Diabetes self-management and its related factors among Chinese young adults with type 2 diabetes mellitus.
Qiao He, Yu Liu, Keke Lin and 3 others
PMID 37221986WHAT IT FOUND
Chinese young adults with type 2 diabetes reported taking medication well but doing foot care and blood-glucose testing poorly.
Longer diabetes was linked to worse diet and testing. Higher self-efficacy and a confronting coping style were linked to some better self-care.
Key findings
01Medication taking was the best self-management dimension, and foot care was the worst.
02Blood-glucose testing scores decreased as the length of diabetes increased.
03The study linked higher self-efficacy to better diet, exercise and foot care, and higher distress to worse diet and blood-glucose testing.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was convenience-based from two Beijing clinics, so it may not represent other young adults with type 2 diabetes. The sample had far more men than women, so results may not reflect women. The study was cross-sectional, so it cannot show whether factors caused better or worse self-management. The analyses accounted for less than 20% of the differences in foot care and medication taking scores.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read these associations as proof that raising self-efficacy, reducing distress or encouraging confrontation will improve self-management. The study was cross-sectional and measured self-reported behaviours, so it cannot show cause.