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KMID : 0869120220240040219
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2022 Volume.24 No. 4 p.219 ~ p.226
Factors Affecting Self-management Behavior among Patients with Type 2 Diabetes in a Border Area of Southwest China
Yuan Yingmei

Jun Sang-Eun
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¡¾11.99; 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 (¥â=0.37; p<.001), competency in DM care skills (¥â=0.22; p<.001) and lacked in the treatment confidence (¥â=-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
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