Mediating effect of chronic disease resource utilization between health promotion behaviors and disease control in type 2 diabetes mellitus
10.3760/cma.j.cn115682-20250124-00418
- VernacularTitle:慢性病资源利用在2型糖尿病患者健康促进行为和疾病控制水平间的中介效应
- Author:
Yueqiao GAO
1
;
Shumin AN
;
Wenqian GE
;
Junhui XING
Author Information
1. 郑州大学第一附属医院内分泌及代谢病科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Utilization of chronic illness resources;
Health promotion behavior;
Disease control;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(26):3598-3603
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of chronic disease resource utilization between health promotion behaviors and disease control in patients with type 2 diabetes mellitus (T2DM) .Methods:Convenience sampling was used to select T2DM patients who attended the Department of Endocrinology and Metabolism of the First Affiliated Hospital of Zhengzhou University from September 2023 to October 2024 for the study. The survey was conducted using the General Information Questionnaire, Chronic Illness Resources Survey (CIRS), Health Promoting Lifestyle Profile-Ⅱ (HPLP-Ⅱ), and Control Status Scale for Diabetes (CSSD). Pearson correlation was used to analyze the relationship between chronic disease resource utilization, health promotion behaviors, and disease control. Structural equation modeling and mediating effect validation were performed using AMOS 21.0.Results:A total of 310 questionnaires were distributed, 292 valid questionnaires were recovered, with a valid recovery rate of 94.19%. The CIRS, HPLP-Ⅱ, and CSSD scores of 292 patients were (53.45±12.83), (145.85±28.40), and (89.41±24.57), respectively. CIRS scores were positively correlated with HPLP-Ⅱ scores and CSSD scores ( P<0.05), and HPLP-Ⅱ scores were positively correlated with CSSD scores ( P<0.05), with statistically significant differences. Mediating effect analysis showed that health promotion behaviors had a direct positive effect on disease control ( P=0.001), and chronic disease resource utilization had a partial mediating effect between health promotion behaviors and disease control ( P=0.001), with statistically significant differences and mediating effect accounting for 26.88% of the total effect (0.157/0.584) . Conclusions:Chronic disease resource utilization, health promotion behaviors, and disease control among T2DM patients are suboptimal, and there is room for improvement. Chronic disease resource utilization has a partial mediating effect between health promotion behaviors and disease control, which may guide clinical nursing practice.
