Model Construction Of Influencing Factors Of Self-Manageme Nt Behavior In Type 2 Diabetes Patients

Objective To investigate the status quo of social support,perceived control,self-regulatory fatigue and self-management behavior of type 2 diabetes patients;To construct a structural equation model between four variables,explore the path relationship of social support,perceived control,and self-regulatory fatigue on self-management behavior,and further explore whether there are variables that play a mediating role,so as to provide new ideas for the improvement of self-management behavior of type 2 diabetes patients.MethodsThis study is a cross-sectional survey study.Convenience sampling method was adopted to select type 2 diabetes patients who met the inclusion criteria from the inpatient departments of the Second Affiliated Hospital of Anhui University of Chinese Medicine from December 2021 to October 2022.The research tools included Social Support Revalued Scale(SSRS),Multidimensional Health Locus of Control Scale(MHLC),Se Self-regulatory Fatigue Scale(SRF-S),Diabetes Self-Care Scale(DSCS),the general information questionnaire.Data analysis was performed using SPSS21.0 and AMOS24.0.Descriptive analysis is used for general data;The analysis of influencing factors adopts independent sample t-test and one-way analysis of variance;Select statistically significant variables from t-test or one-way ANOVA and further incorporate them into the regression equation for multiple stepwise regression analysis;The correlation between variables was analyzed using Pearson correlation analysis;Using AMOS24.0 software to construct a structural equation model to analyze the path relationship and action intensity between variables.ResultsThe overall average score of self-management behavior was(82.09±12.89),Among the six dimensions,the score of diet control was(20.09±3.37),the score of exercise was(13.16±2.89),the score of blood glucose monitoring was(11.76±1.56),the score of prescribed medication was(11.82±2.85),the score of high or low blood glucose was(14.42±2.04),the score of foot nursing was(10.85±2.50),and the highest score was prescribed medication.The analysis of the influencing factors showed that :age,perceived control,and social support could jointly explain 37.2% of the variation of self-management behavior.The overall average score of self-regulatory fatigue was(36.80±5.90).Among the three dimensions,the score of cognitive control was(14.08±2.86),the score of emotional control was(11.63±1.79),and the score of behavioral control was(11.0±1.78).The highest score was cognitive control.The analysis of the influencing factors showed that:social support,perceived control,age,and education level could jointly explain 49% of the variation of Self-regulatory fatigue.The overall average score of social support is(40.49±7.58).Among the three dimensions,the score of objective support is(10.55±2.24),the score of subjective support is(22.29±4.79),and the score of utilization of support is(7.65±2.38).The dimension with the highest score is subjective support;The analysis of the influencing factors showed that: marital status and education level could jointly explain 49% of the variation of social support.The overall average score of perceived control was(67.99±10.83).Among the three dimensional scores,the score of internal control was(24.33±4.72),the score of influential others was(26.02±4.52),and the score of opportunity was(17.63±5.80).The dimension with the highest score was influential others.The analysis of the influencing factors showed that: disease course and gender could jointly explain 6.1% of the variation of perceived control.Pearson correlation analysis: social support was positively correlated with perceived control(r=0.275,P<0.01),negatively correlated with self-regulatory fatigue(r=-0.570,P<0.01),and positively correlated with self-management behavior(r=0.532,P<0.01);Perceived control was negatively correlated with self-regulated fatigue(r=-0.317,P <0.01),and positively correlated with self-management behavior(r=0.488,P < 0.01);self-regulatory fatigue was negatively correlated with self-management behavior(r=-0.588,P<0.01).Mediation effect analysis: Perceived control plays a part of intermediary role between social support and self-management behavior;self-regulatory fatigue plays a partial intermediary role in social support and self-management behavior,perceived control and self-management behavior;Perceived control and self-regulatory fatigue play a part of intermediary role between social support and self-management behavior.Conclusions(1)The overall score of self-management behavior of type 2 diabetes patients is below the middle level,self-regulatory fatigue is at the middle level,social support is at the middle level,and perception control is at a low level;In general,age is the main factor affecting self-management behavior,age and education level are the main factors affecting the level of self-regulatory fatigue,marital status and education level are the main factors affecting the level of social support,and disease course and gender are the main factors affecting the level of perceived control.(2)Social support is positively correlated with perceived control,negatively correlated with self-regulatory fatigue,and positively correlated with self-management behavior;Perceived control was negatively correlated with self-regulatory fatigue,and positively correlated with self-management behavior;self-regulatory fatigue is negatively correlated with self-management behavior.(3)Social support,perceived control and self-regulatory fatigue can directly affect self-management behavior;Social support can indirectly affect self-management behavior through perceived control;Social support can indirectly affect self-management behavior through self-regulatory fatigue;Social support can indirectly affect self-management behavior through perceived control and self-regulatory fatigue;perceived control can indirectly affect self-management behavior through self-regulating fatigue.