PMID- 37221986 OWN - NLM STAT- MEDLINE DCOM- 20231023 LR - 20231023 IS - 2054-1058 (Electronic) IS - 2054-1058 (Linking) VI - 10 IP - 9 DP - 2023 Sep TI - Diabetes self-management and its related factors among Chinese young adults with type 2 diabetes mellitus. PG - 6125-6135 LID - 10.1002/nop2.1834 [doi] AB - AIM: To explore the status quo of self-management among young adults with type 2 diabetes mellitus (T2DM) and the determinants of self-management under the guidance of social cognitive theory. DESIGN: A cross-sectional study. METHODS: In total, 227 young adults (18-44 years old) with T2DM at two hospitals in Beijing completed the questionnaires. The Summary of Diabetes Self-care Activities (SDSCA) was used, along with additional questionnaires about diabetes self-efficacy, attitude, diabetes distress, diabetes knowledge, coping styles and social support. Univariate analysis and multiple linear regression were used to explore the related factors of self-management among the young patients. RESULTS: The scores for the SDSCA in diet, exercise, blood-glucose testing, foot care and medication taking were (4.16 +/- 1.51), (3.46 +/- 2.50), (2.28 +/- 2.24), (1.08 +/- 1.84) and (6.09 +/- 1.88), respectively. Stepwise multiple linear regression showed that fasting blood-glucose value was significantly associated with self-management behaviours of diet, exercise, blood-glucose testing and medication taking. Self-efficacy was significantly associated with self-management behaviours of diet, exercise and foot care. Diabetes distress, diabetes-related social activity, confrontation, education, duration of T2DM, treatment modalities and diabetes knowledge were associated with the one or two dimensions of SDSCA in the young adults with T2DM. CI - (c) 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd. FAU - He, Qiao AU - He Q AD - School of Nursing, Beijing University of Chinese Medicine, Beijing, China. FAU - Liu, Yu AU - Liu Y AUID- ORCID: 0000-0001-8678-3381 AD - School of Nursing, Beijing University of Chinese Medicine, Beijing, China. FAU - Lin, Keke AU - Lin K AD - School of Nursing, Beijing University of Chinese Medicine, Beijing, China. FAU - Zhao, Fang AU - Zhao F AD - Department of Nursing, China-Japan Friendship Hospital, Beijing, China. FAU - Guo, Hong AU - Guo H AD - School of Nursing, Beijing University of Chinese Medicine, Beijing, China. FAU - Shen, Yina AU - Shen Y AD - Department of Nursing, China-Japan Friendship Hospital, Beijing, China. LA - eng PT - Journal Article DEP - 20230523 PL - United States TA - Nurs Open JT - Nursing open JID - 101675107 RN - IY9XDZ35W2 (Glucose) SB - IM MH - Humans MH - Young Adult MH - Adolescent MH - Adult MH - *Diabetes Mellitus, Type 2/therapy/psychology MH - Cross-Sectional Studies MH - *Self-Management MH - East Asian People MH - Glucose PMC - PMC10416073 OTO - NOTNLM OT - determinants OT - self-management OT - social cognitive theory OT - type 2 diabetes mellitus OT - young adult COIS- The authors declare no conflict of interest. EDAT- 2023/05/24 06:42 MHDA- 2023/10/23 12:44 PMCR- 2023/05/23 CRDT- 2023/05/24 03:46 PHST- 2022/12/22 00:00 [revised] PHST- 2022/08/24 00:00 [received] PHST- 2023/05/09 00:00 [accepted] PHST- 2023/10/23 12:44 [medline] PHST- 2023/05/24 06:42 [pubmed] PHST- 2023/05/24 03:46 [entrez] PHST- 2023/05/23 00:00 [pmc-release] AID - NOP21834 [pii] AID - 10.1002/nop2.1834 [doi] PST - ppublish SO - Nurs Open. 2023 Sep;10(9):6125-6135. doi: 10.1002/nop2.1834. Epub 2023 May 23.