Improving glycaemic control self‐efficacy and glycaemic control behaviour in Chinese patients with Type 2 diabetes mellitus: randomised controlled trial

Qifang Shi, Sharon K Ostwald and Shaopeng Wang

Journal of Clinical Nursing, 2010, vol. 19, issue 3‐4, 398-404

Abstract: Aims and objectives. To examine the effect of a hospital‐based clinic intervention on glycaemic control self‐efficacy and glycaemic control behaviour of Chinese patients with type 2 diabetes mellitus (DM). Background. Self‐efficacy expectations are related to self‐management of diabetes and, in conjunction with environmental support, are better predictors of behaviour than are knowledge and skills. Enhancing self‐efficacy in patients with DM has been shown to have a positive effect on behavioural change and positively influence long‐term glycaemic control. Design. A randomised controlled trial study consisting of two‐group pretest‐post‐test. Methods. One hundred and fifty‐seven patients with type 2 DM were randomly divided into two groups: (1) the experimental group (77 patients) receiving one‐month hospital‐based clinic intervention and (2) the control group (80 patients) receiving usual care. Data collection instruments used in this study were Diabetes Management Self‐Efficacy Scale and Summary of Diabetes Self‐Care Activities Measure. Outcomes were determined by changes in glycaemic control self‐efficacy and glycaemic control behaviour of patients with type 2 DM. Results. The findings revealed that the experimental group showed statistically significant improvement in glycaemic control self‐efficacy and glycaemic control behaviour immediately and four months after the intervention (F = 26·888, df = 1, 155, p

Date: 2010
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