Abstract：
Approximately 1 in 3 (or 80 million) Chinese age 60 years or older are living with type 2 diabetes in China. New perspectives are needed to understand the intricate phenomenon of diabetes self-management (DSM) in older Chinese adults. Guided by the expanded Tripartite Model of Self-Management, this study aimed to identify the inter-relationships between the tripartite components simultaneously and their influencing factors. This cross-sectional study included a stratified random sample of 98 community-dwelling adults age 60 or older with type 2 diabetes. Findings revealed distinct predictors for knowledge about DSM, DSM behaviors and coping. There were significant inter-relationships among the tripartite components. The theoretical model was a good fit for the data. This study provides valuable insights into the complex relationships between knowledge about DSM, DSM behaviors, and coping strategies, offering direct implications for improving the health outcomes of older adults with diabetes.
摘要：
在中国，年龄在60岁或以上的中国人中约有三分之一（或8000万）患有2型糖尿病。需要新的观点来理解中国老年人糖尿病自我管理（DSM）的复杂现象。在扩展的三方自我管理模式的指导下，这项研究旨在同时确定三方成分之间的相互关系及其影响因素。这项横断面研究包括98名60岁或以上患有2型糖尿病的社区居住成年人的分层随机样本。研究结果揭示了关于DSM知识的不同预测因素，DSM行为和应对。三方之间存在显著的相互关系。理论模型与数据吻合较好。这项研究为有关DSM的知识之间的复杂关系提供了有价值的见解，DSM行为，和应对策略，为改善老年糖尿病患者的健康结果提供直接的启示。
