Author : YU Xingfeng
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)
Book Synopsis Diabetes Knowledge and Its Correlation with Self Efficacy Among T2DM Patients by : YU Xingfeng
Download or read book Diabetes Knowledge and Its Correlation with Self Efficacy Among T2DM Patients written by YU Xingfeng and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The prevalence of diabetes mellitus (DM) has increased dramatically in the past decades and this trend is expected to be continued. The current adult DM population worldwide is about 420 million [1, 2]. Among all cases, Type 2 diabetes mellitus (T2DM) accounts for more than 90%.As individuals with DM spend most of their time in the community, the individuals take the main responsibility regarding their day-to-day disease management. Hence, diabetic individuals should have sufficient self-management skills. However, ample studies demonstrated that self-management among T2DM patients is suboptimal [3].The international institutions suggest that DM education, which can inevitably improve patientsu2019 DM knowledge, is an effective approach for improving patientsu2019 level of self-management [2]. Self efficacy plays an important role in the development of self-management behaviors as purported by theories and supported by empirical evidences [4, 5].Aim: To investigate the level of DM knowledge and to explore its correlation with self efficacy among T2DM patients.Methods: A cross-sectional study was conducted. One hundred and eighty T2DM patients were recruited from the Endocrinology Department of four university affiliated hospitals in China using convenience sampling.Eligible participants were administered with the self-designed demographic and clinical information sheet, the Chinese version Michigan Diabetes Knowledge Test (DKT-C), and the Chinese version Diabetes Management Self-Efficacy Scale (DMSES).Descriptive statistics were employed to summarize the participantsu2019 demographic and clinical characteristics, and scores of DKT-C and DMSES. Pearson correlation analysis or Spearman correlation analysis was used to examine the correlation between the scores of DKT-C and DMSES.Results: The means and standard deviations of age and DM duration of the participants were 56.5u00b112.1 and 7.6u00b17.3 years, respectively. Only around 21% of the participants had their HbA1c value under 7.0%.Participantsu2019 scores in the general test subscale and insulin use subscale of the DKT-C were 61.8u00b116.4 and 68.9u00b122.23, respectively. The percentage of correct responses among items varied considerably from 26.0% to 87.0%.The average total score of DMSES among participants was 138.9u00b144.4. Pearson correlation analysis showed a significant positive correlation between participantsu2019 score in the insulin use subscale and the total score of the DMSES (r = 0.20, p0.05). However, the correlation did not present between the score in the general test subscale and the total score of the DMSES (r = 0.16, p0.05).Discussion: This study showed that the DM knowledge among T2DM patients was limited, which is consistent with the findings of similar studies. This study also demonstrated that T2DM patientsu2019 score in the insulin use subscale of the DKT-C was positively correlated with the total score of the DMSES, indicating that patients with better insulin use-related knowledge tended to have high level of self efficacy. However, no correlation was found between the score in the general test subscale of the DKT-C and the total score of DMSES. The absence of such correlation may be caused by the fact that patientsu2019 disease knowledge does not always contribute to better self efficacy [6, 7]. As for the correlation between the score of the insulin use subscale and the total score of the DMSES, the significant correlation can be explained by the health belief of Chinese population. Chinese people tend to attribute the good control over diseases to medications rather than to lifestyles including healthy diet and exercises. Therefore, the transformation of insulin use-related knowledge into confidence in conducting proper self-management behaviors could be easier than the transformation of the general DM knowledge to self efficacy.