Factors Influencing Self-Management in Chinese Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis

International Journal of Environmental Research and Public Health

Xiaoping Luo¹  Tingting Liu⁵  Xiaojing Yuan⁶  Song Ge²  Jing Yang³  Changwei Li⁶  Wenjie Sun⁴ 

[1] Anesthesia Department of Zhongshan People’s Hospital, Zhongshan 528403, China; E-Mail:;School of Nursing, Johns Hopkins University, Baltimore, MD 21205, USA; E-Mail:;School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China; E-Mail:;School of Food Science, Guangdong Pharmaceutical University, Zhongshan 528458, China;Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA; E-Mail:;Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA; E-Mails:

关键词: Chinese adults;    diabetes self-management;    type 2 diabetes;    systematic review;   

DOI  :  10.3390/ijerph120911304

来源: mdpi

【 摘 要 】

Diabetes is a major public health problem in China. Diabetes self-management is critical for patients to achieved better health outcomes, however, previous studies have shown suboptimal diabetes self-management performance. We conducted a systematic review and meta-analysis to identify factors associated with diabetes self-management in Chinese adults. The results showed that confrontation, resignation, overall health beliefs, perceived susceptibility, perceived barriers, and self-efficacy were factors associated with overall diabetes self-management performance and six aspects of diabetes self-management behaviors. There is some limited evidence to suggest that provider-patient communication, married individuals, higher educational level, and higher household income level may also be linked to better diabetes self-management practice. Having healthcare insurance and utilizing chronic illness resources generally appeared to have a favorable effect on diabetes self-management performance. In addition, there were a number of factors for which the evidence is too limited to be able to ascertain its strength of association with diabetes self-management practice. The findings of this review suggest that diabetes self-management behaviors are affected by a wide range of personal and environmental factors, which allow health care providers to develop theory-based strategies to improve diabetes-self-management behaviors in this population.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.