Diabetes self-management and its associated factors among patients with diabetes in central Vietnam: A cross-sectional study

• Published in: PloS one 2022-07, Vol.17 (7), p.e0270901-e0270901
• Main Authors: Nguyen, Van Bang, Thi, Kim Huong Pham, Nguyen, Thi Xuan, Pham, Nguyen Tuyen Linh, Nguyen, Van Vy Hau, Van Le, Chi
• Format: Article
• Language: English
• Subjects: Activities of daily living; Biology and Life Sciences; Body mass index; Care and treatment; Cross-sectional studies; Diabetes; Diabetes mellitus; Education; Endocrinology; Exercise; Glucose; Hemoglobin; Hospitals; Insulin resistance; Lifestyles; Medical personnel; Medical records; Medicine and Health Sciences; Nutrition; Nutrition research; Nutrition therapy; Patient compliance; Patient outcomes; Patient-centered care; Patients; People and Places; Personal health; Physical Sciences; Questionnaires; Risk factors; Sample size; Sex; Sociodemographics; Telemedicine; Variables
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0270901

Diabetes self-management (DSM) enables maintenance of optimal individualized glycemic control for patients with diabetes through comprehensive lifestyle, medication adherence, and self-monitoring glucose level. This study aimed to evaluate DSM and to find associated factors among Vietnamese diabetes patients by using the Vietnamese version of Diabetes Self-Management Instrument (DSMI). A cross-sectional study was conducted at a single hospital in the central Vietnam. DSM was assessed using the DSMI. The participant's socio-demographic and clinical features were obtained through face-to-face interviews and medical records. Multivariate linear regression was used to determine independent factors associated with total DSMI. The mean total DSM score based on DSMI self-administered questionnaire scores was 88.4 ± 22.1, with a range of 47 to 140. The mean self-integration, self-regulation, interaction with health professionals, self-monitoring blood glucose, and adherence to the prescribed regime were 24.8, 22.3, 21.6, 10.2, and 9.5, respectively. 48.1% of DM patients had good HbA1c control. Sex, educational status, BMI, waist circumference, medical nutrition therapy, and sufficient physical activities were factors independently predictive of DSMI total score. This study emphasizes that the DSM situation is seen to be average among DM patients with mean DSMI score 88.4 ± 22.1 and sex, educational status, BMI, waist circumference, medical nutrition therapy, and sufficient physical activities were independently predictive factors of DSMI total score. This evidence suggests that there is a need to enhance the effectiveness of DSM education programs among diabetic patients.