Self-efficacy affecting blood sugar control among adolescents with type I diabetes mellitus
Resource
Journal of the Formosan Medical Association, 109(7), 503-510
Journal
Journal of the Formosan Medical Association
Journal Volume
109
Journal Issue
7
Pages
503-510
Date Issued
2010-07
Date
2010-07
Author(s)
CHIH, AN-HSUAN
JAN, CHYI-FENG
SHU, SAN-GING
LUE, BEE-HORNG
Abstract
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 HbA 1c 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.
SDGs
File(s)![Thumbnail Image]()
Loading...
Name
Self-efficacy affecting blood sugar control among adolescents with type I diabetes mellitus.pdf
Size
386.75 KB
Format
Adobe PDF
Checksum
(MD5):a93941c0c39755341d26e81768ca58d2