Objective: To examine the status of self-efficacy and to explore association of self-efficacy with glycemic control among type 2 diabetes mellitus (T2DM) patients in Shandong province, China for providing evidences to the implementation of self-efficacy based empowerment education in community T2DM patients.
Methods: We conducted a questionnaire survey and fasting blood glucose (FBG) measurement among 2 250 urban and rural T2MD patients recruited in four municipalities of Shandong province with stratified multistage random sampling from August to October, 2017. The Chinese Version of Diabetes Empowerment Scale-Short Form (C-DES-SF) was used to measure the patients′ empowerment and FBG detection was used to evaluate glycemic control. Pearson correlation analysis and multivariate linear regressions analysis were used to analyze correlations between the score of patient empowerment and FBG values.
Results: Totally 2 160 T2DM patients completed the survey and the response rate was 85.7%. For all the participants, the mean score of self-efficacy was 3.99 ± 0.64 and the mean FBG was 8.02 ± 2.79 mmol/L. The score of self-efficacy was reversely correlated with FBG level ( r = – 0.05, P < 0.05). Linear regression revealed a significant partial regression coefficent for the correlation between the score of self-efficacy and FBG level ( β = – 0.28, P < 0.05) after adjusting for gender, age, and number of family member.
Conclusion: The promotion of self-efficacy is helpful to glycemic control among T2DM patients and empowerment education should be included as an essential components of diabetes education programs in future among community T2DM patients.
［摘 要］ 目的 了解山东省 2 型糖尿病患者自我效能状况, 分析自我效能与血糖控制的关系, 为社区开展以自我效能为基础的赋能教育提供证据支持。 方法 采用多阶段分层随机抽样方法, 于 2017 年 8 月 — 10 月, 对山东省青岛市、济南市、潍坊市、菏泽市的 2 520 名 2 型糖尿病患者进行空腹血糖测试和自我效能状况调查。采用 Pearson 相关分析和多元线性回归分析自我效能与空腹血糖的关系以及自我效能对空腹血糖值的影响。 结果 完成调查患者 为 2 160 例, 完成率为 85.7 % ; 患者自我效能得分为 (3.99 ± 0.64) 分; 患者平均空腹血糖值 (FPG) 为 (8.02 ± 2.79) mmol/L; 自我效能与空腹血糖值呈负相关, 相关系数 ( r) 为–0.05 ( P < 0.05) ; 在控制性别、年龄、家庭人口等人口经济学特征之后, 自我效能与空腹血糖值之间的偏回归系数为–0.28 ( P < 0.05) 。 结论 自我效能的提升有利于患者血糖的控制, 未来社区教育应更加注重以提升自我效能为基础的赋能教育。