Abstract:Objective To explore the influence of health literacy and empowerment capacity on self-management ability of patients with type 2 diabetes mellitus (T2DM) diagnosed for the first time, and to provide a theoretical basis for self-management intervention of diabetic patients. Methods Six hundred and eighty-seven patients diagnosed with T2DM for the first time were selected through a convenient sampling method, and then investigated by using a self-designed questionnaire, Health Literacy Scale for Patients with Chronic Diseases, Chinese Version-Diabetes Empowerment Scale-Short Form (C-DES-SF) and Chinese Version of Diabetes Self-management Scale. A multiple linear regression model was used to analyze the influence of health literacy and empowerment capacity on self-management ability of the patients with T2DM diagnosed for the first time, and Bootstrap method was employed to test the intermediary effect among health literacy, empowerment capacity and self-management ability. Results The health literacy score of the patients with T2DM diagnosed for the first time was (69.93±23.30), the authorization ability score (3.02±0.96), and the self-management score (24.34±12.40). The scores of three variables, health literacy, empowerment capacity and self-management were positively correlated each other. The results of multiple linear regression analysis showed that health literacy, empowerment capacity and marital status were the factors influencing self-management ability. Empowerment capacity played a part of intermediary effect in the influence of health literacy on self-management, and the intermediary effect accounted for 10.51%. Conclusion In terms of health management of the patients with T2DM diagnosed for the first time, special attention should be paid to improving their health literacy, empowerment capacity and self-management ability.
赵倩, 张锦娟, 鬲洋院, 王丹. 健康素养、授权能力对初诊2型糖尿病患者自我管理能力的影响研究[J]. 实用预防医学, 2023, 30(3): 305-309.
ZHAO Qian, ZHANG Jin-juan, GE Yang-yuan, WANG Dan. Effects of health literacy and empowerment capacity on self-management ability of patients with newly-diagnosed type 2 diabetes mellitus. , 2023, 30(3): 305-309.