Relationship between self-management behaviors and time perspective among patients with comorbid diabetes
YU Dandan1, ZHANG Yaping2, XU Huilin1, HE Dandan1, LIANG Tongtong1, YANG Jiali1, LI Jun1
1. Minhang District Center for Disease Control and Prevention, Shanghai 201101, China; 2. Minhang District Meilong Community Health Service Center, Shanghai 201199, China
Abstract：Objective To examine the relationship between self-management behaviors and time perspective among patients with comorbid diabetes, so as to provide the evidence for improving self-management behaviors among patients with comorbid diabetes. Methods The patients with comorbid diabetes who were registered in the chronic disease health management system of Minhang District, Shanghai Municipality in 2021, followed up regularly, and lived in Meilong Town were recruited. Demographic information and family history of diabetes were collected through questionnaire surveys. Time perspective and self-management behaviors were assessed using the Zimbardo Time Perspective Inventory and Diabetes Self-Management Behavior Scale, respectively. The relationship between self-management behaviors and time perspective was analyzed using a multivariable ordinal logistic regression model. Results A total of 907 patients with comorbid diabetes were enrolled, including 472 males (52.04%) and 435 females (47.96%). There were 652 cases aged 65 years and above, accounting for 71.89%. In terms of the types of time perspective, 280 patients were future-oriented (30.87%), 236 were balanced (26.02%), 162 were sensation-seeking (17.86%), 123 were fatalistic (13.56%), and 106 were negative (11.69%). In terms of the self-management behaviors, 46 patients were good (5.07%), 643 were moderate (70.89%), and 218 were poor (24.04%). Multivariable ordinal logistic regression analysis showed that after adjusting for age, gender, educational level, marital status, occupation status, monthly income, and family history of diabetes, the patients with comorbid diabetes who had a future-oriented time perspective had better self-management behaviors (OR=1.874, 95%CI: 1.204-2.915). Conclusion The self-management behaviors among patients with comorbid diabetes are moderate to poor, and patients with a future-oriented time perspective can better engage in self-management behaviors.
[1] 蒋喆怡,陈公锦,王巧巧,等.妊娠糖尿病患者自我管理行为的影响因素研究[J].预防医学,2023,35(11):935-938. JIANG Z Y,CHEN G J,WANG Q Q,et al.Factors affecting self-management behaviors among patients with gestational diabetes mellitus[J].China Prev Med J,2023,35(11):935-938.(in Chinese) [2] LORIG K R,HALSTED H.Self-mangement education:history,definition,outcomes,and mechanism[J].Ann Behav Med,2003,26(1):1-7. [3] 刘宇丹,张彩云,郭明媚,等.慢性病共病患者服药依从性影响因素的Meta分析[J].预防医学,2024,36(9):790-795,800. LIU Y D,ZHANG C Y,GUO M M,et al.Influencing factors for medication compliance in patients with comorbidities of chronic diseases:a meta-analysis[J].China Prev Med J,2024,36(9):790-795,800.(in Chinese) [4] HUNTER C M.Understanding diabetes and the role of psychology in its prevention and treatment[J].Am Psychol,2016,71(7):515-525. [5] 吕厚超,黄希庭.时间洞察力的概念及研究方法[J].心理科学,2005,28(1):166-169. LYU H C,HUANG X T.The concept and research method of time perspective[J].Psychol Sci,2005,28(1):166-169.(in Chinese) [6] KARL F M,HOLLE R,SCHWETTMANN L,et al.Time preference,outcome expectancy,and self-management in patients with type 2 diabetes[J].Patient Prefer Adherence,2018,12:1937-1945. [7] 李兆愉,陈有国.津巴多时间洞察力量表在中国老年人群体中的适用研究[J].心理研究,2023,16(4):317-323. LI Z Y,CHEN Y G.The application of the Zimbardo Time Perspective Inventory in the Chinese elderly people[J].Psychol Res,2023,16(4):317-323.(in Chinese) [8] 吕厚超,杜刚.津巴多时间洞察力类型划分:基于聚类分析的结果[J].西南大学学报(社会科学版),2017,43(5):97-104. LYU H C,DU G.Zimbardo's classification of time perspective:based on the results of cluster analysis[J].J Southwest Univ(Soc Sci),2017,43(5):97-104.(in Chinese) [9] 万巧琴,尚少梅,来小彬,等.2型糖尿病患者自我管理行为量表的信、效度研究[J].中国实用护理杂志,2008,24(7):26-27. WAN Q Q,SHANG S M,LAI X B,et al.Study on the reliability and validity of summary of diabetes self-care activities for type 2 diabetes patients[J].Chin J Pract Nurs,2008,24(7):26-27.(in Chinese) [10] 许鑫. 基于Cox健康行为互动模式的糖尿病共病患者自我管理行为的研究[D].延边:延边大学,2022. XU X.Study on sele-mangement behavior of patients with diabetic multimorbidity based on interaction model of client health behavior[D].Yanbian:Yanbian University,2022.(in Chinese) [11] 王艾红,尹安春,谢莹莹,等.糖尿病共病管理的研究进展[J].中国护理管理,2018,18(12):1709-1713. WANG A H,YIN A C,XIE Y Y,et al.Research progress in diabetic multimorbidity management[J].Chin Nurs Manag,2018,18(12):1709-1713.(in Chinese) [12] 何雅薇,葛华英,李修英,等.中青年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,2022,34(3):258-263. HE Y W,GE H Y,LI X Y,et al.Self-care activities and their influencing factors among young and middle-aged patients with type 2 diabetes mellitus[J].China Prev Med J,2022,34(3):258-263.(in Chinese) [13] ANDRE L,VAN VIANEN A E M,PEETSMA T T D,et al.Motivational power of future time perspective:meta-analyses in education,work,and health[J/OL].PLoS One,2018,13(1)[2024-12-24].https://doi.org/10.1371/journal.pone.0190492. [14] JIN P,WANG X J,LI A H,et al.Time perspective,dietary behavior,and glycemic control in patients with type 2 diabetes[J].Nurs Res,2023,72(6):462-470. [15] VAN SMOORENBURG A N,HERTROIJS D F L,DEKKERS T,et al.Patients' perspective on self-management:type 2 diabetes in daily life[J].BMC Health Serv Res,2019,19(1):605-612. [16] 毕翠华,齐怀远.时间感知在跨期决策中的作用——时间决策模型的新探索[J].心理科学进展,2022,30(5):1106-1118. BI C H,QI H Y.The role of time perception in intertemporal decision making:a new exploration of time decision making model[J].Advs Psychol Sci,2022,30(5):1106-1118.(in Chinese) [17] HIDAKA T,TAKAHAHASHI N,HASHIMOTO K,et al.Qualitative and quantitative study on components of future time perspective and their association with persistent treatment for type 2 diabetes[J].Diabetes Ther,2021,12(12):3187-3199. [18] 扈芷晴,秦邦辉,孙艳君,等.跨期决策在慢性病患者健康行为研究中的应用[J].南京医科大学学报(社会科学版),2021,21(6):579-583. HU Z Q,QIN B H,SUN Y J,et al.Application of inter temporal decision making in the study of health behavior of patients with chronic diseases[J].J Nanjing Med Univ(Soc Sci),2021,21(6):579-583.(in Chinese)
