An investigation of factors influencing diabetes self-management among adults with type 2 diabetes in Vietnam

Dao Tran, Tiet Hanh (2012) An investigation of factors influencing diabetes self-management among adults with type 2 diabetes in Vietnam. Masters by Research thesis, Queensland University of Technology.

Abstract

Background: In diabetes care, health care professionals need to provide support for their patients. In order to provide good diabetes self-management support for adults with type 2 diabetes in Vietnam, it is important that health care professionals in Vietnam understand the factors influencing diabetes self-management among these people. However, knowledge about factors influencing diabetes self-management among adults with type 2 diabetes in Vietnam is limited.

Objectives: This study aimed to investigate factors influencing diabetes self-management among adults with type 2 diabetes in Vietnam.

Methodology: A cross-sectional survey with convenience sampling was conducted on 198 adults with type 2 diabetes in VietnamData collection was administeted via interview. Descriptive statistics, simple correlation statistics and structural equation modelling statistics were used for data analysis.

Results: Adults with type 2 diabetes in Vietnam had limited diabetes knowledge (Median = 6.0). The majority of the study participants (72.7%) believed that performing diabetes self-management activities was very important or extremely important for controlling their blood glucose levels and for preventing complications from diabetes; about half usually received support from their family and friends’ (48.5%), and around two thirds rarely received support from their health care providers (68.2%). Many of the participants (41.4%) had limited confidence to perform diabetes management activities. The practices of diabetes self-management were limited among the study population (Mean = 96.7, SD = 19.4).

Diabetes knowledge (β = 0.17, p < .001), belief in treatment effectiveness (β = 0.13, p < .01), family and friends’ support (β = 0.13, p < .001), health care providers’ support (β = 0.27, p < .001) and diabetes management self-efficacy (β = 0.43, p < .001) directly influenced their diabetes self-management. Diabetes knowledge, and family and friends’ support also indirectly influenced diabetes self-management among these people through their belief in treatment effectiveness and their diabetes management self-efficacy (p < .05).

Conclusion: Findings in this study indicated that health care professionals should provide diabetes self-management support for adults with type 2 diabetes in Vietnam in the future. The adapted theory-based model of factors influencing diabetes self-management among adults with type 2 diabetes in Vietnam found in this study could be a useful framework to develop this supporting program.

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ID Code: 62188
Item Type: QUT Thesis (Masters by Research)
Supervisor: Anderson, Debra & Chang, Anne M.
Keywords: adults, type 2 diabetes, diabetes self-management, Vietnam, cross-sectional study, structural equation modelling, social cognitive theory, diabetes knowledge, belief in treatment effectiveness, family and friends’ support, health care providers’ support, diabetes management self-efficacy
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Institution: Queensland University of Technology
Deposited On: 29 Aug 2013 02:23
Last Modified: 02 Sep 2015 23:40

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