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. 2023 Sep;10(9):6125-6135.
doi: 10.1002/nop2.1834. Epub 2023 May 23.

Diabetes self-management and its related factors among Chinese young adults with type 2 diabetes mellitus

Qiao He  1 , Yu Liu  1 , Keke Lin  1 , Fang Zhao  2 , Hong Guo  1 , Yina Shen  2
Affiliations

Diabetes self-management and its related factors among Chinese young adults with type 2 diabetes mellitus

Qiao He et al. Nurs Open. 2023 Sep.

Abstract

Aim: To explore the status quo of self-management among young adults with type 2 diabetes mellitus (T2DM) and the determinants of self-management under the guidance of social cognitive theory.

Design: A cross-sectional study.

Methods: In total, 227 young adults (18-44 years old) with T2DM at two hospitals in Beijing completed the questionnaires. The Summary of Diabetes Self-care Activities (SDSCA) was used, along with additional questionnaires about diabetes self-efficacy, attitude, diabetes distress, diabetes knowledge, coping styles and social support. Univariate analysis and multiple linear regression were used to explore the related factors of self-management among the young patients.

Results: The scores for the SDSCA in diet, exercise, blood-glucose testing, foot care and medication taking were (4.16 ± 1.51), (3.46 ± 2.50), (2.28 ± 2.24), (1.08 ± 1.84) and (6.09 ± 1.88), respectively. Stepwise multiple linear regression showed that fasting blood-glucose value was significantly associated with self-management behaviours of diet, exercise, blood-glucose testing and medication taking. Self-efficacy was significantly associated with self-management behaviours of diet, exercise and foot care. Diabetes distress, diabetes-related social activity, confrontation, education, duration of T2DM, treatment modalities and diabetes knowledge were associated with the one or two dimensions of SDSCA in the young adults with T2DM.

Keywords: determinants; self-management; social cognitive theory; type 2 diabetes mellitus; young adult.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
The theoretical framework for factors related to self‐management for young adults with T2DM.
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