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首页> 外文学位 >The moderating effect of social cognitive factors on self-management activities and HbA1c in Thai adults with type 2 diabetes.
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The moderating effect of social cognitive factors on self-management activities and HbA1c in Thai adults with type 2 diabetes.

机译：社会认知因素对泰国2型糖尿病成年人自我管理活动和HbA1c的调节作用。

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摘要

Background. Diabetes mellitus (DM) has become a serious chronic disease. The number of people with DM is approximately 382 million people in the world, with more than 90% of them diagnosed as having type 2 diabetes. The self-management strategies help persons with DM make choices which will develop skills needed to reach their goal of blood glucose control and allow them to be successful in reaching goals. Social cognitive theory (SCT) has been used in this study to provide a framework which considers social support, self-efficacy as well as health beliefs based on religious values on self-management activities and HbA1c.;Objective. To examine the impact of self-management activities on HbA1c for persons with DM and to examine the impact of social support, self-efficacy and Buddhist values as moderators on the relationship between the self-management activities and HbA1c.;Method. This study is a cross-sectional design. The sample included 401 Thai adults diagnosed with type 2 diabetes, age 20 -- 65 years old who had at least one HbA1c test in the last three months were recruited. Participants completed four questionnaires to measure self-management activities as well as self-efficacy, Buddhist values and social support as moderating factors on self-management activities and HbA1c.;Results. The self-management activities were negatively associated (beta = -2.05, p ≤ 0.001) with HbA1c. Looking at the relationship of the four subscales, Glucose management (GM), Dietary control (DC), Physical activity (PA) and Health care use (HU) were strongly negatively associated with HbA1c (beta= -2.63, p ≤ 0.001; beta = -1.46, p ≤ 0.001; beta = -1.79, p ≤ 0.001; beta = -1.43, p ≤ 0.001). The Social support, self-efficacy and Buddhist value had a significant interaction effect between self-management activities and HbA1c (beta = -0.97, p 0.05, beta -0.18, p ≤ 0.05 and beta = -2.76, p ≤ 0.001).;Conclusion. The diabetes self-management activities were more strongly associated with HbA1c under conditions of high social support, self-efficacy and health beliefs with Buddhist values. There was a strong association between self-management activities and HbA1c with an inverse relationship which means that higher self-management activities led to a lower value of HbA1c.;Keywords: Type 2 diabetes; Self-management activities; Social support; Self-efficacy and Buddhist value.
机译：背景。糖尿病（DM）已成为一种严重的慢性疾病。世界上患有DM的人数约为3.82亿，其中90％以上被诊断患有2型糖尿病。自我管理策略可帮助患有DM的人做出选择，这些选择将发展实现其血糖控制目标所需的技能，并使他们成功地达到目标。社会认知理论（SCT）已用于本研究中，以提供一个框架，该框架考虑基于自我管理活动和HbA1c的宗教价值观的社会支持，自我效能以及健康信念。研究自我管理活动对DM人群的HbA1c的影响，并考察社会支持，自我效能感和佛教价值观作为调解人对自我管理活动与HbA1c之间关系的影响。这项研究是横断面设计。样本包括401名泰国确诊为2型糖尿病，年龄在20-65岁之间的成年人，他们在过去三个月中至少进行了一次HbA1c检测。参加者完成了四份问卷，以测量自我管理活动，自我效能，佛教价值观和社会支持，作为影响自我管理活动和HbA1c的调节因素。自我管理活动与HbA1c负相关（β= -2.05，p≤0.001）。从四个分量表的关系来看，血糖管理（GM），饮食控制（DC），体育锻炼（PA）和医疗保健使用（HU）与HbA1c呈显着负相关（β= -2.63，p≤0.001；β ＝ -1.46，p≤0.001；β＝ -1.79，p≤0.001；β＝ -1.43，p≤0.001）。社会支持，自我效能感和佛教价值在自我管理活动和HbA1c之间具有显着的交互作用（β= -0.97，p 0.05，β-0.18，p≤0.05和β= -2.76，p≤0.001）。结论。在高度的社会支持，自我效能感和具有佛教价值观的健康信念的条件下，糖尿病的自我管理活动与HbA1c密切相关。自我管理活动与HbA1c之间存在强关联，并呈反比关系，这意味着较高的自我管理活动导致HbA1c值较低。自我管理活动；社会支持;自我效能感和佛教价值。

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  • 作者

    Thojampa, Somsak.;

  • 作者单位

    University of Massachusetts Lowell.;

  • 授予单位 University of Massachusetts Lowell.;
  • 学科 Health sciences.;Nursing.;Health care management.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 82 p.
  • 总页数 82
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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