Mediating effect of self-efficacy on self-management ability and self-management behavior in patients with type 2 diabetes mellitus.
- Author:
Xiao Yue ZHANG
1
;
Yu Xin LIN
1
;
Ying JIANG
2
;
Lan Chao ZHANG
1
;
Mang Yan DONG
3
;
Hai Yi CHI
4
;
Hao Yu DONG
5
;
Li Jun MA
6
;
Zhi Jing LI
1
;
Chun CHANG
1
Author Information
1. Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.
2. Bee Technology Limited Company, Beijing 100020, China.
3. Department of Endocrinology, Houma People' s Hospital, Houma 043011, Shanxi, China.
4. Department of Endocrinology, Hohhot First Hospital, Hohhot 010030, China.
5. Department of Endocrinology, Heping Hospital Affiliated to Changzhi Medical College, Changzhi 046000, Shanxi, China.
6. Department of Endocrinology, People' s Hospital of Xinrong District, Datong 037002, Shanxi, China.
- Publication Type:Journal Article
- Keywords:
Mediation effect;
Self-efficacy;
Self-management ability;
Self-management behavior;
Type 2 diabetes
- MeSH:
Humans;
Diabetes Mellitus, Type 2/therapy*;
Self Efficacy;
Self-Management;
Blood Glucose Self-Monitoring;
Blood Glucose;
Self Care
- From:
Journal of Peking University(Health Sciences)
2023;55(3):450-455
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the mechanism of self-efficacy between self-management ability and self-management behavior and its differences among patients with different disease courses through mediation tests.
METHODS:In the study, 489 patients with type 2 diabetes who attended the endocrinology departments of four hospitals in Shanxi Province and Inner Mongolia Autonomous Region from July to September 2022 were enrolled as the study population. They were investigated by General Information Questionnaire, Diabetes Self-Management Scale, Chinese version of Diabetes Empowerment Simplified Scale, and Diabetes Self-Efficacy Scale. Mediation analyses were performed using the linear regression model, Sobel test, and Bootstrap test in the software Stata version 15.0 and divided the patients into different disease course groups for subgroup analysis according to whether the disease course was > 5 years.
RESULTS:In this study, the score of self-management behavior in the patients with type 2 diabetes was 6.16±1.41, the score of self-management ability was 3.99±0.74, and the score of self-efficacy was 7.05±1.90. The results of the study showed that self-efficacy was positively correlated with self-management ability (r=0.33) as well as self-management behavior (r=0.47) in the patients with type 2 diabetes (P < 0.01). The mediating effect of self-efficacy accounted for 38.28% of the total effect of self-management ability on self-management behaviors and was higher in the behaviors of blood glucose monitoring (43.45%) and diet control (52.63%). The mediating effect of self-efficacy accounted for approximately 40.99% of the total effect for the patients with disease course ≤ 5 years, while for the patients with disease course > 5 years, the mediating effect accounted for 39.20% of the total effect.
CONCLUSION:Self-efficacy enhanced the effect of self-management ability on the behavior of the patients with type 2 diabetes, and this positive effect was more significant for the patients with shorter disease course. Targeted health education should be carried out to enhance patients' self-efficacy and self-management ability according to their disease characteristics, to stimulate their inner action, to promote the development of their self-management behaviors, and to form a more stable and long-term mechanism for disease management.
