School of Nursing, Beijing University of Chinese Medicine, Beijing, China.
Department of Nursing, China-Japan Friendship Hospital, Beijing, China.
Nurs Open. 2023 Sep;10(9):6125-6135. doi: 10.1002/nop2.1834. Epub 2023 May 23.
To explore the status quo of self-management among young adults with type 2 diabetes mellitus (T2DM) and the determinants of self-management under the guidance of social cognitive theory.
A cross-sectional study.
In total, 227 young adults (18-44 years old) with T2DM at two hospitals in Beijing completed the questionnaires. The Summary of Diabetes Self-care Activities (SDSCA) was used, along with additional questionnaires about diabetes self-efficacy, attitude, diabetes distress, diabetes knowledge, coping styles and social support. Univariate analysis and multiple linear regression were used to explore the related factors of self-management among the young patients.
The scores for the SDSCA in diet, exercise, blood-glucose testing, foot care and medication taking were (4.16 ± 1.51), (3.46 ± 2.50), (2.28 ± 2.24), (1.08 ± 1.84) and (6.09 ± 1.88), respectively. Stepwise multiple linear regression showed that fasting blood-glucose value was significantly associated with self-management behaviours of diet, exercise, blood-glucose testing and medication taking. Self-efficacy was significantly associated with self-management behaviours of diet, exercise and foot care. Diabetes distress, diabetes-related social activity, confrontation, education, duration of T2DM, treatment modalities and diabetes knowledge were associated with the one or two dimensions of SDSCA in the young adults with T2DM.
在社会认知理论的指导下，探讨青年 2 型糖尿病患者自我管理的现状及其影响因素。
横断面研究。
选取北京两家医院的 227 例青年 2 型糖尿病患者，采用一般资料问卷、糖尿病自我管理行为量表（SDSCA）及糖尿病自我效能量表、态度量表、糖尿病困扰量表、糖尿病知识量表、应对方式量表和社会支持评定量表进行调查，采用单因素分析和多元线性回归分析探讨青年患者自我管理的相关因素。
青年患者饮食、运动、血糖监测、足部护理和遵医用药维度的 SDSCA 得分为（4.16±1.51）、（3.46±2.50）、（2.28±2.24）、（1.08±1.84）和（6.09±1.88）分。多元线性回归分析显示，空腹血糖与饮食、运动、血糖监测和遵医用药行为显著相关；自我效能与饮食、运动和足部护理行为显著相关。糖尿病困扰、糖尿病相关社会活动、面对、教育、糖尿病病程、治疗方式和糖尿病知识与青年患者 SDSCA 的 1 个或 2 个维度显著相关。
