Volume 19 Issue 4
Apr.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(4): 621-624, 666
WU Shi-shi, LIU Yu, LIN Ke-ke, LI Ming-zi, GUO Hong. The mediating effect of diabetes self-efficacy between perceived role demands and diabetes self-management among community patients with type 2 diabetes[J]. Chinese Journal of General Practice, 2021, 19(4): 621-624, 666. doi: 10.16766/j.cnki.issn.1674-4152.001877
Citation: WU Shi-shi, LIU Yu, LIN Ke-ke, LI Ming-zi, GUO Hong. The mediating effect of diabetes self-efficacy between perceived role demands and diabetes self-management among community patients with type 2 diabetes[J]. Chinese Journal of General Practice, 2021, 19(4): 621-624, 666. doi: 10.16766/j.cnki.issn.1674-4152.001877
shu

The mediating effect of diabetes self-efficacy between perceived role demands and diabetes self-management among community patients with type 2 diabetes

doi: 10.16766/j.cnki.issn.1674-4152.001877
  • 1.

    School of Nursing, Beijing University of Chinese Medicine, Beijing 102488, China

Funds:

 2020-JYB-XJSJJ-030

 18SRB009

  • Received Date: 2020-07-15
    Available Online: 2022-02-16
    Abstract
  •   Objective  To investigate the status of perceived role demands, explore the mediating effect of self-efficacy between perceived role demands and self-management among people with type 2 diabetes (T2DM) in China.  Methods  A cross-sectional study was conducted in this study. A total of 210 patients with type 2 diabetes from Jimenli Community Health Service Center in Beijing from May 2016 to June 2016 were surveyed by using perceived role demands scale, self-efficacy scale and siabetes self-management scale for patients with T2DM.  Results  The score of perceived role demands scale ranged from 0 to 9, with median as 0; 66.19% percent of the patients were responsible for household chores, followed by work and child care. There were statistically differences in the perceived role demands of work, household chores and child care between different genders (all P < 0.05). Seventy-eight point five seven percent of patients' self-efficacy scores were in a relatively middle and high level; 65.24% patients' self-efficacy scores were in a middle to low level.Among them, perceived role demands were negatively associated with self-efficacy, and self-efficacy was positively associated with self-management. Perceived role demands were significantly correlated with self-efficacy and self-management (P < 0.05). Self-efficacy had a mediating effect between perceived role demands and self-management, the coefficient was -0.101 (P < 0.001). In addition, self-efficacy mediated the effect of perceived role demands on self-management for females but not males.  Conclusion  There is gender difference in perceived role demands of patients with T2DM. Self-efficacy significantly mediates the relationship between perceived role demands and self-management, especially for females. This finding suggests that for those who are with strong perceived role demands, especially for females with diabetes, Clinicians should consider improving self-efficacy to enhance diabetes self-management behaviors in future interventions.

     

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