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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2型糖尿病患者的症状困扰，自我效能和社会支持与问题解决和血糖控制的相关性

目的

这项研究的目的是检查2型糖尿病患者的自我效能感，社会支持和症状困扰与感知的解决问题和血糖控制的关系。

方法

使用来自一项父项研究的基线数据，该数据研究了以解决问题为重点的干预措施对2型糖尿病患者依从性的影响，该次要分析研究了自我效能，社会支持，症状困扰，解决问题之间的关系。 ，以及A1C。在基线纳入的358例患者中，当前的分析包括304例（平均年龄= 64.1岁，女性57.2％）。多元线性回归用于确定问题解决与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子；在控制协变量后，他们显着改善了糖尿病管理中解决问题的预测。向模型添加问题解决方法并不能改善对A1C的预测。

结论

当前的研究表明，自我效能感，社会支持和症状困扰是与患者在糖尿病管理中感知解决问题相关的重要因素。研究人员和临床医生在检查患者感知到的问题解决方法并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，例如自我效能，社会支持和症状困扰。此外，医疗保健提供者在为该患者人群提供量身定制的护理时应考虑这些重要方面。