Correlation of self-management, dietary compliance and psychological burdenwith glycemic level in patients with type 2 diabetes mellitus
YANG Nan1, HE Sheng-wen1, SONG Gui-hua2, WANG Zi-bing2, LI Yan-jie1
1. School of Public Health, Weifang Medical University, Weifang, Shandong 261053, China; 2. The First Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261053, China
Abstract：Objective To understand the current status of knowledge, attitude and behavior about self-management, dietary compliance and psychological burden in patients with type 2 diabetes mellitus, and to explore their associations with glycemic level. Methods A random sampling method was used to select 330 patients with type 2 diabetes mellitus hospitalized in a grade-A tertiary hospital in Weifang City from September 2019 to October 2020 to serve as the research subjects. Generalinformation questionnaire, human index test table, Diabetes Self-management Knowledge, Attitude, and Behavior Assessment Scale, Dietary Behavior Compliance Scale and Diabetes Distress Scale were used to carry out questionnaire surveys. Binary logistic regression analysis was applied to identifying the factors influencing self-management, dietary compliance and psychological burden. Spearman correlation analysis was employed to analyze the correlation among self-management, dietary compliance, andpsychological burden. Multiple linear stepwise regression analysis was conducted to analyze the factors affecting glycemic level. Results Among the 330 research subjects, there were 99 (30.00%) cases with HbA1c < 7%, 184 (55.76%) cases with qualified self-management, 189 (57.27%) cases with qualified diet compliance and 150 (45.45%) cases with slight psychological burden. Binary logistic regression analysis showed that residence (OR=0.495, 95%CI: 0.280-0.874), course of the disease (OR=1.771, 95%CI: 1.421-2.206), hospitalization frequency of diabetes (OR=2.481, 95%CI: 1.396-4.408), whether or not receiving professional systematic education (OR=3.649, 95%CI: 1.239-10.751) and combined control based on medicine, diet and exercise (OR=4.354, 95%CI: 2.419-7.838) were the factors influencing self-management. Age (OR=1.525, 95%CI:1.119-2.078), gender (OR=2.543, 95%CI: 1.465-4.415), whether or not receiving professional systematic education (OR=3.085, 95%CI: 1.368-6.960) and combined control based on medicine, diet and exercise (OR=11.910, 95%CI: 6.323-22.432) were the factors influencing dietary compliance. Age (OR=0.739, 95%CI: 0.559-0.979) and course of the disease (OR=0.543, 95%CI:0.449-0.657) were the factors influencing psychological burden. There was a correlation between self-management and dietary compliance, psychological burden as well as between dietary compliance and psychological burden (r=0.586, r=-0.443, r=-0.168; all P<0.05). Multiple linear stepwise regression analysis showed that dietary compliance, grip strength, combined control based on medicine, diet and exercise and psychological burden were the factors influencing the glycemic level of the patients with type 2 diabetes mellitus (P<0.05). Conclusion The glycemic level of the patients with type 2 diabetes mellitus is closely related to dietary compliance, psychological burden and combined control mode. Developing comprehensive prevention and control measures and improving dietary compliance and grip strength are conducive to helping the diabetic patients maintain good glycemic level.
杨楠, 贺圣文, 宋桂花, 王子兵, 李艳杰. 2型糖尿病患者自我管理、饮食依从性、心理负担与血糖水平的相关研究[J]. 实用预防医学, 2021, 28(7): 774-779.
YANG Nan, HE Sheng-wen, SONG Gui-hua, WANG Zi-bing, LI Yan-jie. Correlation of self-management, dietary compliance and psychological burdenwith glycemic level in patients with type 2 diabetes mellitus. , 2021, 28(7): 774-779.
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2021, Vol. 28 
