Relationships of multidimensional factors to self-management in patients with diabetes: A Cross-sectional, correlational study

Geriatr Nurs. 2024 Jan-Feb:55:270-276. doi: 10.1016/j.gerinurse.2023.11.020. Epub 2023 Dec 13.

Abstract

Poor self-management in patients with diabetes is a consistent issue, leading to diabetes complications. The purpose of this study was to examine the relationships of demographic, cognitive, psychological, social, and physiological factors to self-management in patients with diabetes. In this cross-sectional, correlational study, data were collected from 98 patients through REDCap in 2023. Multiple regression analysis was used to address the study purpose. In the sample, adherence to adequate self-management was poor. Knowledge, self-efficacy, and body mass index (BMI) were associated with overall diabetes self-management. Self-efficacy and BMI were associated with diet and exercise. Knowledge and self-efficacy were associated with blood glucose testing. No factors were associated with smoking and foot care. In conclusion, different factors were associated with different types of self-management, but BMI and self-efficacy were associated with most types of self-management. Clinicians and researchers can target BMI, self-efficacy, and knowledge to improve self-management in patients with diabetes.

Keywords: Body mass index; Diabetes mellitus; Knowledge; Self-efficacy; Self-management.

MeSH terms

  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2* / psychology
  • Diabetes Mellitus, Type 2* / therapy
  • Exercise / psychology
  • Health Behavior
  • Humans
  • Self Care / methods
  • Self Efficacy
  • Self-Management*