Mediating Effects of Health Literacy Between Self-Efficacy and Quality of Life in Patients with Type 2 Diabetes Mellitus.

IF 3 3区医学 Q3 ENDOCRINOLOGY & METABOLISM

Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-09-23 eCollection Date: 2025-01-01 DOI:10.2147/DMSO.S546698

Jiayao Li, Yue Lin, Xiaomiao Li, Yi Cui, Qianqian Wang, Anping Ouyang, Yan Hua

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Abstract

Objective: The purpose of this study is to investigate how health literacy mediates the link between type 2 diabetes mellitus patients' self-efficacy and quality of life.

Methods: Between January 2025 and April 2025, researchers gathered a convenience sample of T2DM patients from six hospitals in Shaanxi Province, China. These participants completed the Diabetes-Management SE Scale, Health Literacy Scale for Chronic Patients, and the Short Form 36 Health Survey Questionnaire to assess their self-efficacy, health literacy, and quality of life. We used SPSS 27.0 and Mplus 8.3 software to perform statistical analysis of the relationships between variables.

Results: Patients with T2DM had a moderate quality of life score of 59.48 ± 14.57. Self-efficacy and quality of life were positively correlated (r = 0.950, p < 0.001). Furthermore, the association between self-efficacy and quality of life was partially mediated by health literacy (β = 0.276, 95% CI = 0.201-0.346, p < 0.001), with the mediating impact explaining 36.0% of the overall effect.

Conclusion: In patients with T2DM, self-efficacy and quality of life are substantially correlated, and health literacy mediates this relationship. The above findings provide scientific evidence for developing intervention strategies.

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健康素养在2型糖尿病患者自我效能感与生活质量之间的中介作用

目的：探讨健康素养在2型糖尿病患者自我效能感与生活质量之间的中介作用。方法：在2025年1月至2025年4月期间，研究人员从中国陕西省的六家医院收集了T2DM患者的方便样本。这些参与者完成了糖尿病管理量表、慢性患者健康素养量表和36表格健康调查问卷，以评估他们的自我效能感、健康素养和生活质量。我们使用SPSS 27.0和Mplus 8.3软件对变量间关系进行统计分析。结果：T2DM患者生活质量评分为59.48±14.57。自我效能感与生活质量呈正相关（r = 0.950, p < 0.001）。此外，自我效能感与生活质量之间的关联部分被健康素养介导（β = 0.276, 95% CI = 0.201-0.346, p < 0.001），其中介影响解释了36.0%的总体效应。结论：T2DM患者自我效能感与生活质量显著相关，健康素养在其中起中介作用。上述发现为制定干预策略提供了科学依据。

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

Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pharmacology, Toxicology and Pharmaceutics-Pharmacology

CiteScore

5.90

自引率

6.10%

发文量

431

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed, open access, online journal. The journal is committed to the rapid publication of the latest laboratory and clinical findings in the fields of diabetes, metabolic syndrome and obesity research. Original research, review, case reports, hypothesis formation, expert opinion and commentaries are all considered for publication.