Zhang Yu, Zhang Beibei, Chen Cunchuan, Feng Xia, Song Suhang, Wang Haipeng
Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
NHC Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, China.
Int J Public Health. 2023 Sep 13;68:1606022. doi: 10.3389/ijph.2023.1606022. eCollection 2023.
This study aims to investigate the level of knowledge, attitude and self-management behaviors of diabetic patients, to explore the mediating role of attitude in the relationship between knowledge and self-management behaviors. 900 diabetes patients were randomly selected from the eastern, central and western regions of Shandong Province, China, and recovered 863 valid questionnaires. Path analysis was used to examine the mediating role of attitude in the relationship between knowledge and self-management behaviors in patients with diabetes. The mean score (SD) of the diabetes self-management questionnaire (DSMQ) in this study was 35.01 (6.87). The direct effect value of knowledge level on self-management behaviors was 0.357, accounting for 62.09% of the total effect. The indirect effect value of knowledge on self-management behaviors through attitude was 0.218, accounting for 37.91%. Level of knowledge has a significant direct impact on self-management behaviors and an indirect impact on self-management behaviors through attitude. Therefore, it is necessary to strengthen health education on diabetes to improve awareness, ameliorate attitudes toward diabetes, and change self-management behaviors.
本研究旨在调查糖尿病患者的知识水平、态度和自我管理行为，探讨态度在知识与自我管理行为关系中的中介作用。从中国山东省东部、中部和西部地区随机选取900例糖尿病患者，回收有效问卷863份。采用路径分析检验态度在糖尿病患者知识与自我管理行为关系中的中介作用。本研究中糖尿病自我管理问卷（DSMQ）的平均得分（标准差）为35.01（6.87）。知识水平对自我管理行为的直接效应值为0.357，占总效应的62.09%。知识通过态度对自我管理行为的间接效应值为0.218，占37.91%。知识水平对自我管理行为有显著的直接影响，并通过态度对自我管理行为产生间接影响。因此，有必要加强糖尿病健康教育，提高认识，改善对糖尿病的态度，改变自我管理行为。
