Diabetes self-management and its associated factors among patients with diabetes in central Vietnam: A cross-sectional study.

Autor: Nguyen VB; Center of Endocrinology and Diabetes, Family Hospital, Da Nang, Vietnam., Thi KHP; Center of Endocrinology and Diabetes, Family Hospital, Da Nang, Vietnam., Nguyen TX; Center of Endocrinology and Diabetes, Family Hospital, Da Nang, Vietnam., Pham NTL; Center of Endocrinology and Diabetes, Family Hospital, Da Nang, Vietnam., Nguyen VVH; Center of Endocrinology and Diabetes, Family Hospital, Da Nang, Vietnam., Van Le C; Department of Internal Medicine, Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Jul 08; Vol. 17 (7), pp. e0270901. Date of Electronic Publication: 2022 Jul 08 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0270901
Abstrakt: Objective: Diabetes self-management (DSM) enables maintenance of optimal individualized glycemic control for patients with diabetes through comprehensive lifestyle, medication adherence, and self-monitoring glucose level. This study aimed to evaluate DSM and to find associated factors among Vietnamese diabetes patients by using the Vietnamese version of Diabetes Self-Management Instrument (DSMI).
Methods: A cross-sectional study was conducted at a single hospital in the central Vietnam. DSM was assessed using the DSMI. The participant's socio-demographic and clinical features were obtained through face-to-face interviews and medical records. Multivariate linear regression was used to determine independent factors associated with total DSMI.
Results: The mean total DSM score based on DSMI self-administered questionnaire scores was 88.4 ± 22.1, with a range of 47 to 140. The mean self-integration, self-regulation, interaction with health professionals, self-monitoring blood glucose, and adherence to the prescribed regime were 24.8, 22.3, 21.6, 10.2, and 9.5, respectively. 48.1% of DM patients had good HbA1c control. Sex, educational status, BMI, waist circumference, medical nutrition therapy, and sufficient physical activities were factors independently predictive of DSMI total score.
Conclusion: This study emphasizes that the DSM situation is seen to be average among DM patients with mean DSMI score 88.4 ± 22.1 and sex, educational status, BMI, waist circumference, medical nutrition therapy, and sufficient physical activities were independently predictive factors of DSMI total score. This evidence suggests that there is a need to enhance the effectiveness of DSM education programs among diabetic patients.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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