<?xml version="1.1" encoding="utf-8"?>
<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.v9i1.9510</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>Applying Snyder’s Hope Theory to Enhance Self-Management in Diabetic Patients</title><url>https://artdesignp.com/journal/JCNR/9/1/10.26689/jcnr.v9i1.9510</url><author>GaoRui,HanCuiyu,ChengYanhong,JiangLi,ZhangZhixin,GuYujie</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>9</volume><issue>1</issue><history><date date-type="pub"><published-time>2025-02-13</published-time></date></history><abstract>Objective: To explore the application effect of self-management based on Snyder’s hope theory in diabetic patients. Methods: A total of 260 patients with diabetes from a community were selected through convenient sampling and randomly divided into an experimental group and a control group using the random number table method, with 130 cases in each group. Five cases were lost in the experimental group, resulting in 125 effective cases, while all 130 cases in the control group were effective. The control group received standard lectures on diabetes self-management behavior and traditional approaches, such as the distribution of educational manuals. The experimental group underwent a self-management behavior intervention program for diabetic patients based on Snyder’s hope theory model, encompassing three components: goals, pathways, and motivational thinking. The levels of hope and self-management behavior were compared between the two groups. Results: After the intervention, the scores for hope levels and self-management behaviors in both groups were significantly higher than those recorded before the intervention (P &amp;lt; 0.05). Furthermore, the hope level and self-management behavior scores of the experimental group were significantly higher than those of the control group (P &amp;lt; 0.05). Conclusion: The application of Snyder’s hope theory model in diabetic patients demonstrates significant benefits, improving patients’ hope levels and, consequently, enhancing their self-management behaviors.</abstract><keywords/></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>International Diabetes Federation, 2021, IDF Diabetes Atlas, 10th Edition.</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>Laxy M, Mielck A, Hunger M, et al., 2014, The Association Between Patient-Reported Self-Management Behavior, Intermediate Clinical Outcomes, and Mortality in Patients with Type 2 Diabetes: Results from the KORA-A Study. Diabetes Care, 37(6): 1604–1612. https://doi.org/10.2337/dc13-2533</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>Kent D, D’Eramo Melkus G, Stuart PM, et al., 2013, Reducing the Risks of Diabetes Complications Through Diabetes Self-Management Education and Support. Popul Health Manag, 16(2): 74–81. https://doi.org/10.1089/pop.2012.0020</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>Chen X, Bu X, Wang C, et al., 2014, A Study on the Correlation Between Self-Management Level and Diabetic Retinopathy in Community-Based Type 2 Diabetes Mellitus Patients. Journal of Community Medicine, 12(14): 26–29.</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>Mehravar F, Mansournia MA, Holakouie-Naieni K, et al., 2016, Associations Between Diabetes Self-Management and Microvascular Complications in Patients with Type 2 Diabetes. Epidemiol Health, 38: e2016004. https://doi.org/10.4178/epih/e2016004</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>Khanna A, Bush AL, Swint JM, et al., 2012, Hemoglobin A1c Improvements and Better Diabetes-Specific Quality of Life Among Participants Completing Diabetes Self-Management Programs: A Nested Cohort Study. Health Qual Life Outcomes, 10: 48. https://doi.org/10.1186/1477-7525-10-48</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>Lin K, Yang X, Yin G, et al., 2016, Diabetes Self-Care Activities and Health-Related Quality-of-Life of individuals with Type 1 Diabetes Mellitus in Shantou, China. J Int Med Res, 44(1): 147–156. https://doi.org/10.1177/0300060515597933</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>Ma Q, Jing K, Liu Y, 2019, Research on the Construction of Structural Equation Model of Health Beliefs Affecting Self-Management Behavior of Diabetic Patients. Nursing Research, 33(24): 4294–4298.</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>Liu M, Huang X, 2013, Hope: A Review of Research in Psychology. Advances in Psychological Science, 21(3): 548–560.</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>Li C, Ji K, Liu Y, et al., 2018, Sinicization of Diabetes Self-Management Scale and Evaluation of Confidence Calibration. Modern Preventive Medicine, 45(24): 4477–4481.</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>Zhao H, Wang J, 2000, Social Support and Hope for Hemodialysis Patients. Chinese Journal of Nursing, 2000(5): 49–51.</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>Zhang JX, Schwarzer R, 1995, Measuring Optimistic Self-Beliefs: A Chinese Adaptation of the General Self-Efficacy Seale. Psychologia, 38(3): 174–181.</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>Zhou X, Xiao X, 2022, How to Create a Diabetes Chronic Disease Management Model with Chinese Characteristics. Chinese Journal of Diabetes, 2022(9): 877–880.</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>Lange E, Kucharski D, Svedlund S, et al., 2019, Effects of Aerobic and Resistance Exercise in Older Adults With Rheumatoid Arthritis: A Randomized Controlled Trial. Arthritis Care Res (Hoboken), 71(1): 61–70. https://doi.org/10.1002/acr.23589</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>Williams MA, Srikesavan C, Heine PJ, et al., 2018, Exercise for Rheumatoid Arthritis of the Hand. Cochrane Database Syst Rev, 7(7): CD003832. https://doi.org/10.1002/14651858.CD003832.pub3</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>Wei Z, Wang W, 2010, Current Status of the Application of Hope Theory in Nursing Practice. Chinese Journal of Practical Nursing, 2010(10): 46–48.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B17" content-type="article"><label>17</label><element-citation publication-type="journal"><p>Diabetology Committee of Chinese Society of Research Hospitals, Shenzhen Diabetes Prevention and Control Center, 2022, Expert Consensus on Self-Management Education and Support for Adults with Type 2 Diabetes Mellitus in Primary Care. Chinese Journal of Diabetes, 2022(4): 307–315.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B18" content-type="article"><label>18</label><element-citation publication-type="journal"><p>Shi Y, Deng JN, Chen Y, et al., 2017, Evaluation of the Effectiveness of Snyder’s Hope Theory Model in Chronic Kidney Disease Management. Journal of Nursing Management, 17(4): 283–286.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B19" content-type="article"><label>19</label><element-citation publication-type="journal"><p>Liu X, Huang T, 2020, Effects of Snyder’s Hope Theory Model on Self-Perceived Burden and Hope Level in Patients with Diabetic Nephropathy. General Practice Nursing, 18(5): 585–588.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B20" content-type="article"><label>20</label><element-citation publication-type="journal"><p>Shi R, Guo X, Zhang Q, 2021, Current Status and Prospects of Self-Management Education and Support for Adults with Type 2 Diabetes in China. Chinese Journal of Diabetes, 2021(2): 121–124.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B21" content-type="article"><label>21</label><element-citation publication-type="journal"><p>Liu T, Wei W, 2021, Analysis of Key Behavioral Status and Influencing Factors of Self-Management of Type 2 Diabetes Mellitus in the Community. China Health Education, 37(8): 714–717.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
