Model of predicting the level of self - management among type 2 diabetic patients at Thanh nhan Hospital in 2020

Huyền Đỗ Thị Thu1, Trương Quang Trung, Nguyễn Thanh Xuân, Hoàng Tuấn Anh, Phạm Thị Thanh Phương, Dương Thị Thu Huyền
1 Đại học Y Hà Nội

Main Article Content

Abstract

A cross-sectional descriptive study to analyse the effects of several factors on the self-management level of type 2 diabetic patients at Thanh Nhan Hospital in 2020. Result: The linear regression model includes 8 independent variables with statistical significance (Adjusted R² = 0.435; ANOVA for F(8, 349) = 35.330; p <0.001). Three variables are likely to affect the self-management level, including "Duration of disease" (β = -0.121; 95% CI: 0.074 – 0.572; p = 0.011), “Health literacy” (β = 0.403; 95% CI: 0.547 – 1,066; p < 0.001), and "HbA1c" (β = -0.452; 95% CI: -3,922, -2,605; p < 0.001). Conclusion: It is necessary to improve the self-management for patients with type 2 diabetes by glycemic control, increase the health literacy and reduce the duration time of disease as well as delay the complications caused by type 2 diabetes.

Article Details

References

1. Tạ Văn Bình. Dịch tễ học bệnh đái tháo đường ở Việt Nam các phương pháp điều trị và biện pháp dự phòng. Nhà xuất bản Y học, Hà Nội. 2006.
2. IDF Diabetes Atlas. Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes research and clinical practice. 2018;138:271-281.
3. Bộ Y tế. Tài liệu tóm tắt Atlat về đái tháo đường của liên đoàn đái tháo đường thế giới (IDF) công bố Atlas ấn bản lần thứ 8. 2017;1-3.
4. Funnell MM, Anderson RM. Empowerment and self-management of diabetes. Clinical diabetes. 2004; 22(3): 123-127.
5. Rahayu HT. Living with chronic illness: factors associated with self-management behavior among community diabetes patients in Indonesia. Master’s Thesis, National Cheng Kung University, taiwan. 2014.
6. Kalayou K.B, Haftu B.G, Hailemariam B.K. Adherence to diabetes self -management practices among type 2 diabetic patients in Ethiopia; a cross-sectional study. Greener J Med Sci. 2013;3(6):211-221.
7. Hoàng Thị Thu, Đỗ Thị Lan Hương, Đàm Thị Thúy Hồng và cộng sự. Khảo sát nhận thức và nhu cầu thông tin của người bệnh đái tháo đường typ 2 điều trị tại bệnh viện Quân y 103. 2016.
8. Duong Van Tuyen et al. Health literacy Survey in Taiwan and Vietnam. Taipei Medical University, taiwan. 2015.
9. Long Nguyen Hoang. Factors related to postoperative symptoms among patients undergoing abdominal surgery. Master’s Thesis, Faculty of Nursing, burapha University, thailand. 2010.
10. Lee C-L, Lin C-C, Anderson R. Psychometric evaluation of the diabetes self-management instrument short form (DSMI-20). Applied Nursing Research. 2016;29:83-88.
11. Thojampa S, Mawn B. The moderating effect of social cognitive factors on self-management activities and HbA1c in Thai adults with type-2 diabetes. International Journal of Nursing Sciences. 2017;4(1):34-37.
12. Vas A, Devi ES, vidyasagar S, et al. Effectiveness of self-management programmes in diabetes management: A systematic review. 2017;23(5):e12571.
13. Ko S-H, Park S-A, Cho J-H, et al. Influence of the duration of diabetes on the outcome of a diabetes self-management education program. Diabetes & metabolism journal. 2012;36(3):222.
14. Kindig DA, Panzer AM, Nielsen-Bohlman L. Health literacy: a prescription to end confusion.  National Academies Press. 2004.
15. Geboers B, Winter AF, Spoorenberg SL, et al. The association between health literacy and self-management abilities in adults aged 75 and older, and its moderators. 2016;25(11):2869-2877.