Self-management knowledge, attitudes, and behaviors among patients with type 2 diabetes mellitus in a community of western China: A cross-sectional study

Wei Liu; Biqi Ren; Xiaoying Zhu; Shuzhi Lin; Shuang Lei; Bianling Feng

doi:10.1016/j.gerinurse.2024.10.075

Self-management knowledge, attitudes, and behaviors among patients with type 2 diabetes mellitus in a community of western China: A cross-sectional study

Geriatr Nurs. 2024 Nov 13:61:34-40. doi: 10.1016/j.gerinurse.2024.10.075. Online ahead of print.

Authors

Wei Liu¹, Biqi Ren², Xiaoying Zhu¹, Shuzhi Lin¹, Shuang Lei¹, Bianling Feng³

Affiliations

¹ The Department of Pharmacy Administration, School of Pharmacy, Xi'an Jiaotong University, Xi'an, Shaanxi, China; The Center for Drug Safety and Policy Research, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
² The Department of Pharmacy Administration, School of Pharmacy, Xi'an Jiaotong University, Xi'an, Shaanxi, China; The Center for Drug Safety and Policy Research, Xi'an Jiaotong University, Xi'an, Shaanxi, China; Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an, Shaanxi, China.
³ The Department of Pharmacy Administration, School of Pharmacy, Xi'an Jiaotong University, Xi'an, Shaanxi, China; The Center for Drug Safety and Policy Research, Xi'an Jiaotong University, Xi'an, Shaanxi, China. Electronic address: fengbianling@163.com.

PMID: 39541630
DOI: 10.1016/j.gerinurse.2024.10.075

Abstract

Aims: We aimed to investigate the status quo of self-management knowledge, attitudes, and behaviors (KAB) among patients with type 2 diabetes mellitus (T2DM) in community health service centers.

Methods: We conducted a cross-sectional study of 755 patients from 16 primary community using a questionnaire. Multiple logistic regression was used to explore the independent factors influencing patients' T2DM self-management KAB.

Results: We evaluated 755 patients with T2DM (mean age 64.65 ± 10.53 years). Most patients in this study had lower education levels, and a non-medical professional background. Only the average score for attitude reached a good level; average scores for patients' self-management behavior were at a poor level. Normal blood pressure, not smoking, and a longer course of disease were factors positively influencing good self-management behavior in patients with diabetes.

Conclusion: Patients had positive attitudes toward self-management. Therefore, primary medical institutions should consider implementing tailored educational interventions to enhance diabetes awareness and self-management behaviors among diverse patient populations.

Keywords: Attitude; Behavior; Influencing factor; Knowledge; Self-management; Type 2 diabetes mellitus.