Association between Diabetes Knowledge and Self-Efficacy in Patients with Type 2 Diabetes Mellitus in China: A Cross-Sectional Study

Objective. This study aimed to explore the association between DM knowledge and self-efficacy in Chinese patients with T2DM. The influence factors for DM knowledge were explored, and evidence on interventions was provided to patients for information. Design. A cross-sectional survey was conducted in various hospitals in Hunan Province, China, from April 2017 to February 2019, by using multistage stratified randomized sampling. DM knowledge and self-efficacy were measured using the Audit of Diabetes Knowledge (ADKnowl) and the General Self-efficacy (GSE) Scale. The relationship between the ADKnowl and the GSE scores was analyzed using the Spearman correlation analysis. Differences in the ADKnowl and GES scores among groups with different sociodemographic characteristics were computed; significant variables and GES scores were input in the multiple stepwise linear regression model to predict the influencing factors of ADKnowl scores. Results. A total of 1,512 eligible patients with T2DM were included in this study, and their mean ADKnowl score was 59.04 ± 16.24. The top score of the eight dimensions in the ADKnowl scale was reducing the complication risk by 71.01%. The mean GSE score was 2.42 ± 0.59. The Spearman correlation analysis showed that the GSE score displayed a significantly positive correlation with DM knowledge at the ADKnowl scale (r = 0.172, P<0.001). The best fit multivariable linear regression analysis revealed eight variables that explained 37.6% of the variance of ADKnowl scores. They were diabetes-learning experience, educational background, complication, therapy, waist-to-hip ratio, diabetes duration, marital status, and GSE (R2 = 0.376, F = 5.971, P=0.015). Conclusions. In Chinese patients with T2DM, the self-efficacy in managing DM positively influenced DM knowledge. DM knowledge, as a protective factor, conversely improved the efficiency of self-management for T2DM. Some ignored influence factors in previous studies can be showed by investigating and analyzing from two scales. Health educators and promoters should help in developing DM knowledge and self-efficacy.

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Testing a Conceptual Framework for Diabetes Self-Care Management

Research and Theory for Nursing Practice ◽

10.1891/rtnp.18.4.293.64089 ◽

2004 ◽

Vol 18 (4) ◽

pp. 293-316 ◽

Cited By ~ 47

Author(s):

Valmi D. Sousa ◽

Jaclene A. Zauszniewski ◽

Carol M. Musil ◽

Patricia E. McDonald ◽

Sharon E. Milligan

Keyword(s):

United States ◽

Social Support ◽

Self Efficacy ◽

Care Management ◽

Care Center ◽

Self Care ◽

The United States ◽

Diabetes Knowledge ◽

Cross Sectional ◽

Care Agency

Diabetes is a major source of morbidity, mortality, and economic expense in the United States. The majority of researchers and clinicians believe that diabetes is a self-care management disease, and that patients should be reliable, capable, and sufficiently responsible to take care of themselves. However, individuals with diabetes may or may not have diabetes knowledge, social support, self-care agency (an individual’s capability to perform self-care actions), and self-efficacy (an individual’s beliefs in his or her capability to perform self-care actions) that would help them to engage in diabetes self-care management. Therefore, this study examined the relationship among those factors using a cross-sectional model testing design. A convenient sample of 141 insulin-requiring individuals with either diabetes type 1 or type 2, 21 years old and over, was recruited from an outpatient diabetes care center located in a Southeast region of the United States. Simple linear regression, multiple standard regression, and multiple hierarchical regression were used to analyze the data. Individuals with greater diabetes knowledge had greater self-care agency and self-efficacy. Those with a higher score in social support had greater self-care agency and better diabetes self-care management, and those with greater self-efficacy had better diabetes self-care management. In addition, self-care agency mediated the effects of diabetes knowledge on self-efficacy and the effects of social support on diabetes self-care management. Self-efficacy mediated the effects of self-care agency on diabetes self-care management. Furthermore, the linear combination of diabetes knowledge, social support, self-care agency, and self-efficacy, taken together, positively affected diabetes self-care management. Enhancing an individual’s diabetes knowledge, social support, self-care agency, and self-efficacy may be a strategy which can promote better engagement in diabetes self-care.

