Chenyu Zhou, Elizabeth Maitland, Stephen Nicholas, Xiaoyu Tian, Rugang Liu
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引用次数: 0
Abstract
Background: The prevalence of diabetes-related distress is high among diabetes mellitus patients, causing physical, psychological and economic burdens. China's general medical alliances and compact general alliances provide treatment for patients with type 2 diabetes mellitus (T2DM). This study aims to analyse the influence of medical alliances on diabetes-related distress and verified the mediating role of self-efficacy among T2DM patients.
Methods: From one general and one compact medical alliance, data on 2156 T2DM adults >45 y of age were investigated through a questionnaire survey conducted in China. Diabetes-related distress, medical alliance data, self-efficacy information and control variables were collected. Hierarchical linear regression mediation analysis was used to analyse the influence of compact medical alliances and general medical alliances on diabetes-related distress and to verify self-efficacy as a mediator between medical alliances and diabetes-related distress.
Results: Most patients (94.57%) with T2DM were suffering from diabetes-related distress, with an average score of diabetes-related distress (11.77±7.65). The respondents from compact medical alliances had lower diabetes-related distress (11.08±8.64) than from general medical alliances (12.38±6.61). Self-efficacy mediated the association between the type of medical alliance and diabetes-related distress (p<0.05). Higher income, lower health expenditure, lower education level, less sleep time, low physical exercise and low diabetes cognition were significant risk factors of diabetes-related distress (p<0.05).
Conclusions: Compact medical alliances reduced diabetic patients' diabetes-related distress significantly more than general medical alliances. Self-efficacy was a mediator between medical alliances and diabetes-related distress. Accelerating the transformation of the compact medical alliances can decrease diabetes-related distress and provide an integrated program of education, diabetes cognition and optimal sleep and exercise regimens to reduce diabetes-related distress.
期刊介绍：
International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions.
It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.
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