Abbott Laurie, Graven Lucinda, Schluck Glenna, Lemacks Jennifer
College of Nursing, Florida State University, Tallahassee, FL 32306, USA.
College of Nursing and Health Professions, University of Southern Mississippi, Hattiesburg, MS 39406, USA.
Healthcare (Basel). 2022 Aug 14;10(8):1536. doi: 10.3390/healthcare10081536.
Diabetes is a public health problem that requires management to avoid health sequelae. Little is known about the determinants that influence diabetes self-care activities among rural populations. The purpose of this analysis was to explore the relationships among diabetes self-care activities, diabetes knowledge, perceived diabetes self-management, diabetes fatalism, and social support among an underserved rural group in the southern United States. A diabetes health promotion program was tested during a cluster randomized trial that tested a disease risk reduction program among adults living with prediabetes and diabetes. A structural equation model was fit to test psychosocial factors that influence diabetes self-care activities using the Information-Motivation-Behavioral Skills Model of Diabetes Self-Care (IMB-DSC) to guide the study. Perceived diabetes self-management significantly predicted self-care behaviors, and there was also a correlation between perceived diabetes self-management and diabetes fatalism. Perceived diabetes self-management influenced diabetes self-care activities in this rural sample and had an association with diabetes fatalism. The findings of this study can facilitate clinical care and community programs targeting diabetes and advance health equity among underserved rural groups.
糖尿病是一个需要进行管理以避免健康后遗症的公共卫生问题。对于影响农村人口糖尿病自我护理活动的决定因素，人们知之甚少。本分析的目的是探讨美国南部一个服务不足的农村群体中糖尿病自我护理活动、糖尿病知识、感知到的糖尿病自我管理、糖尿病宿命论和社会支持之间的关系。在一项整群随机试验中对一个糖尿病健康促进项目进行了测试，该试验对患有糖尿病前期和糖尿病的成年人测试了一个疾病风险降低项目。使用糖尿病自我护理的信息-动机-行为技能模型（IMB-DSC）来指导研究，拟合了一个结构方程模型以测试影响糖尿病自我护理活动的心理社会因素。感知到的糖尿病自我管理显著预测了自我护理行为，并且感知到的糖尿病自我管理与糖尿病宿命论之间也存在相关性。在这个农村样本中，感知到的糖尿病自我管理影响了糖尿病自我护理活动，并且与糖尿病宿命论有关联。本研究的结果可以促进针对糖尿病的临床护理和社区项目，并推动服务不足的农村群体中的健康公平。