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Influence of the key account manager in the provisioning management: Evidence from staple companies during the events of COVID-19

Accounting ◽

10.5267/j.ac.2021.7.006 ◽

2022 ◽

Vol 8 (2) ◽

pp. 161-170 ◽

Cited By ~ 1

Author(s):

Luis-Ricardo Flores-Vilcapoma ◽

Cynthia-Paola A lbengrin-Mendoza ◽

Gabriela-Briggite Gomez-Rojas ◽

Yuri Sánchez-Solis ◽

Wagner Vicente-Ramos

Keyword(s):

Experimental Design ◽

Linear Regression ◽

Correlation Analysis ◽

Regression Model ◽

Multiple Linear Regression ◽

Linear Regression Model ◽

Multiple Linear Regression Model ◽

Cross Sectional ◽

Key Account ◽

The Impact

The purpose of this research was to evaluate the degree of influence exercised by the Key Account Manager in the provisioning management in the main companies called Staple in Peru, during the events of COVID-19. The research was of type quantitative, cross-sectional and temporal, with a non-experimental design, using a multiple linear regression model and correlation analysis to determine the impact that exists between the variables. The data belongs to the Industrias San Miguel company, distributed in a weekly period from June 2019 to March 2021, which gives 88 observations. The results allow us to conclude that the Key Account Manager is an important manager of the supply of goods during the crisis caused by COVID-19 in staple companies.

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FAKTOR-FAKTOR INTERNAL YANG MEMPENGARUHI SELF CARE MANAGEMENT PADA PASIEN DIABETES MELLITUS TIPE 2 DI POLI KLINIK KHUSUS PENYAKIT DALAM RSUP DR. M. DJAMIL PADANG

JURNAL KESEHATAN MERCUSUAR ◽

10.36984/jkm.v3i1.73 ◽

2020 ◽

Vol 3 (1) ◽

pp. 54-65

Author(s):

Lola Despitasari

Keyword(s):

Diabetes Mellitus ◽

Self Efficacy ◽

Care Management ◽

Self Care ◽

P Value ◽

Diabetes Knowledge ◽

Chi Square ◽

Cross Sectional ◽

Care Agency

Diabetes Mellitus tipe 2 merupakan hasil dari kegagalan atau penolakan tubuh mnggunakan zat insulin (resistensi insulin). Pada orang dengan diabetes tipe 2 diperlukan self care management untuk mengelola penyakitnya. Diabetes knowledge, self efficacy, self care agency merupakan faktor internal yang mempengaruhi self care management. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor internal yang mempengaruhi self care management pada pasien diabetes mellitus tipe 2 di poli klinik khusus penyakit dalam RSUP. Dr. M. Djamil Padang. Jenis penelitian ini bersifat deskriptif analitik melalui pendekatan cross sectional. Penelitian ini dilakukan di Poli Klinik Khusus Penyakit Dalam RSUP Dr. M. Djamil Padang. Sampel berjumlah 60 orang dengan teknik accidental sampling, dan instrumen penelitian menggunakan kuesioner SDSCA, ASAS-R, DMSES, dan kuesioner diabetes knowledge. Analisis data bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa 56.7% responden memiliki self care management yang kurang baik, 50% responden dengan self care agency kurang baik, 46.7% responden dengan self efficacy kurang baik, dan 61.7% responden dengan diabetes knowledge kurang baik. Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management dengan nilai p value (≤ 0.05). Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management di poli klinik khusus penyakit dalam RSUP Dr. M. Djamil Padang. Disarankan kepada pasien diabetes mellitus tipe 2 untuk meningkatkan self care agency, self efficacy, dan diabetes knowledge nya. Kata Kunci : Diabetes mellitus tipe 2, self care management, self care agency, self efficacy, diabetes knowledge

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Evaluation and improvement of the emergency capacity of medical staff for COVID-19: A cross-sectional study in China

10.21203/rs.3.rs-56429/v2 ◽

2021 ◽

Author(s):

Shu-Xiao Hu ◽

Chang-Fu Chen ◽

Qing Liu ◽

Gao-Fei Zhang ◽

Hua-Lin Cheng ◽

...

