Self-Management Behaviors, Glycemic Control, and Metabolic Syndrome in Type 2 Diabetes
| Autor: | Tiffany L. Gary-Webb, Judith A. Erlen, Meihua Ji, Dianxu Ren, Jacqueline Dunbar-Jacob |
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| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Male China Cross-sectional study Health Behavior Health literacy Type 2 diabetes Medication Adherence 03 medical and health sciences Social support 0302 clinical medicine Asian People Diabetes mellitus Surveys and Questionnaires Medicine Humans 030212 general & internal medicine General Nursing Glycemic Glycated Hemoglobin Metabolic Syndrome 030504 nursing business.industry Self-Management Social Support Middle Aged medicine.disease Self Efficacy Health Literacy Cross-Sectional Studies Diabetes Mellitus Type 2 Female Metabolic syndrome 0305 other medical science business Social cognitive theory |
| Zdroj: | Nursing research. 69(2) |
| ISSN: | 1538-9847 |
| Popis: | Background Diabetes self-management and glycemic control are suboptimal among Chinese patients with Type 2 diabetes with a large proportion of patients identified with metabolic syndrome. Objectives Based on social cognitive theory, this study examines the effect of selected personal, behavioral, and environmental factors on self-management behaviors, glycemic control, metabolic syndrome and Type 2 diabetes. Methods A cross-sectional study was conducted among 207 Chinese with Type 2 diabetes living in a suburban area of Beijing, China. Regression models were applied to examine the effect of selected personal, behavioral, and environmental factors on self-management behaviors, glycemic control, and metabolic syndrome. The relationship among individual self-management behaviors, glycemic control, and metabolic syndrome was also examined. Results Self-efficacy was significantly associated with all self-management behaviors. Social support was related to overall self-management, diabetes knowledge was related to diet, and depressive symptoms was related to self-monitoring. Problem-solving and self-management behaviors related to medication adherence and diet were significant correlates of glycemic control. Health literacy and self-management behaviors related to physical activity were correlates of metabolic syndrome. Discussion Findings suggest that a multifactorial approach may be beneficial when providing care for Chinese with Type 2 diabetes. In addition, these findings provide support for developing and testing tailored interventions that address problem-solving, health literacy, and self-efficacy, among other factors, to help patients achieve optimal glycemic control and thereby reduce their risk for metabolic syndrome and related complications. |
| Databáze: | OpenAIRE |
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