1.Research on the construction of structural equation model of self-management ability in elderly patients with type 2 diabetes mellitus
Zhenxue ZHAO ; Dandan ZHANG ; Jianqiang ZHAO ; Xingkun ZHAO ; Jianwei WANG
Chinese Journal of Practical Nursing 2025;41(9):695-701
Objective:To discuss the influence of the self-management ability of type 2 diabetic elderly patients, and provide a reference for patients′ initiative to formulate self-health management strategies.Methods:A total of 486 elderly patients with type 2 diabetes who were admitted to Yidu Central Hospital Affiliated to Shandong Second Medical University from January to June 2024 were selected by convenience sampling method. A cross-sectional survey was conducted using the General Information Questionnaire, Self-Perceived Aging Questionnaire, the Diabetes Self-Efficacy Scale, the Diabetes Self-Management Scale, and the Tilburg Frailty Index Scale. Descriptive analysis, single factor analysis and Pearson correlation analysis were performed using SPSS 25.0, while model fitting path, and mediation effect analyses were conducted using AMOS 28.0.Results:Among 486 elderly patients with type 2 diabetes mellitus, 217 were males and 269 were females. There were 262 patients aged 60-69 years, 189 patients aged 70-79 years, and 35 patients aged ≥80 years. The score of self-management ability was 28.45±7.97, the score of self-perceived aging was 51.98±6.40, the score of diabetes self-efficacy was 75.47±21.15, and the score of frailty was 6.65±3.17. The influencing factors of self-management ability include gender, age, education level, place of residence, living condition, exercise and chronic diseases, and the differences were statistically significant ( t values were -15.38 to 8.82, F=110.12, 70.82, 97.88, all P<0.05). Self-management ability and its different dimensions were negatively correlated with frailty and self-perceived aging ( r=-0.318, -0.821, both P<0.05), and positively correlated with self-efficacy ( r=0.780, P<0.05). The total effect of frailties on self-management ability was 0.60, and the direct effect was 0.12. Frailties could directly affect self-management ability, and indirectly affect self-management ability through the mediating effect of self-efficacy and self-perceived aging. Conclusions:The study concluded that the self-management ability of elderly patients with type 2 diabetes was low. Therefore, measures should be implemented to reduce frailty rates, improve self-efficacy levels, and actively address aging-related issues to enhance their overall management abilities.
2.Research on the construction of structural equation model of self-management ability in elderly patients with type 2 diabetes mellitus
Zhenxue ZHAO ; Dandan ZHANG ; Jianqiang ZHAO ; Xingkun ZHAO ; Jianwei WANG
Chinese Journal of Practical Nursing 2025;41(9):695-701
Objective:To discuss the influence of the self-management ability of type 2 diabetic elderly patients, and provide a reference for patients′ initiative to formulate self-health management strategies.Methods:A total of 486 elderly patients with type 2 diabetes who were admitted to Yidu Central Hospital Affiliated to Shandong Second Medical University from January to June 2024 were selected by convenience sampling method. A cross-sectional survey was conducted using the General Information Questionnaire, Self-Perceived Aging Questionnaire, the Diabetes Self-Efficacy Scale, the Diabetes Self-Management Scale, and the Tilburg Frailty Index Scale. Descriptive analysis, single factor analysis and Pearson correlation analysis were performed using SPSS 25.0, while model fitting path, and mediation effect analyses were conducted using AMOS 28.0.Results:Among 486 elderly patients with type 2 diabetes mellitus, 217 were males and 269 were females. There were 262 patients aged 60-69 years, 189 patients aged 70-79 years, and 35 patients aged ≥80 years. The score of self-management ability was 28.45±7.97, the score of self-perceived aging was 51.98±6.40, the score of diabetes self-efficacy was 75.47±21.15, and the score of frailty was 6.65±3.17. The influencing factors of self-management ability include gender, age, education level, place of residence, living condition, exercise and chronic diseases, and the differences were statistically significant ( t values were -15.38 to 8.82, F=110.12, 70.82, 97.88, all P<0.05). Self-management ability and its different dimensions were negatively correlated with frailty and self-perceived aging ( r=-0.318, -0.821, both P<0.05), and positively correlated with self-efficacy ( r=0.780, P<0.05). The total effect of frailties on self-management ability was 0.60, and the direct effect was 0.12. Frailties could directly affect self-management ability, and indirectly affect self-management ability through the mediating effect of self-efficacy and self-perceived aging. Conclusions:The study concluded that the self-management ability of elderly patients with type 2 diabetes was low. Therefore, measures should be implemented to reduce frailty rates, improve self-efficacy levels, and actively address aging-related issues to enhance their overall management abilities.
3.Seroepidemiologic survey of hepatitis G virus in selected population of Shanxi, Qinghai and Xinjiang Provinces (region) of China.
Maokai CAO ; Fuping LIU ; Shuangying JIANG ; Xiru SHAO ; Kexue LAN ; Xinlan LI ; Zhenxue ZHANG ; Wen WANG ; Wenmig ZHAO ; Ruihua HUANG
Chinese Journal of Experimental and Clinical Virology 2002;16(4):345-347
OBJECTIVETo observe the serological features of hepatitis G virus (HGV or GBV) in selected population of Shaanxi, Qinghai and Xinjiang Provinces (region).
METHODSEnzyme-linked immunosorbent assay (ELISA) was used to determine IgG antibody against GBV (anti-GBV IgG) in serum specimens of 1469 individuals from the 3 provinces (region).
RESULTSThe positivity rate of serum GBV-IgG antibody in ethnic minorities (4.11% in Tibetan, 5.36% in Mongolian, 4.55% in Uigur, 4.00% in Hui population) was slightly higher than that in Han population (1.36%-1.73%), but the differences were not significant (P>0.05). The positivity rate of serum GBV-IgG antibody in drug abusers (11.30%, 34/301) was remarkably higher than that of the normal population (2.44%,18/736) (P<0.01). The positivity rate of serum GBV-IgG antibody in blood donors was 1.02%-7.68%.
CONCLUSIONSThe positivity rates of serum GBV-IgG antibody among ethnic groups in the 3 provinces (region) had no significant differences; blood-borne transmission seemed to be an important transmission route of GBV, therefore supervision of blood donors and drug abusers should be intensified.
Antibodies, Viral ; blood ; Blood Donors ; China ; epidemiology ; Enzyme-Linked Immunosorbent Assay ; Flaviviridae Infections ; epidemiology ; transmission ; GB virus C ; immunology ; Hepatitis, Viral, Human ; epidemiology ; transmission ; Humans ; Immunoglobulin G ; blood ; Seroepidemiologic Studies ; Substance-Related Disorders ; virology

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