Keyword(s):

Public Health ◽

Emergency Preparedness ◽

Self Efficacy ◽

Medical Staff ◽

Local Governments ◽

Educational Background ◽

The Self ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Public Health Emergencies

Abstract Background: Coronavirus disease 2019 (COVID-19) has spread to 216 countries and territories around the world. Most studies on response to public health emergencies, focus on health systems, local governments or medical organizations, but fewer studies focus on individuals. However, medical staff are the core strength for responding to public health emergencies. The aims of this study are to investigate the status of medical staff’s emergency capacity during the pandemic and to provide intellectual support to further enhance medical staff's ability to ensure the smooth operation of medical rescue. Methods: This study conducted a cross-sectional survey of four hospitals designated to treat patients with COVID-19 in China. Based on the emergency capacity system of medical staff for infectious diseases, an improved Emergency Preparedness Information Questionnaire was used to evaluate the emergency capacity of medical staff. Linear regression and one-way analysis of variance were used to test the differences in the emergency capacity of medical staff. Spearman correlation analysis was used to study the correlation between the self-efficacy and emergency capacity of medical staff. Results: The overall emergency capacity of the surveyed medical staff was at a medium level. There was a correlation between emergency capacity and age, working years, position, educational background and the area where medical staff worked. Emergency capacity was not related to the hospital grade. Emergency capacity was significantly related to whether medical staff had participated in frontline pandemic prevention work. There was also a positive correlation between emergency capacity and the self-efficacy of medical staff. Conclusions: The results highlight the importance of the training mechanism for emergency personnel. The emergency input for public health emergencies should be increased to improve the emergency capacity of medical staff. In addition, it is necessary to pay attention to the mental health of medical staff.

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Organizational Learning: The Missing Link to Promote Nurses' Professional Self-Efficacy

Creative Nursing ◽

10.1891/1078-4535.26.1.e40 ◽

2020 ◽

Vol 26 (1) ◽

pp. e40-e47

Author(s):

Fatemeh Darban ◽

Roghayeh Mehdipour Rabori ◽

Jamileh Farokhzadian ◽

Esmat Nouhi ◽

Sakineh Sabzevari ◽

...

Keyword(s):

Organizational Learning ◽

Self Efficacy ◽

Linear Regression Analysis ◽

Cross Sectional Study ◽

Shared Vision ◽

Three Dimensions ◽

Cross Sectional ◽

Factors Affecting ◽

Randomized Sampling ◽

Professional Self

IntroductionNurses are one of the important sources of organizational learning, and the main elements of knowledge transfer in hospitals. They can play a major role in the process of organizational learning. One of the factors affecting nurses' learning is self-efficacy.ObjectiveThe aim of this study was to evaluate the association between organizational learning and professional self-efficacy among nurses.MethodologyA cross-sectional study was conducted among 150 nurses in Ali Ibn Abitaleb Hospital in Zahedan City, Iran in 2018, selected by simple randomized sampling. Tools used were the Neefe Organizational Learning Questionnaire (Neefe, 2001), and Riggs and Knight's Self-Efficacy Questionnaire (1994).ResultsThe results showed a significant positive correlation (p <0.05) between self-efficacy scores and the organizational learning dimensions of systems thinking, team learning, and shared vision. Linear regression analysis showed that these three dimensions of organizational learning predicted 16.1% of the professional self-efficacy variations.DiscussionOrganizational learning has a direct relationship with nurses' professional self-efficacy. Promotion of organizational learning characteristics in hospitals will enhance nurses' self-efficacy.

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Prenatal anxiety and the associated factors among Chinese pregnant women during the COVID-19 pandemic——a smartphone questionnaire survey study

BMC Psychiatry ◽

10.1186/s12888-021-03624-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Can Cui ◽

Lingling Zhai ◽

Kristin K. Sznajder ◽

Jiana Wang ◽

Xiao Sun ◽

...

Keyword(s):

