[Evaluation on the status quo of self monitoring of blood glucose and self-efficacy of diabetes patients in community].
OBJECTIVE
To investigate the status quo and influence factors of self monitoring of blood glucose (SMBG) and self-efficacy of diabetes patients' that participated in community diabetes self management group.


METHODS
Beijing, Shanghai, Chongqing, Jiangsu, Guangdong, and Zhejiang were selected as the study sites considering patients management experiences they had. 1 401 adult diabetes patients were recruited from communities via health records system screening, telephone notification, poster advertisement, letters invitation ways. Face to face questionnaire survey was applied to obtain patients' general information, diabetes history, diabetes knowledge awareness, SMBG, and self-efficacy information. Multiple linear regression was used to analyze the relationship between factors and self efficacy.


RESULTS
There were 519 male patients (37.0%) and 882 female patients (63.0%) with an average age of (64.9 ± 8.9) years old. Patients lived in city accounted for 48.0% (672/1 401) and rural patients accounted for 52.0% (729/1 401). Patients who conducted SMBG accounted for 79.9% (1 120/1 401) and 33.3% (446/1 401) patients conducted blood glucose monitoring 1-3 times per month. Rural patients, primary school educated, and new rural cooperative medical system (NCMS) covered patients had a higher proportion of never conducting SMBG which were 21.9% (160/729), 24.2% (160/662), and 26.3% (125/475) , respectively. Scores of self-efficacy was (69.24 ± 16.30) (hundred-mark system) with a relative lower score in monitoring of blood glucose (64.09 ± 20.08) and foot care (63.63 ± 21.40), as well as a highest score in taking medicine and insulin injections (76.10 ± 22.00). Multiple regression analysis on self-efficacy and its related factors show a negative correlation between patients' place of residence and self-efficacy (β' = -0.076) and a positive correlation between education and self-efficacy (β' = 0.114) as well as between diabetes knowledge awareness and self-efficacy (β' = 0.193)(t = -2.46, 3.71, 7.18, P < 0.05).


CONCLUSIONS
Community diabetes patients had a low self-efficacy and it was even lower among low economic and education degree patients. The worst parts were SMBG and foot care. Place of residence, education, and diabetes knowledge awareness are factors that influence patients' self efficacy.
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention,Beijing 100050, China.
Yingying
Y
Jiang
Wenlan
W
Dong
Fan
F
Mao
Chunhua
C
Zhang
Xianbin
X
Ding
Xiaoqun
X
Pan
Yongqing
Y
Zhang
Yanping
Y
Huang
Email: workdong@163.com.
Jianqun
J
Dong
D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose; D015190:Blood Glucose Self-Monitoring / Q000706:statistics & numerical data*; D002681:China / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D005528:Foot; D006801:Humans; D007328:Insulin; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D016903:Drug Monitoring
D001786:Blood Glucose; D007328:Insulin