Influencing factors of self-management behavior of young and middle-aged patients with type 2 diabetes mellitus from the perspective of configuration
10.3760/cma.j.cn115682-20250221-00798
- VernacularTitle:组态视角下中青年2型糖尿病患者自我管理行为影响因素研究
- Author:
Yuting ZHANG
1
;
Xueqin JIN
Author Information
1. 江苏大学医学院，镇江 212013
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Young and middle-aged;
Self-management;
Influencing factor;
Configuration
- From:
Chinese Journal of Modern Nursing
2025;31(28):3846-3852
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the key influencing factors and combined action pathways of self-management behaviors of young and middle-aged patients with type 2 diabetes mellitus (T2DM), so as to provide reference for improving self-management behaviors of young and middle-aged patients with T2DM.Methods:Between August 2024 and January 2025, young and middle-aged patients with T2DM in the Department of Endocrinology of three ClassⅢ Grade A hospitals in Jiangsu Province were selected by convenience sampling method. A framework for configuration path analysis of self-management behaviors in young and middle-aged patients with T2DM was constructed based on the capability, opportunity, motivation-behavior (COM-B) model. Fuzzy-set qualitative comparative analysis (fsQCA) was used to explore different conditional configurations of self-management behaviors in young and middle-aged people with T2DM.Results:Based on five conditional variables (risk perception, health literacy, self-efficacy, social support, and family care) of self-management behaviors of young and middle-aged patients with T2DM, three configuration pathways (ability-driven, motivation-driven, and integrative-driven) were derived, with an overall consistency of 0.86 and a total coverage of 0.54. Self-efficacy was a core condition of self-management behavior in young and middle-aged people with T2DM.Conclusions:Self-management behaviors of young and middle-aged patients with T2DM are influenced by a combination of multiple factors, of which self-efficacy is the core influencing factor. Healthcare professionals should develop targeted interventions based on the groups represented by the different pathways to improve self-management behaviors and enhance patients' quality of life.