Logistic Regression ◽

Pregnant Women ◽

Self Efficacy ◽

Influence Factors ◽

Cross Sectional Study ◽

Survey Study ◽

Categorical Variables ◽

Chi Square ◽

Cross Sectional ◽

Prenatal Anxiety

Abstract Backgrounds The uncertainty of the pandemic of Coronavirus Disease 2019 (COVID-19) brought about tremendous psychological harm for pregnant women, causing their high rates of prenatal anxiety. The impacts of COVID-19 pandemic and symptoms of pregnant status are highly linked with prenatal anxiety. Whereas, self-efficacy and support from family and friends could attenuate the development of prenatal anxiety. Thus, the purpose of the study is to evaluate the prevalence of prenatal anxiety and its influence factors among pregnant women during the pandemic of COVID-19 in Shenyang, China. Methods A cross-sectional study with face-to-face interview between April 24, 2020 and May 3, 2020 during the COVID-19 pandemic was applied among pregnant women in Shenyang Women’s and Children’s Hospital. Chi-square tests were calculated to determine the differences in prenatal anxiety among categorical variables. Multivariable logistic regression was employed to investigate the risk factors of prenatal anxiety. Results The percentage of prenatal anxiety (GAD-7 score ≥ 7) among pregnant women during the pandemic of COVID-19 was 34/304 (11.18%). Logistic regression indicated that vomiting (OR 4.454, 95% CI 1.113–17.821) and feeling susceptible to SARS-CoV-2 infection (OR 2.966, 95% CI 1.151–7.642) increased the odds of prenatal anxiety. Satisfaction with medical care (OR 0.303, 95% CI 0.113–0.813) and self-efficacy (OR 0.253, 95% CI 0.100–0.639) decreased the odds of prenatal anxiety. High monthly income (OR 0.246, 95% CI 0.078 ~ 0.780) reduced the chances of suffering from prenatal anxiety. Conclusion The pregnant women in China exerted a higher prevalence of prenatal anxiety during the COVID-19 pandemic than that without COVID-19 pandemic. Effective management on symptoms of pregnant status should be delivered to relieve prenatal anxiety for the pregnant women. Furthermore, interventions on self-efficacy enhancement and high-quality medical prenatal care should be provided to prevent from the susceptibility of SARS-CoV-2 infection and reduce prenatal anxiety.

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Self-Efficacy Affects Cancer Patients in Solving Problems, Seeking Support and Avoiding Problems as Coping Mechanisms

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v10i2.26803 ◽

2020 ◽

Vol 10 (2) ◽

pp. 146-157

Author(s):

Yesiana Dwi Wahyu Werdani ◽

Pascalis Arief Ardiansyah Silab

Keyword(s):

Linear Regression ◽

Cancer Patients ◽

Self Efficacy ◽

Sampling Technique ◽

Cross Sectional Study ◽

Coping Mechanisms ◽

Coping Mechanism ◽

Cross Sectional ◽

And Coping ◽

And Behavior

Background: Cancer is a disease that causes various physical and mental problems. Being diagnosed with cancer affects the self-efficacy and behavior of individuals to choose a coping mechanism in facing the problem.Purpose: This study aimed to determine the effect of self-efficacy on solving problems, seeking support, and avoiding problems as coping mechanisms in cancer patients.Methods: A cross-sectional study was conducted on 45 cancer patients selected using a total sampling technique from two public health centers in Surabaya, Indonesia. Data were collected using the General Self-Efficacy Scale and Coping Strategy Indicator, and analyzed using the Shapiro Wilk for data normality, and linear regression to determine the effects of self-efficacy on solving problems, seeking support, and avoiding problems with p< 0.05. Results: The results showed the participants’ rate of self-efficacy levels (M=3.26), and coping mechanism levels in solving problems (M=3.46), seeking support (M=2.88), and avoiding problems (M=3.27), as well as mean scores of self-efficacy (32.6±3.8), solving problems (34.6±3.8), seeking support (31.8±3.7), and avoiding problems (32.7±3.2). Based on the linear regression test, there was a significant effect self-efficacy on solving problems (p<0.001; R2=0.97), seeking support (p<0.001; R2=0.98), and avoiding problems (p<0.001; R2=0.98) as coping mechanisms. Conclusion: Cancer patients who had high self-efficacy scores would choose solving problems and seeking support as the coping mechanisms, but those with lower scores on self-efficacy prefer to avoid the problems.

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Alexithymia and Self-Efficacy With Pain Perception in Women with Migraines: A Cross-sectional Study

Caspian Journal of Health Research ◽

10.32598/cjhr.6.4.383.1 ◽

2021 ◽

Vol 6 (4) ◽

pp. 121-128

Author(s):

Sholeh Gharibi ◽

◽

Abbas Sadeghi ◽

Keyword(s):

