Predictors of Diabetes Self-Management among Type 2 Diabetes Patients

Diabetes mellitus is a public health concern in Malaysia. Treatment of diabetes is costly and can lead to complications if disease is poorly controlled. Diabetes self-management (DSM) is found to be essential for optimal glycemic control. This cross-sectional study was conducted among samples from f...

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Main Authors: Azylina Gunggu, Chang Ching Thon, Cheah Whye Lian
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/9158943
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author Azylina Gunggu
Chang Ching Thon
Cheah Whye Lian
author_facet Azylina Gunggu
Chang Ching Thon
Cheah Whye Lian
author_sort Azylina Gunggu
collection DOAJ
description Diabetes mellitus is a public health concern in Malaysia. Treatment of diabetes is costly and can lead to complications if disease is poorly controlled. Diabetes self-management (DSM) is found to be essential for optimal glycemic control. This cross-sectional study was conducted among samples from four randomly selected diabetes clinics in Sarawak, Malaysia. The aim was to determine the predictors for DSM. Face-to-face interview using questionnaire was used to collect data. Four hundred respondents with type 2 diabetes mellitus (T2DM) were recruited. Majority of the respondents were Sarawak Bumiputra (Iban and Bidayuh, 48.6%) and female (68.6%). The mean age was 58.77 years (SD = 11.46) and approximately half of the respondents (50.6%) had T2DM for six years (SD = 4.46). The mean fasting blood glucose (FBG) was 8.06 mmol/L (SD = 2.94), with majority (76.1%) having the level higher than 6.1 mmol/L. Multiple logistic regression tests showed significant linear relationship between DSM and belief in treatment effectiveness (p=0.001), family support (p=0.007), and self-efficacy (p=0.027). Health care personnel must convince patients with T2DM of the effectiveness of the treatment, empower and enhance their self-efficacy, and enlist the family support so as to ensure patients sustain their DSM efforts.
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spelling doaj-art-1665099ac85649fba32034ac1cdfc0b12025-02-03T01:25:37ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/91589439158943Predictors of Diabetes Self-Management among Type 2 Diabetes PatientsAzylina Gunggu0Chang Ching Thon1Cheah Whye Lian2Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300 Kota Samarahan, Sarawak, MalaysiaDepartment of Nursing, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300 Kota Samarahan, Sarawak, MalaysiaDepartment of Community Medicine and Public Health, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300 Kota Samarahan, Sarawak, MalaysiaDiabetes mellitus is a public health concern in Malaysia. Treatment of diabetes is costly and can lead to complications if disease is poorly controlled. Diabetes self-management (DSM) is found to be essential for optimal glycemic control. This cross-sectional study was conducted among samples from four randomly selected diabetes clinics in Sarawak, Malaysia. The aim was to determine the predictors for DSM. Face-to-face interview using questionnaire was used to collect data. Four hundred respondents with type 2 diabetes mellitus (T2DM) were recruited. Majority of the respondents were Sarawak Bumiputra (Iban and Bidayuh, 48.6%) and female (68.6%). The mean age was 58.77 years (SD = 11.46) and approximately half of the respondents (50.6%) had T2DM for six years (SD = 4.46). The mean fasting blood glucose (FBG) was 8.06 mmol/L (SD = 2.94), with majority (76.1%) having the level higher than 6.1 mmol/L. Multiple logistic regression tests showed significant linear relationship between DSM and belief in treatment effectiveness (p=0.001), family support (p=0.007), and self-efficacy (p=0.027). Health care personnel must convince patients with T2DM of the effectiveness of the treatment, empower and enhance their self-efficacy, and enlist the family support so as to ensure patients sustain their DSM efforts.http://dx.doi.org/10.1155/2016/9158943
spellingShingle Azylina Gunggu
Chang Ching Thon
Cheah Whye Lian
Predictors of Diabetes Self-Management among Type 2 Diabetes Patients
Journal of Diabetes Research
title Predictors of Diabetes Self-Management among Type 2 Diabetes Patients
title_full Predictors of Diabetes Self-Management among Type 2 Diabetes Patients
title_fullStr Predictors of Diabetes Self-Management among Type 2 Diabetes Patients
title_full_unstemmed Predictors of Diabetes Self-Management among Type 2 Diabetes Patients
title_short Predictors of Diabetes Self-Management among Type 2 Diabetes Patients
title_sort predictors of diabetes self management among type 2 diabetes patients
url http://dx.doi.org/10.1155/2016/9158943
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AT cheahwhyelian predictorsofdiabetesselfmanagementamongtype2diabetespatients