The mediating effect of self-efficacy between the self-management behavior and family support in ru-ral patients with type 2 diabetes mellitus
Objective To analyze the relationship among self-efficacy,family support and diabetes self-management behavior in rural patients with type 2 diabetes mellitus,and to explore the mediating role of self-efficacy between self-management behavior and family support in rural patients with type 2 diabetes mel-litus.Methods From June to July 2023,Jingde county in southern Anhui,Jinzhai county in central Anhui,and Mengcheng county in northern Anhui were selected by multistage stratified cluster random sampling method as investigation sites.A total of 258 patients with type 2 diabetes mellitus were investigated by face-to-face survey.The questionnaire included general situation survey from,the summary of diabetes self-care activities measure,the self-efficacy for diabetes and diabetes family behavior checklist.SPSS 25.0 and AMOS 26.0 softwares were used for descriptive analysis,correlation analysis,common method bias test and mediation analysis.Results The self-management behavior score of rural patients with type 2 diabetes mel-litus was(2.15±0.96).The self-efficacy score was(28.50±7.02).The family support score was(29.37±9.45).Self-efficacy and family support were positively correlated with self-management behavior(r=0.390,0.333,both P＜0.01),and family support was positively correlated with self-efficacy(r=0.511,P＜0.01).Self-efficacy played a partial mediating role between self-management behavior and family support in rural patients with type 2 diabetes,and the mediating effect accounted for 45.2％(0.147/0.325)of the total effect.Conclusion Family support not only has direct influence on self-management behavior of rural pa-tients with diabetes mellitus,but also has indirect influence on self-management behavior by improving self-efficacy.
Type 2 diabetes mellitusSelf-efficacyFamily supportSelf-management behav-iorMediating effect
NETL
NSTL
万方数据
