Abstract
Patients with diabetes must incorporate a complicated regimen of self-management into their daily lives (e.g., taking medication, diet, exercise). Diabetes self-management (DSM) is the cornerstone for controlling diabetes and preventing diabetic complications. The purpose of this study was to test a model describing the effects of individual and environmental factors on DSM in a sample of patients with diabetes in Beijing, China. Survey data were gathered from a convenience sample of 201 Chinese adults with type 2 diabetes during outpatient visits. Data were analyzed using structural equation modeling. Model fit indices indicated a good fit to the data. In the final model, belief in treatment effectiveness and diabetes self-efficacy were proximate factors affecting DSM. Knowledge, social support, and provider-patient communication affected self-management indirectly via beliefs and self-efficacy. The findings provide a theoretical basis to direct the development of interventions for improving DSM in Chinese individuals with diabetes.
Original language | English (US) |
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Pages (from-to) | 613-625 |
Number of pages | 13 |
Journal | Research in Nursing and Health |
Volume | 31 |
Issue number | 6 |
DOIs | |
State | Published - Dec 2008 |
Externally published | Yes |
Keywords
- Chinese patients with type 2 diabetes
- Diabetes mellitus self-management
- Structural equation modeling
ASJC Scopus subject areas
- Nursing(all)