Purpose

The purpose of the study was to examine the associations of self-efficacy, social support, and symptom distress with perceived problem-solving and glycemic control among patients with type 2 diabetes.

Method

Using baseline data from a parent study, which examined the effect of a problem-solving-focused intervention on medication adherence among patients with type 2 diabetes, this secondary analysis examined the relationships among self-efficacy, social support, symptom distress, problem-solving, and A1C. Of 358 patients enrolled at baseline, 304 (mean age = 64.1 years, 57.2% female) were included in the current analysis. Multiple linear regression was used to identify potential correlates of problem-solving and A1C.

Results

The results showed that self-efficacy, social support, and symptom distress were independent predictors of problem-solving; they significantly improved the prediction of perceived problem-solving in diabetes management after controlling covariates. Adding problem-solving to the model did not improve the prediction for A1C.

Conclusion

The current study suggests that self-efficacy, social support, and symptom distress are essential factors associated with patients’ perceived problem-solving in diabetes management. Researchers and clinicians should consider both personal factors and psychosocial factors such as self-efficacy, social support, and symptom distress when examining patients perceived problem-solving and developing tailored interventions to improve diabetes management. In addition, health care providers should consider these important aspects when providing tailored care to this patient population.

中文翻译：

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症状困扰、自我效能感和社会支持与 2 型糖尿病患者解决问题和血糖控制的相关性

目的

该研究的目的是检查 2 型糖尿病患者的自我效能、社会支持和症状困扰与感知到的问题解决和血糖控制之间的关联。

方法

使用来自父母研究的基线数据，该研究检查了以问题解决为中心的干预对 2 型糖尿病患者服药依从性的影响，该次要分析检查了自我效能、社会支持、症状困扰、解决问题之间的关系，和 A1C。在基线招募的 358 名患者中，304 名（平均年龄 = 64.1 岁，57.2% 为女性）被纳入当前分析。多元线性回归用于识别问题解决和 A1C 的潜在关联。

结果

结果表明，自我效能感、社会支持和症状困扰是解决问题的独立预测因素；在控制协变量后，他们显着提高了对糖尿病管理中感知问题解决的预测。将问题解决添加到模型中并没有改善 A1C 的预测。

结论

目前的研究表明，自我效能、社会支持和症状困扰是与患者在糖尿病管理中感知问题解决能力相关的重要因素。研究人员和临床医生在检查患者认为解决问题的能力和制定量身定制的干预措施以改善糖尿病管理时，应同时考虑个人因素和社会心理因素，如自我效能、社会支持和症状困扰。此外，医疗保健提供者在为该患者群体提供量身定制的护理时应考虑这些重要方面。