Self-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life

Abstract Objective Elderly patients with type 2 diabetes mellitus are highly vulnerable due to severe complications. However, there is a contradiction in the relationship between social support and quality of life, which warrants further exploration of the internal mechanism. This study assessed the...

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Autores principales:	Xinye Qi, Jiao Xu, Guiying Chen, Huan Liu, Jingjing Liu, Jiahui Wang, Xin Zhang, Yanhua Hao, Qunhong Wu, Mingli Jiao
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Elderly Hypoglycemia Quality of life Patient self-management Social support Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/1badf65569a3401f999a6c8378de3b7d
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spelling	oai:doaj.org-article:1badf65569a3401f999a6c8378de3b7d2021-11-14T12:28:44ZSelf-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life10.1186/s12955-021-01881-y1477-7525https://doaj.org/article/1badf65569a3401f999a6c8378de3b7d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12955-021-01881-yhttps://doaj.org/toc/1477-7525Abstract Objective Elderly patients with type 2 diabetes mellitus are highly vulnerable due to severe complications. However, there is a contradiction in the relationship between social support and quality of life, which warrants further exploration of the internal mechanism. This study assessed the quality of life and its interfering factors in this patient population. Methods In total, 571 patients with type 2 diabetes mellitus over 60 years old were recruited from two community clinics in Heilongjiang Province, China. We collected data on health status, quality of life, self-management behavior, fasting plasma glucose (FPG) level, and social support. Structural equation modeling and the bootstrap method were used to analyze the data. Results The average quality of life score was − 29.25 ± 24.41. Poorly scored domains of quality of life were “Psychological feeling” (− 8.67), “Activity” (− 6.36), and “Emotion” (− 6.12). Of the 571 patients, 65.32% had normal FPG, 9.8% had high-risk FPG, 15.94% had good self-management behavior, and 22.07% had poor social support. Significant correlations among social support, self-management behavior, FPG level, and quality of life were noted. A multiple mediator model revealed that social support influenced quality of life in three ways: (1) directly (c′ = 0.6831); (2) indirectly through self-management behavior (a1b1 = 0.1773); and (3) indirectly through FPG control (a2b2 = 0.1929). Self-management behavior influenced the quality of life directly and indirectly through FPG control. Conclusion Improving self-management behavior and monitoring hypoglycemia should become priority targets for future intervention. Scheduled social support to self-management projects should be put into the standardized management procedure. Physicians should provide substantial and individualized support to the elderly patients with type 2 diabetes mellitus regarding medication, blood glucose monitoring, and physical exercise.Xinye QiJiao XuGuiying ChenHuan LiuJingjing LiuJiahui WangXin ZhangYanhua HaoQunhong WuMingli JiaoBMCarticleElderlyHypoglycemiaQuality of lifePatient self-managementSocial supportComputer applications to medicine. Medical informaticsR858-859.7ENHealth and Quality of Life Outcomes, Vol 19, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Elderly Hypoglycemia Quality of life Patient self-management Social support Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Elderly Hypoglycemia Quality of life Patient self-management Social support Computer applications to medicine. Medical informatics R858-859.7 Xinye Qi Jiao Xu Guiying Chen Huan Liu Jingjing Liu Jiahui Wang Xin Zhang Yanhua Hao Qunhong Wu Mingli Jiao Self-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life
description	Abstract Objective Elderly patients with type 2 diabetes mellitus are highly vulnerable due to severe complications. However, there is a contradiction in the relationship between social support and quality of life, which warrants further exploration of the internal mechanism. This study assessed the quality of life and its interfering factors in this patient population. Methods In total, 571 patients with type 2 diabetes mellitus over 60 years old were recruited from two community clinics in Heilongjiang Province, China. We collected data on health status, quality of life, self-management behavior, fasting plasma glucose (FPG) level, and social support. Structural equation modeling and the bootstrap method were used to analyze the data. Results The average quality of life score was − 29.25 ± 24.41. Poorly scored domains of quality of life were “Psychological feeling” (− 8.67), “Activity” (− 6.36), and “Emotion” (− 6.12). Of the 571 patients, 65.32% had normal FPG, 9.8% had high-risk FPG, 15.94% had good self-management behavior, and 22.07% had poor social support. Significant correlations among social support, self-management behavior, FPG level, and quality of life were noted. A multiple mediator model revealed that social support influenced quality of life in three ways: (1) directly (c′ = 0.6831); (2) indirectly through self-management behavior (a1b1 = 0.1773); and (3) indirectly through FPG control (a2b2 = 0.1929). Self-management behavior influenced the quality of life directly and indirectly through FPG control. Conclusion Improving self-management behavior and monitoring hypoglycemia should become priority targets for future intervention. Scheduled social support to self-management projects should be put into the standardized management procedure. Physicians should provide substantial and individualized support to the elderly patients with type 2 diabetes mellitus regarding medication, blood glucose monitoring, and physical exercise.
format	article
author	Xinye Qi Jiao Xu Guiying Chen Huan Liu Jingjing Liu Jiahui Wang Xin Zhang Yanhua Hao Qunhong Wu Mingli Jiao
author_facet	Xinye Qi Jiao Xu Guiying Chen Huan Liu Jingjing Liu Jiahui Wang Xin Zhang Yanhua Hao Qunhong Wu Mingli Jiao
author_sort	Xinye Qi
title	Self-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life
title_short	Self-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life
title_full	Self-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life
title_fullStr	Self-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life
title_full_unstemmed	Self-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life
title_sort	self-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life
publisher	BMC
publishDate	2021
url	https://doaj.org/article/1badf65569a3401f999a6c8378de3b7d
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Self-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life

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