者自我管理行为的影响因素研究[J].预防医学,2020,32(2):165-168.
YU Z,LIU S Z.Influencing factors for self-care activities in patients with type 2 diabetes mellitus under 44 years old[J].Prev Med,2020,32(2):165-168.
[7] 王璟璇,王瑞霞,林秋菊.门诊诊断初期非胰岛素依赖性糖尿病患者的自我照顾行为及其相关因素之探讨[J].护理学报,1998,45(2):60-73.
WANG J X,WANG R X,LIN Q J.Self-care behaviors and related factors in outpatients newly diagnosed with non-insulin-dependent diabetes mellitus[J].Nurs J,1998,45(2):60-73.
[8] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-100.
XIAO S Y.The theoretical foundation and research application of the Social Support Rating Scale[J].J Clin Psychol Med,1994,4(2):98-100.
[9] 沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2000,9(1):22-24.
SHEN X H,JIANG Q J.Report on application of Chinese version of MCMQ in 701 patients[J].Chin Behav Med Sci,2000,9(1):22-24.
[10] 王晓燕,马丽,李丽丽.社区2型糖尿病患者自我管理行为现状及影响因素研究[J].宁夏医科大学学报,2017,39(4):436-442.
WANG X Y,MA L,LI L L.The current status and influencing factors of self-management level in patients with type 2 diabetic in community[J].J Ningxia Med Univ,2017,39(4):436-442.
[11] 邵燕蓉,林嘉鳞,蔡银珠,等.糖尿病病人对糖尿病足认知情况的分析和质量持续改进[J].护理研究,2018,32(23):3796-3798.
SHAO Y R,LIN J L,CAI Y Z,et al.Analysis and quality continuous improvement of diabetes patients'cognitive status on diabetic foot[J].Chin Nurs Res,2018,32(23):3796-3798.
[12] 杨柳,戚以勤,蒋超南,等.糖尿病足高危患者足部自护行为及影响因素研究[J].护理学杂志,2021,36(19):23-27.
YANG L,QI Y Q,JIANG C N,et al.Stages of foot self-care behavior among patients at high risk of diabetic foot:the influencing factors[J].J Nurs,2021,36(19):23-27.
[13] 王艺楠,唐晓君,曾庆,等.重庆地区2型糖尿病患者糖尿病知-信-行调查及影响因素分析[J].现代预防医学,2016,43(10):1823-1825,1842.
WANG Y N,TANG X J,ZENG Q,et al.Survey of the knowledge, attitude, and practices and analysis the influencing factors of patients with type Ⅱ diabetes in Chongqing[J].Mod Prev Med,2016,43(10):1823-1825,1842.
[14] 陈璐,陈适,许可,等.糖尿病患者行为方式与血糖控制关系[J].中国公共卫生,2017,32(10):93-95.
CHEN L,CHEN S,XU K,et al.Relationship between behavior style and glycemic control in diabetic patients[J].Chin J Public Health,2017,32(10):93-95. |
|
|
|
