https://scholars.lib.ntu.edu.tw/handle/123456789/540785
標題: | Self-efficacy affects blood sugar control among adolescents with type I diabetes mellitus | 作者: | Chih A.-H. CHYI-FENG JAN Shu S.-G. Lue B.-H. |
關鍵字: | Adolescents; Blood sugar; Hemoglobin A1c; Self-efficacy; Type 1 diabetes mellitus | 公開日期: | 2010 | 卷: | 109 | 期: | 7 | 起(迄)頁: | 503-510 | 來源出版物: | Journal of the Formosan Medical Association | 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. ? 2010 Formosan Medical Association & Elsevier. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955505760&doi=10.1016%2fS0929-6646%2810%2960084-8&partnerID=40&md5=f81362a105ba70411f22b48917559d9d https://scholars.lib.ntu.edu.tw/handle/123456789/540785 |
ISSN: | 0929-6646 | DOI: | 10.1016/S0929-6646(10)60084-8 | SDG/關鍵字: | glucose; hemoglobin A1c; antidiabetic agent; glycosylated hemoglobin; insulin; adolescent; adult; age distribution; article; body mass; child; diabetes control; disease duration; female; glucose blood level; glycemic control; human; insulin dependent diabetes mellitus; laboratory test; major clinical study; male; questionnaire; school child; self care; self concept; sex difference; blood; cross-sectional study; drug effect; educational status; follow up; glucose blood level; insulin dependent diabetes mellitus; metabolism; self concept; statistical model; Taiwan; treatment outcome; Adolescent; Blood Glucose; Child; Cross-Sectional Studies; Diabetes Mellitus, Type 1; Educational Status; Female; Follow-Up Studies; Hemoglobin A, Glycosylated; Humans; Hypoglycemic Agents; Insulin; Logistic Models; Male; Questionnaires; Self Efficacy; Sex Factors; Taiwan; Treatment Outcome; Young Adult |
顯示於: | 醫學系 |
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