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- Title
Diabetes self-management and its associated factors among patients with diabetes in central Vietnam: A cross-sectional study.
- Authors
Nguyen, Van Bang; Thi, Kim Huong Pham; Nguyen, Thi Xuan; Pham, Nguyen Tuyen Linh; Nguyen, Van Vy Hau; Van Le, Chi
- Abstract
Objective: Diabetes self-management (DSM) enables maintenance of optimal individualized glycemic control for patients with diabetes through comprehensive lifestyle, medication adherence, and self-monitoring glucose level. This study aimed to evaluate DSM and to find associated factors among Vietnamese diabetes patients by using the Vietnamese version of Diabetes Self-Management Instrument (DSMI). Methods: A cross-sectional study was conducted at a single hospital in the central Vietnam. DSM was assessed using the DSMI. The participant's socio-demographic and clinical features were obtained through face-to-face interviews and medical records. Multivariate linear regression was used to determine independent factors associated with total DSMI. Results: The mean total DSM score based on DSMI self-administered questionnaire scores was 88.4 ± 22.1, with a range of 47 to 140. The mean self-integration, self-regulation, interaction with health professionals, self-monitoring blood glucose, and adherence to the prescribed regime were 24.8, 22.3, 21.6, 10.2, and 9.5, respectively. 48.1% of DM patients had good HbA1c control. Sex, educational status, BMI, waist circumference, medical nutrition therapy, and sufficient physical activities were factors independently predictive of DSMI total score. Conclusion: This study emphasizes that the DSM situation is seen to be average among DM patients with mean DSMI score 88.4 ± 22.1 and sex, educational status, BMI, waist circumference, medical nutrition therapy, and sufficient physical activities were independently predictive factors of DSMI total score. This evidence suggests that there is a need to enhance the effectiveness of DSM education programs among diabetic patients.
- Subjects
VIETNAM; PEOPLE with diabetes; DIET therapy; BLOOD sugar monitoring; PATIENT compliance; VIETNAMESE people
- Publication
PLoS ONE, 2022, Vol 17, Issue 7, p1
- ISSN
1932-6203
- Publication type
Article
- DOI
10.1371/journal.pone.0270901