Correlation among diabetes-related distress, self-management behavior, empowerment, and glycated hemoglobin in patients with type 2 diabetes mellitus
10.3760/cma.j.cn115682-20241126-06497
- VernacularTitle:2型糖尿病患者心理痛苦、自我管理行为、授权能力及糖化血红蛋白的相关性研究
- Author:
Yongqiao FANG
1
;
Fangli TANG
;
Danyu ZHANG
;
Jiaohong LUO
;
Wenjun WANG
;
Yetong WANG
;
Dan CHENG
;
Rijing LI
;
Qingqing LOU
Author Information
1. 海南医科大学国际护理学院，海口 571199
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Diabetes-related distress;
Empowerment;
Glycated hemoglobin
- From:
Chinese Journal of Modern Nursing
2025;31(23):3155-3160
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the correlations among diabetes-related distress, self-management behavior, empowerment, and glycated hemoglobin (HbA1c) levels in patients with type 2 diabetes mellitus (T2DM) .Methods:A convenience sampling method was used to recruit a total of 1 927 hospitalized patients with T2DM from the Endocrinology Departments of five tertiary general hospitals in Hainan, Jiangsu, and Henan Provinces between December 2022 and December 2023. General demographic and clinical data were collected. The Problem Areas in Diabetes 5 (PAID-5), the Summary of Diabetes Self Care Activities (SDSCA), and the Diabetes Empowerment Scale-Short Form (DES-SF) were used to evaluate patients' psychological distress, self-management behaviors, and empowerment levels. Pearson correlation analysis was performed to examine the relationships among diabetes-related distress, empowerment, self-management behaviors, and HbA1c levels.Results:Pearson correlation analysis showed that diabetes-related distress was negatively correlated with empowerment ( r=-0.119, P<0.001) and the total score of self-management behavior ( r=-0.106, P<0.001), and positively correlated with HbA1c levels ( r=0.103, P<0.001). Empowerment was positively correlated with self-management behavior ( r=0.538, P<0.001) and negatively correlated with HbA1c levels ( r=-0.170, P<0.001). Self-management behavior was negatively correlated with HbA1c levels ( r=-0.165, P<0.001) . Conclusions:Diabetes-related distress, empowerment, and self-management behavior are all associated with glycemic control. Future research and interventions should focus on enhancing patients' self-management abilities, strengthening empowerment, and providing psychological support in order to improve glycemic outcomes and offer a more comprehensive and effective management approach for patients with T2DM.
