Factors influencing self-management and health-related quality of life in low-income patients with diabetes: a predictive model

IF 3.1 Q1 NURSING
Jihyon Pahn , Youngran Yang , Sun Hee Kim
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引用次数: 0

Abstract

Background

While previous researchers have explored self-management in populations with diabetes, few have focused on the unique challenges faced by low income patients.

Purpose

To address this gap in knowledge, we aimed to develop a predictive model based on the Information-Motivation-Behavioral skills model, identifying key factors influencing self-management and health-related quality of life among low-income patients with diabetes. While previous researchers have explored self-management in populations with diabetes, limited numbers have focused on the unique challenges faced by low-income patients.

Methods

Structured questionnaires were used for the survey of adult patients in South Korea. A total of 354 participants were included in the analysis, and Partial Least Squares Structural Equation Modeling was employed to analyze the data. Key predictors included diabetes knowledge, fear of hypoglycemia, family support, and self-efficacy.

Results

We found that self-efficacy and self-management had statistically significant direct effects on health-related quality of life, while diabetes knowledge indirectly influenced health-related quality of life through self-efficacy. Despite the hypothesized relationships, no significant effect was observed between any variables and glycated hemoglobin levels, suggesting that socio-economic barriers may impact glycemic control.

Conclusion

We have underscored the importance of tailored educational interventions and continuous support systems to improve self-efficacy and diabetes self-management in low-income populations, contributing to enhanced health-related quality of life. Future research should explore interventions targeting these barriers to improve both glycemic control and quality of life in disadvantaged patients with diabetes.
影响低收入糖尿病患者自我管理和健康相关生活质量的因素:一个预测模型
虽然以前的研究人员已经探索了糖尿病患者的自我管理,但很少有人关注低收入患者面临的独特挑战。为了解决这一知识空白,我们旨在建立一个基于信息-动机-行为技能模型的预测模型,确定影响低收入糖尿病患者自我管理和健康相关生活质量的关键因素。虽然以前的研究人员已经探索了糖尿病患者的自我管理,但很少有人关注低收入患者面临的独特挑战。方法采用结构化问卷法对韩国成年患者进行调查。分析共纳入354名参与者,采用偏最小二乘结构方程模型对数据进行分析。主要预测因素包括糖尿病知识、对低血糖的恐惧、家庭支持和自我效能。结果自我效能感和自我管理对健康相关生活质量有显著的直接影响,而糖尿病知识通过自我效能感间接影响健康相关生活质量。尽管存在假设的关系,但没有观察到任何变量与糖化血红蛋白水平之间的显著影响,这表明社会经济障碍可能影响血糖控制。结论:我们强调了量身定制的教育干预和持续支持系统对提高低收入人群自我效能感和糖尿病自我管理的重要性,有助于提高与健康相关的生活质量。未来的研究应探索针对这些障碍的干预措施,以改善弱势糖尿病患者的血糖控制和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.80
自引率
0.00%
发文量
45
审稿时长
81 days
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