■这项研究的目的是评估诊断为2型糖尿病(T2D)的个体的自我管理行为和血糖控制的现状,以及检查健康商(HQ)和时间管理技能对自我管理行为和血糖控制的影响。
■在2022年10月至2023年3月之间,已使用目的抽样方法选择了215名T2D类型的参与者。调查结束了一份一般信息问卷,总部规模,糖尿病时间管理问卷和自我管理行为问卷。健康商(HQ)包括个人的知识,对健康的态度,以及维持自身福祉的能力。对糖尿病时间管理问卷进行反向评分,较高的分数表明时间管理能力增强。使用结构方程模型(SEM)分析变量之间的路径。
■SEM表明,总部对时间管理的直接影响为-0.566(p<0.05),时间管理对自我管理效果的直接影响为-0.617(p<0.05),HQ对自我管理的直接效应为0.156,间接效应为0.349(p<0.05);健康商数与自我管理的关系部分由时间管理介导,中介效应大小为68.8%。此外,自我管理对HbAlc有直接影响,大小为-0.394(p<0.05);发现总部和时间管理对HbAlc的影响是由自我管理介导的,HQ的间接效应为-0.199(p<0.05),时间管理的间接效应为0.244(p<0.05)。
■T2D患者的健康商和时间管理是自我管理行为的催化剂。它们通过自我管理实践间接影响HbAlc水平。建议在T2D患者中优先培养合理的时间组织和管理技能,以及提高他们的健康商数水平。这可以促进更有效地改善患者的自我管理行为,最终达到维持最佳血糖控制的目的。
The aim of this study was to evaluate the present status of self-management behavior and glycemic control in individuals diagnosed with Type 2 Diabetes Mellitus (T2D), as well as to examine the impact of health quotient (HQ) and time management skills on both self-management behavior and glycemic control.
Between October 2022 and March 2023, a purposive sampling method had been utilized to select 215 participants with type T2D. The survey concluded a general information questionnaire, an HQ scale, a diabetes time management questionnaire and a self-management behavior questionnaire. The health quotient(HQ)encompasses the individuals\' knowledge, attitude toward health, and the ability to maintain their own well-being. The diabetes time management questionnaire was reverse-scored, with higher scores indicating an enhanced competence in time management. The path among variables was analyzed using structural equation modeling(SEM).
SEM showed that the direct effect of HQ on time management was -0.566 (p < 0.05), the direct effect of time management on the effect of self-management was -0.617 (p < 0.05), the direct effect of HQ on self-management was 0.156, and the indirect effect was 0.349 (p < 0.05); the relationship between health quotient and self-management was partially mediated by time management, with a mediating effect size of 68.8%. In addition, self-management had a direct effect on HbAlc, with a size of -0.394 (p < 0.05); The impacts of both HQ and time management on HbAlc were found to be mediated by self-management, with HQ demonstrating an indirect effect of -0.199 (p < 0.05) and time management showing an indirect effect of 0.244 (p < 0.05).
Health quotient and time management in patients with T2D serve as catalysts for self-management behavior. They affect HbAlc level indirectly through self-management practices. The suggestion is to prioritize the cultivation of rational time organization and management skills in T2D patients, as well as enhance their health quotient level. This can facilitate a more effective improvement in patients\' self-management behaviors, ultimately achieving the objective of maintaining optimal glycemic control.