Study on the status and influencing factors of self-management in community patients with type 2 diabetes mellitus based on socio-ecological model
Objective To explore the status and influencing factors of self-management in community patients with type 2 diabetes mellitus based on socio-ecological model.Methods From Auguast to December,2023,a total of 225 patients with type 2 diabetes mellitus were recruited from several communities in Nanjing and were investigated with a basic information questionnaire,the Diabetes Knowledge Test,the Diabetes Man-agement Self-efficacy Scale and the Summary of Diabetes Self Care Activities based on socio-ecological model.Results The average score of self-management was(47.94±12.91)socre,with a indicator of 62.26%.Educa-tion level,hospitalizations,self-provided glucometer,potation,self-efficacy,medical support,community envi-ronment,geographical position are the main influencing factors of the status of self-management,which could explain 45.0%of the total variation.Conclusion The status of self-management in community patients with type 2 diabetes mellitus is mediocre and influenced by factors at multiple levels of socio-ecological model.To improve the awareness and ability of self-management in community patients with type 2 diabetes mellitus,health departments should comprehensively take various influencing factors into consideration,and carry out pertinent and individualized health education and interventions for them.
Type 2 diabetes mellitusSocio-ecological modelSelf-managementInfluencing fac-torsCommunity