Mediating effect of social participation on self-management and social isolation in elderly patients with type 2 diabetes mellitus

WANG Jing; LIN Keke; SUN Chao; WU Quanying; BAI Xiaoyan; WEI Yiwen; LIU Yu

doi:10.16766/j.cnki.issn.1674-4152.003660

Volume 22 Issue 9

Sep. 2024

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Article Navigation > Chinese Journal of General Practice > 2024 > 22(9): 1467-1470

WANG Jing, LIN Keke, SUN Chao, WU Quanying, BAI Xiaoyan, WEI Yiwen, LIU Yu. Mediating effect of social participation on self-management and social isolation in elderly patients with type 2 diabetes mellitus[J]. Chinese Journal of General Practice, 2024, 22(9): 1467-1470. doi: 10.16766/j.cnki.issn.1674-4152.003660

Citation:

WANG Jing, LIN Keke, SUN Chao, WU Quanying, BAI Xiaoyan, WEI Yiwen, LIU Yu. Mediating effect of social participation on self-management and social isolation in elderly patients with type 2 diabetes mellitus[J]. Chinese Journal of General Practice, 2024, 22(9): 1467-1470. doi: 10.16766/j.cnki.issn.1674-4152.003660

Citation:

WANG Jing, LIN Keke, SUN Chao, WU Quanying, BAI Xiaoyan, WEI Yiwen, LIU Yu. Mediating effect of social participation on self-management and social isolation in elderly patients with type 2 diabetes mellitus[J]. Chinese Journal of General Practice, 2024, 22(9): 1467-1470. doi: 10.16766/j.cnki.issn.1674-4152.003660

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Mediating effect of social participation on self-management and social isolation in elderly patients with type 2 diabetes mellitus

doi: 10.16766/j.cnki.issn.1674-4152.003660

WANG Jing¹
, LIN Keke¹
, SUN Chao²
, WU Quanying²
, BAI Xiaoyan¹
, WEI Yiwen¹
, LIU Yu^{1
,
,}

1.
School of Nursing, Beijing University of Chinese Medicine, Beijing 100029, China

Funds:

18SRB009

2022-JYB-JBZR-026

Received Date: 2024-01-09

Abstract

Abstract

Objective To analyze the influence pathway of self-management on social isolation in elderly patients with type 2 diabetes mellitus (T2DM) and the mediating role of social participation. Methods The social isolation status of er adults with T2DM treated in hospitals or community health service centers in Beijing from May to November 2023 was investigated with the Lubben social network scale-6, the summary of diabetes self-care activities and impact on participation and autonomy questionnaire. Structural equation model of social isolation and self-management and social participation were constructed to analyze the mediating effects of social participation. Results Among 496 er adults with T2DM, 227 experienced social isolation, and the incidence was 45.77%. The er adults experienced social isolation in family dimension and friend dimension were 74 (14.92%) and 239 (48.19%), respectively. The structural equation model parameter estimated converge well, while the posterior predicted P-value of the model was 0.371>0.05, which meant a good fit. The model showed that exercise management and smoking had a negative direct effect on social isolation (-0.136 and -0.132), and also indirect effected through social participation (-0.201 and -0.079), with a mediation effect ratio of 59.47% and 37.44%. Conclusion Self-management (exercise and smoking) and social participation in elderly patients with type 2 diabetes can predict the occurrence of social isolation. Social participation plays a mediating role in the relationship between diabetes self-management (exercise and smoking) and social isolation.
- Type 2 diabetes mellitus,
- Older adult,
- Social isolation,
- Social participation,
- Self-management,
- Mediating effect

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Mediating effect of social participation on self-management and social isolation in elderly patients with type 2 diabetes mellitus

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Mediating effect of social participation on self-management and social isolation in elderly patients with type 2 diabetes mellitus

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