Association between Diabetes Knowledge with Diabetes Self-management in Patients with Type 2 Diabetes Mellitus
Keywords:Diabetes knowledge, Diabetes self-management, Type 2 diabetes mellitus
Studies on the relationship between diabetes knowledge and diabetes self-management in Thailand are limited.The present study investigates the association between diabetes knowledge withdiabetes self-management. This study was employed a cross-sectional analytical study from 544 patients with type 2 diabetes mellitus, Phetchabunprovince. Participants were selected by using stratified two-stage cluster sampling from 3public hospitals who were follow-up in year 2019. Data were collected by a questionnaire with a self-administered. The questionnaire contains with diabetes knowledge and diabetes self-management. The content validity index of diabetes knowledge and diabetes self-management in each item werenot less than .6. The difficulty of diabetes knowledge in each item was in rang .4-.6. The Cronbach's alpha coefficients of diabetes self-management was .78. Data were analyzed using percentage, mean, standard deviation and multiple linear regression.The result shown that the diabetes knowledge(Adjusted mean difference = 6.38, 95% CI = 2.03 to 10.74; p-value = .016) was a strongly associated with diabetes self-management. Moreover, bachelor and higher education level (Adjusted mean difference = -10.93, 95% CI = -16.03 to -5.83; p-value < .001), duration of diabetes 10 years and higher (Adjusted mean difference = 6.24, 95% CI = 3.01 to 9.46; p-value = . 002), and received health education by talking face to face in the community (Adjusted mean difference = 5.97, 95% CI = 3.33to 8.62; p-value < .001) were also strongly associated with diabetes selfmanagement. This study demonstrates that the diabetes knowledge is associated with the diabetes self-management. Therefore, healthcare personnel should beprovidediabetes education intervention for patients who had low levels of diabetes knowledgeto improve diabetes self-management for those with low levels.
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