https://scholars.lib.ntu.edu.tw/handle/123456789/203707
標題: | Self-efficacy affecting blood sugar control among adolescents with type I diabetes mellitus | 作者: | CHIH, AN-HSUAN JAN, CHYI-FENG SHU, SAN-GING LUE, BEE-HORNG 池岸軒 詹其峰 徐山靜 呂碧鴻 |
公開日期: | 七月-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 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. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/233079 |
顯示於: | 醫學系 |
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