Self-efficacy Affects Blood Sugar Control Among Adolescents With Type I Diabetes Mellitus

被引:42
作者
Chih, An-Hsuan [1 ]
Jan, Chyi-Feng [1 ]
Shu, San-Ging [3 ]
Lue, Bee-Horng [1 ,2 ]
机构
[1] Natl Taiwan Univ, Dept Family Med, Natl Taiwan Univ Hosp, Taipei 100, Taiwan
[2] Natl Taiwan Univ, Dept Social Med, Coll Med, Taipei 100, Taiwan
[3] Taichung Vet Gen Hosp, Dept Pediat Endocrinol, Taichung, Taiwan
关键词
adolescents; blood sugar; hemoglobin A1c; self-efficacy; type 1 diabetes mellitus; QUALITY-OF-LIFE; GLYCEMIC CONTROL; CHILDREN; CARE; MANAGEMENT; ADHERENCE; BEHAVIORS;
D O I
10.1016/S0929-6646(10)60084-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background/Purpose: Self-management is crucial to diabetes control. To investigate the effectiveness of self-management in reaching target hemoglobin A1c (HbA1c) level, we conducted a study among Taiwanese adolescents with type 1 diabetes mellitus (DM). Methods: Patients aged 12-20 years with type 1 DM participated in an annual integrated DM care clinic at a medical center in Taiwan. All patients completed a questionnaire that included demographic data and self-efficacy measured by the Perceived Diabetes Self-Management Scale (PDSMS) in February 2008. Laboratory tests were also done at the same visit. The target HbA1c was < 7.0% in accordance with the general standard of the American Diabetes Association for patients with type 1 DM. Logistic regression analysis was used to explore the relationship between age, sex, duration of diabetes, PDSMS score, and HbA1c level. Results: Fifty-two patients were enrolled. The mean age was 16.0 +/- 2.4 years, and mean HbA1c level was 8.6 +/- 1.6%. Pearson correlation analysis showed a positive correlation between body mass index and preprandial blood sugar level (r = 0.297, p < 0.05). Negative correlations were found between PDSMS scores and duration of diabetes (r = -0.365, p < 0.01) as well as HbA1c level (r = -0.295, p < 0.05). Logistic regression analysis demonstrated that sex and PDSMS scores significantly influenced glycemic control. In multivariate logistic regression analysis, patients with higher PDSMS scores were 1.63 times (95% confidence interval = 1.03-2.59) more likely to reach target diabetes control after adjustment for other variables. Male patients also had a higher probability (odds ratio = 19.80, 95% confidence interval = 1.34-291.93) of reaching target diabetes control. Conclusion: This study demonstrates that adolescents with type 1 DM and higher self-efficacy, especially males, have a higher probability of reaching target diabetes control.
引用
收藏
页码:503 / 510
页数:8
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