检测中国成年 2 型糖尿病患者糖尿病自我管理的信息-动机-行为技能模型：一项为期 3 个月随访研究的方案。

Testing the information-motivation-behavioural skills model of diabetes self-management among Chinese adults with type 2 diabetes: a protocol of a 3-month follow-up study.

机构信息

University of Arkansas Eleanor Mann School of Nursing, Fayetteville, AR, USA.

Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, Sichuan Province, China.

出版信息

BMJ Open. 2018 Oct 8;8(10):e020894. doi: 10.1136/bmjopen-2017-020894.

DOI:10.1136/bmjopen-2017-020894

PMID:30297344

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6194399/

Abstract

INTRODUCTION

Currently, China leads the world in the number of people with diabetes, making it home to a third of the global diabetic population. Persons with diabetes have to carry out 95% of their self-care. As an important component of diabetes care, diabetes self-management (DSM) is defined as everyday behaviours that persons carry out to control diabetes. Consistent findings have been reported that level of compliance to suggested DSM behaviours is not considered optimal among Chinese adults with type 2 diabetes (T2D). The underlying reasons for suboptimal DSM behaviours among Chinese adults are not well known and no conceptual model has been developed to guide DSM interventions in this population. Although the information-motivation-behavioural skills model has been tested among Chinese adults with T2D, some key components of the original model were not tested. In this proposed study protocol, we will refine and test a culturally tailored model of DSM longitudinally among 250 Chinese adults residing in China.

METHODS AND ANALYSIS

This is a descriptive, repeated-measure study to be conducted at a tertiary hospital in Chengdu, China. A total of 250 adults with T2D will be enrolled and followed for 3 months in this study. Information of multiple domains will be collected, including demographics, diabetes knowledge, health education form, provider-patient communication, health beliefs, social support, diabetes self-efficacy, the medical coping modes, the diabetes self-care, depression, diabetes-dependent quality of life, haemoglobin A1c, blood pressure and blood lipids at baseline and 3-month follow-up. Main analyses comprise linear regression modelling controlling for covariates and structural equation modelling.

ETHICS AND DISSEMINATION

Ethical approval has been obtained through the Fourth People's Hospital of Chengdu Research Ethics Committee (study approval number 2017017). We aim to disseminate the findings through international conferences, international peer-reviewed journals and social media.

TRIAL REGISTRATION NUMBER

ChiCTR-ROC-17013592.

摘要

简介

目前，中国的糖尿病患者人数位居世界第一，占全球糖尿病患者总数的三分之一。糖尿病患者需要进行 95%的自我护理。糖尿病自我管理（DSM）作为糖尿病护理的重要组成部分，被定义为患者控制糖尿病的日常行为。一致的研究结果表明，中国成年人 2 型糖尿病（T2D）患者对建议的 DSM 行为的依从性并不理想。中国成年人 DSM 行为不理想的根本原因尚不清楚，也没有针对这一人群的 DSM 干预措施的概念模型。虽然信息-动机-行为技能模型已经在 T2D 中国成年人中进行了测试，但原始模型的一些关键组成部分没有得到测试。在这项拟议的研究方案中，我们将在中国成都的一家三级医院对 250 名中国成年人进行 DSM 的纵向文化调整模型测试。

方法和分析

这是一项描述性、重复测量研究，在中国成都的一家三级医院进行。本研究将纳入并随访 250 名 T2D 成年人，为期 3 个月。将收集多个领域的信息，包括人口统计学、糖尿病知识、健康教育表、医患沟通、健康信念、社会支持、糖尿病自我效能、医疗应对方式、糖尿病自我护理、抑郁、糖尿病依赖的生活质量、糖化血红蛋白、血压和血脂，基线和 3 个月随访。主要分析包括线性回归模型，控制协变量和结构方程模型。