J Korean Biol Nurs Sci.  2022 Nov;24(4):219-226. 10.7586/jkbns.2022.24.4.219.

Factors Affecting Self-management Behavior among Patients with Type 2 Diabetes in a Border Area of Southwest China

• Yuan Y
• Jun S

• KMID: 2536681
• DOI: http://doi.org/10.7586/jkbns.2022.24.4.219

Abstract

Purpose
This study aimed to investigate the status and factors associated with self-management behavior (SMB) of patients with type 2 diabetes (T2DM) in a border area of southwest China.
Methods
A cross-sectional study was conducted with T2DM patients in Dali, China. The participants filled in the questionnaires including demographic and disease-related characteristics, psychosocial status, resources of DM knowledge, knowledge of DM care, competency in DM care skills, the Chinese Diabetes Management Self-Efficacy Scale (C-DMSES), and the Chinese Summary of Diabetes Self-Care Activities (C-SDSCA). All the data were analyzed with SPSS version 26. Multiple linear regression analysis examined associations between predictors and SMB.
Results
A total of 470 valid questionnaires have been collected. The score for overall SMB was 50.71 ± 11.99; 19.6% of patients were at a good level, 48.3% were moderate, and 32.1% were poor. The significant factors that influenced SMB included self-efficacy (β = 0.37; p < .001), competency in DM care skills (β = 0.22; p < .001) and lacked in the treatment confidence (β = -0.09; p = .023).
Conclusion
The level of self-management among T2DM patients in this area was medium-low state. For future studies, our findings suggest that self-efficacy, competency in DM care skills, and treatment confidence should be considered essential factors in improving the self-management behavior of T2DM patients in the border area of southwest China.

Keyword

Type 2 diabetes mellitus; Self-management; National minority; China