The mediating effect of self-efficacy between the self-management behavior and family support in rural patients with type 2 diabetes mellitus
10.3760/cma.j.cn371468-20240520-00230
- VernacularTitle:自我效能在农村地区2型糖尿病患者自我管理行为与家庭支持间的中介效应
- Author:
Chaofan HE
1
;
Xuefeng ZHONG
1
;
Xinyu MA
1
;
Liangchun JIA
1
;
Minglong LI
1
;
Wenhu CUI
1
;
Zan XU
1
Author Information
1. 安徽医科大学卫生管理学院，合肥 230032
- Publication Type:Journal Article
- Keywords:
Type 2 diabetes mellitus;
Self-efficacy;
Family support;
Self-management behavior;
Mediating effect
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2024;33(12):1116-1121
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the relationship among self-efficacy, family support and diabetes self-management behavior in rural patients with type 2 diabetes mellitus, and to explore the mediating role of self-efficacy between self-management behavior and family support in rural patients with type 2 diabetes mellitus.Methods:From June to July 2023, Jingde county in southern Anhui, Jinzhai county in central Anhui, and Mengcheng county in northern Anhui were selected by multistage stratified cluster random sampling method as investigation sites. A total of 258 patients with type 2 diabetes mellitus were investigated by face-to-face survey. The questionnaire included general situation survey from, the summary of diabetes self-care activities measure, the self-efficacy for diabetes and diabetes family behavior checklist. SPSS 25.0 and AMOS 26.0 softwares were used for descriptive analysis, correlation analysis, common method bias test and mediation analysis.Results:The self-management behavior score of rural patients with type 2 diabetes mellitus was(2.15±0.96).The self-efficacy score was(28.50±7.02).The family support score was(29.37±9.45).Self-efficacy and family support were positively correlated with self-management behavior( r=0.390, 0.333, both P<0.01), and family support was positively correlated with self-efficacy( r=0.511, P<0.01). Self-efficacy played a partial mediating role between self-management behavior and family support in rural patients with type 2 diabetes, and the mediating effect accounted for 45.2%(0.147/0.325) of the total effect. Conclusion:Family support not only has direct influence on self-management behavior of rural patients with diabetes mellitus, but also has indirect influence on self-management behavior by improving self-efficacy.
