ArticleHealth and quality of life outcomes2021
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.
Article in Health and quality of life outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 39 citations in OpenAlex.
- Self-Efficacy, Self-Care, Glycaemic Control, and Quality of Life Among Adults With Type 2 Diabetes: A Scoping Review.Endocrinology, diabetes & metabolism · 2026Article
- Social support and associated factors among diabetic patients in Bahir Dar, Ethiopia: a cross-sectional study.Annals of medicine and surgery (2012) · 2026Article
- Self-management behaviors and its correlation with maintenance blood glucose level control among diabetes mellitus patients: A longitudinal design study.Journal of education and health promotion · 2026Article
- An Integrative Model of Self-Regulation in Type 2 Diabetes Self-Management: A Systematic Review of Individual and Family-Based Interventions.Healthcare (Basel, Switzerland) · 2025Review
- Psychometrics of the autonomy and relatedness inventory in persons with type 2 diabetes.BMC psychology · 2025Article
- Effectiveness of a theory-based tailored individual and family self-management education in adults with uncontrolled diabetes: A randomized controlled trial.International journal of nursing sciences · 2025Article
- Improving self-care, HbA1c control, and quality of life in type 2 diabetes: a self-regulation intervention based on the individual and family self-management theory.Frontiers in clinical diabetes and healthcare · 2025Article
- Assessment of the relationship between self-efficacy criteria and rate of lower limb amputation in diabetic patients; a cross-sectional study.Journal of diabetes and metabolic disorders · 2024Article
- Plant-Based Diet and Glycemic Control in Type 2 Diabetes: Evidence from a Thai Health-Promoting Hospital.Nutrients · 2024Article
- Factors associated with quality of life among elderly patients with type 2 diabetes mellitus: the role of family caregivers.BMC public health · 2024Article
- Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matching.Frontiers in public health · 2024Article
- Self-management challenges and support needs among patients with primary glaucoma: a qualitative study.BMC nursing · 2023Article
- Article
- Quality of health care in Primary Care: perspective of people with Diabetes Mellitus.Revista brasileira de enfermagem · 2023Article
- A Mixed Methods Assessment of Self- Management Needs and Preferences of People with Type 2 Diabetes Mellitus in China.Patient preference and adherence · 2023Article
- Frailty in Community-Dwelling Adults Aged 40 Years and over with Type 2 Diabetes: Association with Self-Management Behaviors.International journal of environmental research and public health · 2022Article
- Prevalence and clinical characteristics of T2DM patients with OTUD3 gene rs78466831 SNP at a single academic center in China.Frontiers in endocrinology · 2022Article
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
objectiveElderly 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.
methodsIn 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.
resultsThe 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 (a1*b1 = 0.1773); and (3) indirectly through FPG control (a2*b2 = 0.1929). Self-management behavior influenced the quality of life directly and indirectly through FPG control.
conclusionImproving 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.
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