Diabetes, Metabolic Syndrome and Obesity (Nov 2024)
Mediating Effect of Coping Style Between Risk Perception of Complications and Self-Management in Patients with Type 2 Diabetes Mellitus
Abstract
Chen Xiong,1 Yaru Wang,1 Xiaoqiao Xie,1 Yixin Huang,2 Meilan Liu,2 Xiaofang Zou1 1Department of Nursing, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong, People’s Republic of China; 2Department of Endocrinology and Metabolism, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong, People’s Republic of ChinaCorrespondence: Xiaofang Zou, Department of Nursing, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong, People’s Republic of China, Tel +8618998321627, Fax +86-20-81292949, Email [email protected]: To examine how coping style mediates the relationship between risk perception of diabetic complications and self-management, so as to provide evidence for improving the self-management level of patients with type 2 diabetes.Patients and Methods: We recruited patients with type 2 diabetes mellitus and conducted a cross-sectional survey using a general information questionnaire, the risk perception survey-diabetes mellitus (RPS-DM), the medical coping modes questionnaire (MCMQ), and the summary of Diabetes Self-Care Activities (SDSCA). Descriptive analysis and Pearson correlation analysis were carried out with SPSS 25.0 software, and a structural equation model was constructed with AMOS 24.0 software to verify the mediating effect.Results: A total of 343 valid questionnaires were collected. Diabetes patients’ risk perception of complications has a positive impact on self-management behavior. Cope style was analyzed in three dimensions: confrontation, avoidance and acceptance-resignation, where the confrontation dimension is positively correlated with risk perception of complications and self-management behavior, and the acceptance-resignation dimension is negatively correlated with risk perception of complications and self-management behavior. These two dimensions have partial mediating effects (β=0.115, 95% CI = 0.041– 0.225; β = 0.147, 95% CI = 0.056– 0.283) between risk perception of complications and self-management behaviors, accounting for 15.9% and 20.3% of the total effects, respectively.Conclusion: Our study discovered that the risk perception of complications can affect self-management behavior via various coping styles, suggesting that clinical medical staff should assist patients with type 2 diabetes in facing the perceived risk of complications positively, and thus improve their self-management behavior.Keywords: type 2 diabetes mellitus, risk perception, complications, coping style, self-management, mediation analysis
