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03-09-2016 | Uitgave 2/2017

Quality of Life Research 2/2017

Self-management behavior among patients with diabetic retinopathy in the community: a structural equation model

Tijdschrift:
Quality of Life Research > Uitgave 2/2017
Auteurs:
Li Yang, Qunhong Wu, Yanhua Hao, Yu Cui, Libo Liang, Lijun Gao, Mingli Jiao, Ning Ning, Hong Sun, Zheng Kang, Liyuan Han, Ye Li, Hui Yin
Belangrijke opmerkingen
Li Yang, Yu Cui, and Libo Liang contributed equally to this article.

Abstract

Purpose

Diabetic retinopathy (DR) is an important, chronic complication of diabetes, requiring competent self-management that depends on adherence to behavioral regimens. This study attempted to identify factors influencing self-management behaviors and develop a model illustrating the interdependence of several factors associated with DR patients.

Methods

In June–December 2012, 368 patients with DR completed questionnaires assessing self-management behavior, diabetes knowledge, health beliefs, social support, and treatment adherence. Structural equation modeling was used to test predicted pathways linking self-management behavior to diabetes knowledge, health beliefs, social support, and treatment adherence.

Results

The results indicated that health beliefs, treatment adherence, and duration of diabetes each had a direct impact on diabetes self-management (p < 0.05). Diabetes knowledge only indirectly influenced diabetes self-management, through health beliefs. Social support had a direct impact on diabetes self-management (β = 0.35, p < 0.01), and an indirect influence on diabetes self-management, through treatment adherence (β = 0.77, p < 0.01).

Conclusion

Health beliefs, treatment adherence, and social support directly affect diabetes self-management, and diabetes knowledge indirectly affects diabetes self-management. This suggests that enhancing DR patients’ health beliefs, treatment adherence, and social support would facilitate their diabetes self-management. Meanwhile, improved health education can strengthen diabetes knowledge, which in turn, can positively affect diabetes self-management.

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