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<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">JCNR</journal-id><journal-title-group><journal-title>Journal of Clinical and Nursing Research</journal-title></journal-title-group><issn>2208-3685</issn><eissn>2208-3693</eissn><publisher><publisher-name>Bio-Byword Scientific Publishing Pty. Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.26689/jcnr.v8i4.6789</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>Determinants of Knowledge, Attitudes, and Practices among Young Adults Type 2 Diabetes Patients in Selected Tertiary Hospitals in Shandong Province, China </title><url>https://artdesignp.com/journal/JCNR/8/4/10.26689/jcnr.v8i4.6789</url><author>LiuYao,D. AgunodCyrelle</author><pub-date pub-type="publication-year"><year>2024</year></pub-date><volume>8</volume><issue>4</issue><history><date date-type="pub"><published-time>2024-04-30</published-time></date></history><abstract>Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationship between general conditions (personal, social, and environment, clinical factors) and their knowledge, attitude, and practices (KAP) of diabetes self-management, This aims to provide patients with high-quality nursing care management and services, as well as to provide relevant recommendations for effective self-management. Methods: This study is a descriptive correlational study that used the purposive sampling method to investigate 359 patients with T2DM aged 18–25 years in four designated tertiary hospitals in Shandong Province. Results: Knowledge of self-management was correlated with sex, age, education level, occupation and work situation, monthly household income, medical payment method, family and friend support, frequency of diabetes health education, and diabetes complications. The attitude subscale was correlated with sex, age, education level, work situation, and family and friend support. The practice subscale was associated with age, education level, work situation, family and friend support, frequency of diabetes health education, and HbA1c values. Conclusion: Young adults aged 18–25 with T2DM have positive attitudes towards diabetes self-management, but there are still deficiencies in knowledge acquisition and behavioral practice. The KAP of self-management of diabetes is influenced by personal factors such as sex, age, and education level, and socio-environmental factors such as family income and family or friends’ social support. Additionally, clinical factors such as complications and HbA1c values significantly impacted the patient’s disease self-management ability.</abstract><keywords/></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>Chatterjee S, Davies MJ, Heller S, et al., 2018, Diabetes Structured Self-Management Education Programs: A Narrative Review and Current Innovations. The Lancet. Diabetes and Endocrinology, 6(2): 130–142.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B2" content-type="article"><label>2</label><element-citation publication-type="journal"><p>Li Y, Teng D, Shi X, et al., 2020, Prevalence of Diabetes Recorded in Mainland China using 2018 Diagnostic Criteria from the American Diabetes Association: National Cross-Sectional Study. BMJ (Clinical research ed.), 369: 997.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B3" content-type="article"><label>3</label><element-citation publication-type="journal"><p>Wang L, Peng W, Zhao Z, et al., 2021, Prevalence and Treatment of Diabetes in China, 2013–2018. JAMA, 326(24): 2498.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B4" content-type="article"><label>4</label><element-citation publication-type="journal"><p>Montali L, Zulato E, Cornara M, et al., 2022, Barriers and Facilitators of Type 1 Diabetes Self-Care in Adolescents and Young Adults. Journal of Pediatric Nursing, 62: 136–143.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B5" content-type="article"><label>5</label><element-citation publication-type="journal"><p>van Smoorenburg AN, Hertroijs DFL, Dekkers T, et al., 2019, Patients’ Perspective on Self-Management: Type 2 Diabetes in Daily Life. BMC Health Services Research, 19(1): 605.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B6" content-type="article"><label>6</label><element-citation publication-type="journal"><p>Colman PG, Thomas DW, Zimmet PZ, et al., 1999, New Classification and Criteria for Diagnosis of Diabetes Mellitus. The Australasian Working Party on Diagnostic Criteria for Diabetes Mellitus. The New Zealand Medical Journal, 112(1086): 139–141.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B7" content-type="article"><label>7</label><element-citation publication-type="journal"><p>Wang W, Wu Y, Feng N, et al., 2016, Study on developing a Brief Version of Diabetes Self-management Knowledge, Attitude, and Behavior Assessment Scale (DSKAB-SF). Chinese Journal of Preventive Medicine, 50(1), 50–55.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B8" content-type="article"><label>8</label><element-citation publication-type="journal"><p>Saydah SH, Siegel KR, Imperatore G, et al., 2019, The Cardiometabolic Risk Profile of Young Adults with Diabetes in the U.S. Diabetes Care, 42(10): 1895–1902.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B9" content-type="article"><label>9</label><element-citation publication-type="journal"><p>Nkhoma DE, Soko CJ, Bowrin P, et al., 2021, Digital Interventions Self-Management Education for Type 1 and 2 Diabetes: A Systematic Review and Meta-Analysis. Computer Methods and Programs in Biomedicine, 210: 106370.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B10" content-type="article"><label>10</label><element-citation publication-type="journal"><p>Agarwal S, Hilliard M, Butler A, 2018, Disparities in Care Delivery and Outcomes in Young Adults with Diabetes. Current Diabetes Reports, 18(9): 65.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B11" content-type="article"><label>11</label><element-citation publication-type="journal"><p>Lee AA, Piette JD, Heisler M, et al., 2019, Diabetes Self-Management and Glycemic Control: The Role of Autonomy Support from Informal Health Supporters. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 38(2): 122–132.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B12" content-type="article"><label>12</label><element-citation publication-type="journal"><p>Yang M, Ye Y, Zhu J, et al., 2021, Status and Correlation of Home Self-Management Behavior and Self-Efficacy in Young and Middle-Aged Diabetic Patients. China Medicine and Pharmacy, 11(16): 4.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B13" content-type="article"><label>13</label><element-citation publication-type="journal"><p>Yang N, He SW, Song GH, et al., 2021, Self-management, Dietary Compliance, Psychological Burden, and Blood Glucose Level in Patients with Type 2 Diabetes Mellitus. Practical Preventive Medicine, 28(7): 774–779.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B14" content-type="article"><label>14</label><element-citation publication-type="journal"><p>Wei Y, Liu H, Liu H, et al., 2018, Correlation between Diabetes Self-Management, Diabetes Knowledge, and Diabetes Self-Management Attitude in Young Patients with Type 2 Diabetes Mellitus. Chinese Nursing Research, 32(22): 3.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B15" content-type="article"><label>15</label><element-citation publication-type="journal"><p>Hermanns N, Ehrmann D, Ehrmann DA, et al., 2020, Trends in Diabetes Self-Management Education: Where are We Coming from and Where are We Going? A Narrative Review. Diabetic Medicine, 37(3): 436–447.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B16" content-type="article"><label>16</label><element-citation publication-type="journal"><p>Pyatak EA, Carandang K, Vigen CLP, et al., 2018, Occupational Therapy Intervention Improves Glycemic Control and Quality of Life Among Young Adults with Diabetes: The Resilient, Empowered, Active Living with Diabetes (Real Diabetes) Randomized Controlled Trial. Diabetes Care, 171634.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
