Prediction of core behaviors of self-management in diabetes mellitus by empowerment and theory of planned behavior
10.3969/j.issn.1006-6187.2024.10.007
- VernacularTitle:授权及计划行为理论对糖尿病自我管理核心行为预测效果的研究
- Author:
Fangli TANG
1
;
Wenjun WANG
;
Jiaohong LUO
;
Danyu ZHANG
;
Leilei ZHU
;
Zhumin JIA
;
Huanhuan LIU
;
Qingqing LOU
Author Information
1. 571199 海口,海南医学院国际护理学院
- Keywords:
Diabetes mellitus,type 2;
Empowerment;
Theory of planned behavior
- From:
Chinese Journal of Diabetes
2024;32(10):750-755
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the predictive effect of empowerment and theory of planned behavior(TPB)on the four core behaviors of type 2 diabetes mellitus(T2DM)self-management,and analyze the influence path of TPB model and behavioral intention on the four core behaviors.Methods A total of 500 T2DM patients who were hospitalized in the Endocrinology Department of three tertiary general hospitals in different provinces from December 2022 to May 2023 were selected for investigation.Hierarchical multiple regression analysis was used to explore the predictive effects of empowerment and TPB models on self-management behaviors.Bootstrap method was used to analyze the influence path of TPB model and behavior intention on self-management behaviors.Results Empowerment had a predictive effect on self-management behavior,which was improved after the addition of TPB,with medication R2=0.194,blood glucose monitoring R2=0.308,regular diet R2=0.337 and regular exercise R2=0.343,respectively.Mediation effect analyses revealed that attitude,subjective norm,and perceived behavioral control were observed to predict behavior intention across the four behaviors,and the three except through the behavior intention indirectly affect behavior,can also directly affect the behavior.Conclusions Empowerment can predict self-management behavior,and adding TPB to this can improve the prediction effect.Attitude,subjective norms and perceived control can indirectly or directly affect self-management behavior through behavioral intention.
