Factors influencing diabetes self-management in Chinese people with type 2 diabetes

Res Nurs Health. 2008 Dec;31(6):613-25. doi: 10.1002/nur.20293.


Patients with diabetes must incorporate a complicated regimen of self-management into their daily lives (e.g., taking medication, diet, exercise). Diabetes self-management (DSM) is the cornerstone for controlling diabetes and preventing diabetic complications. The purpose of this study was to test a model describing the effects of individual and environmental factors on DSM in a sample of patients with diabetes in Beijing, China. Survey data were gathered from a convenience sample of 201 Chinese adults with type 2 diabetes during outpatient visits. Data were analyzed using structural equation modeling. Model fit indices indicated a good fit to the data. In the final model, belief in treatment effectiveness and diabetes self-efficacy were proximate factors affecting DSM. Knowledge, social support, and provider-patient communication affected self-management indirectly via beliefs and self-efficacy. The findings provide a theoretical basis to direct the development of interventions for improving DSM in Chinese individuals with diabetes.

MeSH terms

  • Asian Continental Ancestry Group / statistics & numerical data*
  • Attitude to Health
  • Catchment Area, Health
  • China / epidemiology
  • Combined Modality Therapy
  • Diabetes Mellitus, Type 2 / drug therapy
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / therapy*
  • Diet Therapy
  • Exercise
  • Factor Analysis, Statistical
  • Female
  • Health Behavior*
  • Humans
  • Hypoglycemic Agents / therapeutic use*
  • Male
  • Middle Aged
  • Patient Compliance / statistics & numerical data
  • Risk Factors
  • Self Care*
  • Self Efficacy
  • Social Support


  • Hypoglycemic Agents