2 型糖尿病患者的知识、自我效能、心理和身体健康概况及其与疗效的关系

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2024-10-28 DOI:10.1016/j.pec.2024.108482

Sabrina K.W. Wong , Jeremy Lew , Winnie Soon , Konstadina Griva , Helen Elizabeth Smith , Su Chi Lim

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引用次数: 0

摘要

背景自我管理受知识、自我效能、心理健康（一般心理健康和糖尿病相关困扰）和身体健康（KSPP）的影响，KSPP的变化导致糖尿病自我管理教育（DSME）项目结果的异质性。本研究旨在确定独特的 KSPP 特征及其与自我管理行为的关联。对糖尿病知识、自我效能、糖尿病相关困扰、身心健康、自我护理、坚持用药和社会支持进行了评估。对八个 KSPP 变量进行了混合模型潜在特征分析，并对不同特征的社会人口、自我护理（饮食、体育锻炼和服药依从性）和血糖水平进行了比较。结果确定了四个独特的 KSPP 特征：特征 1（无困扰）、特征 2（困扰：糖尿病特异性）、特征 3（困扰：全球性）和特征 4（激活）。特征 3 与自我护理水平最低、血糖水平最高和社会支持水平最低有关。我们的研究发现了新的 KSPP 特征，这些特征与不同的自我管理行为和代谢特征相关。

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Profiles of knowledge, self-efficacy, psychological and physical health in type 2 diabetes and its association with outcomes

Background

Self-management is impacted by knowledge, self-efficacy, psychological health (general mental health and diabetes-related distress) and physical health (KSPP), and variations in KSPP contribute to heterogeneity in diabetes self-management education (DSME) program outcomes. This study aimed to identify unique KSPP profiles, and their associations with self-management behaviors.

Methods

A cross-sectional survey was conducted in 518 participants with type 2 diabetes. Diabetes knowledge, self-efficacy, diabetes-related distress, mental and physical health, self-care, medication adherence and social support were assessed. A mixed-model latent profile analysis was conducted on eight KSPP variables, and sociodemographic, self-care (diet, physical activity, and medication adherence), and glycemic levels were compared across profiles.

Results

Four unique KSPP profiles were identified: profile 1 (untroubled), profile 2 (distressed: diabetes-specific), profile 3 (distressed: global) and profile 4 (activated). Profile 3 was associated with the lowest self-care, highest glycemic and lowest social support levels. Profile 4 was associated with the highest self-care, lowest glycemic and highest social support levels.

Conclusions

Our study identified novel KSPP profiles, which were associated with differential self-management behaviors and metabolic profiles.

Practice implications

Identifying KSPP profiles might improve self-management support through identifying clustering of care needs, and support more targeted DSME development.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.