Linear Regression ◽

Self Efficacy ◽

Pain Perception ◽

Pearson Correlation ◽

Cross Sectional Study ◽

Mcgill Pain Questionnaire ◽

Sectional Study ◽

Questionnaire Response ◽

Cross Sectional ◽

Study Participants

Background: Pain perception in individuals with migraine is very important and is influenced by various factors. The aim of this study was to investigate the role of alexithymia and self-efficacy with pain perception in women with migraine. Materials & Methods: This cross-sectional study was performed in women with migraine referred to medical centers in Rasht in 2021. Using convenience sampling method, 160 women with migraines participated in the study and answered the demographic information questionnaire, Toronto Alexithymia Scale (TAS-20), General Self-Efficacy Scale (GSE) and McGill Pain Questionnaire (MPQ). Data was analyzed using Pearson correlation coefficient and linear regression model. Results: Of total, 152 women responded to the questionnaire (response rate= 95%). The mean age of study participants was 32.86±8.5 years. Pain perception was negatively associated with selfefficacy (r=-0.28; P=0.001) and positively associated with alexithymia (r= 0.20; P=0.001). The results of linear regression also showed that self-efficacy and Externally-Oriented Thinking (EOT) subscale explained 13% of the variance in pain perception. Conclusion: Self-efficacy and externally-oriented thinking were significant contributors of pain perception in women with migraine. These variables can be considered for adopting coping strategies in patients experiencing migraine pain.

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Self-efficacy and Physical and Cognitive Function in Older Adults with Multiple Sclerosis

International Journal of MS Care ◽

10.7224/1537-2073.2018-001 ◽

2019 ◽

Vol 21 (2) ◽

pp. 63-69

Author(s):

Rachel E. Bollaert ◽

Robert W. Motl

Keyword(s):

Multiple Sclerosis ◽

Older Adults ◽

Cognitive Function ◽

Linear Regression ◽

Physical Function ◽

Self Efficacy ◽

Cross Sectional Study ◽

Future Research ◽

Demographic Shift ◽

Cross Sectional

Abstract Background: There is evidence of a demographic shift in the prevalence of multiple sclerosis (MS) such that it is now common in older adults. Older adults with MS undergo declines in function, and aging with MS may compromise one's perception of confidence for managing this disease and its manifestations. This cross-sectional study examined the associations between self-efficacy and physical and cognitive function in older (≥ 60 years) adults with MS. Methods: The sample included 40 older adults with MS who completed the Multiple Sclerosis Self-efficacy (MSSE) Scale, undertook measures of physical and cognitive function, and wore an accelerometer for 7 days. The data were analyzed using partial Spearman correlations and linear regression. Results: Correlation analyses indicated that function, but not control, subscale scores on the MSSE Scale correlated with all measures of physical, but not cognitive, function. Linear regression analyses indicated that the function subscale of the MSSE Scale was the only variable that consistently explained variance in physical function outcomes. Conclusions: The findings are novel evidence of the association between self-efficacy for function and physical function outcomes in older adults with MS. Future research on self-efficacy is warranted with the goal of improving physical function in older adults with MS.

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Influence of communication, collaboration, and decision-making skills on the efficacy of nurses in conducting neonatal resuscitation

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v10i2.20584 ◽

2021 ◽

Vol 10 (2) ◽

pp. 298

Author(s):

Ika Rizki Anggraini ◽

Kuswantoro Rusca Putra ◽

Setyoadi Setyoadi

Keyword(s):

Decision Making ◽

Linear Regression ◽

Communication Skills ◽

Self Efficacy ◽

Neonatal Intensive Care ◽

Communication Skill ◽

Neonatal Resuscitation ◽

Objective Evaluation ◽

Dominant Factor ◽

Cross Sectional

This study aimed to analyze the influence of communication skill, collaboration, and decision-making upon self-efficacy upon Indonesia nurse’s self-efficacy in performing neonatal resuscitation. The research employed analytical descriptive design with cross-sectional study approach. The data were collected using questionnaire. Moreover, the research was carried out in Malang City area with the total of 75 nurses employed at neonatal intensive care unit (NICU) room and perinatology unit. Meanwhile, for data analysis, product moment correlation and linear regression were employed. The presence of influence of communication skill, collaboration, and decision-making upon nurse’s self-efficacy in performing neonatal resuscitation can be an inestimable reference for the need of objective evaluation on nurse’s capability and reflection on skills they have acquired. Communication skills p=0.000 (<0.05), collaboration p=0.000 (<0.05), preparation of results p=0.000 (<0.05) with the effectiveness of nurses in the management of neonatal resuscitation. In addition, multiple linear regression showed communication skills p=0.000, B=0.253 was the most dominant factor influencing nurses' self- efficacy when handling neonatal resuscitation in hospitals in Malang City of Indonesia. This study found an association related to communication skill, collaboration, and nurse decision making. Communication skills are the dominant factor influencing the efficacy of nurses in performing neonatal resuscitation care.

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