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Effects of depression, diabetes distress, diabetes self-efficacy, and diabetes self-management on glycemic control among Chinese population with type 2 diabetes mellitus
Lin, Keke1,2; Park, Chang1; Li, Mingzi2; Wang, Xiudong3; Li, Xiushu4; Li, Wei5; Quinn, Laurie1
通讯作者Li, Mingzi(2)
关键词Diabetes Glycemic control Diabetes self-management Diabetes self-efficacy Depression Diabetes distress
刊名DIABETES RESEARCH AND CLINICAL PRACTICE
2017-09-01
DOI10.1016/j.diabres.2017.03.013
131页:179-186
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Endocrinology & Metabolism
研究领域[WOS]Endocrinology & Metabolism
关键词[WOS]SOCIAL DETERMINANTS ; HEALTH ; ADULTS ; CARE ; VALIDATION ; ADHERENCE ; OUTCOMES ; WOMEN ; SCALE
英文摘要

Aim: To examine the direct and indirect effects of depression, diabetes distress, diabetes self-efficacy and diabetes self-management on glycemic control among a group of T2DM patients in China.

Method: A convenience sample of 254 participants were selected from three outpatient departments in Beijing, China. They were surveyed using a self-administered questionnaire. Diabetes-related information was retrieved from their medical records. Descriptive statistics, independent student t tests, Chi-square tests, correlation analyses and Generalized Structural Equation Modeling were used.

Results: Only 91 (35.82%) participants achieved optimal glycemic control of HbA1c < 7.0% (53 mmol/mol). Only diabetes self-management had a direct effect on glycemic control (OR = 0.95, P < 0.001). Depression and diabetes distress had only indirect effects on glycemic control through both diabetes self-efficacy and diabetes self-management. Diabetes selfefficacy only had an indirect effect on glycemic control through diabetes self-management.

Conclusions: Glycemic control among Chinese population with T2DM was suboptimal. Future interventions should focus on decreasing depressive symptoms and diabetes distress levels, and, therefore, improve diabetes self-efficacy and self-management practices and, ultimately, reach the optimal goal of glycemic control. (C) 2017 Elsevier B.V. All rights reserved.

语种英语
WOS记录号WOS:000415197900020
通讯作者邮箱limingzi@bjmu.edu.cn
引用统计
被引频次:1[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/135084
专题北京大学护理学院
北京大学护理学院_护理学院
作者单位1.Beijing Jingmei Grp Gen Hosp, Dept Endocrinol, Beijing, Peoples R China;
2.Peking Univ, Peoples Hosp, Emergency Room, Beijing, Peoples R China;
3.Peking Univ, Dept Endocrinol, Hosp 1, Beijing, Peoples R China;
4.Univ Illinois, Coll Nursing, Chicago, IL USA;
5.Peking Univ, Hlth Sci Ctr, Sch Nursing, 38 Xueyuan Rd, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Lin, Keke,Park, Chang,Li, Mingzi,et al. Effects of depression, diabetes distress, diabetes self-efficacy, and diabetes self-management on glycemic control among Chinese population with type 2 diabetes mellitus[J]. DIABETES RESEARCH AND CLINICAL PRACTICE,2017,131:179-186.
APA Lin, Keke.,Park, Chang.,Li, Mingzi.,Wang, Xiudong.,Li, Xiushu.,...&Quinn, Laurie.(2017).Effects of depression, diabetes distress, diabetes self-efficacy, and diabetes self-management on glycemic control among Chinese population with type 2 diabetes mellitus.DIABETES RESEARCH AND CLINICAL PRACTICE,131,179-186.
MLA Lin, Keke,et al."Effects of depression, diabetes distress, diabetes self-efficacy, and diabetes self-management on glycemic control among Chinese population with type 2 diabetes mellitus".DIABETES RESEARCH AND CLINICAL PRACTICE 131(2017):179-186.
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