Zhang Jun-lei

Bio: Zhang Jun-lei is an academic researcher. The author has contributed to research in topics: Quality of life & Medical history. The author has an hindex of 1, co-authored 1 publications receiving 2 citations.

Self-management of Elderly Patients with Type 2 Diabetes and Its Influencing Factors

Abstract: Objective To study the self-management of elderly patients with type 2 diabetes and its influencing factors.Methods A general information questionnaire and self-management scale were applied among 203 elderly type 2 diabetic patients through convenient sampling.Results The total score of self-management behavior of patients was(68.53±16.12),which indicated their self-management remained in the middle level and only 21.2% of the elderly with good self-management.All subscales scoring from high to low in turn were medicine,diet control,exercise,foot care,treatment of hyperglycemia and hypoglycemia and blood glucose monitoring,and the scores of patients with diabetes education,unemployed,those without complications,non-smokers were higher than the scores of those lack of diabetes education,on-the-job,those with complications and smokers(P0.05),whereas gender,education,marital status,family income,ways of payment,family medical history,treatment methods and glycosylated hemoglobin standard rate exerted no significant influence on self-management(P0.05).Conclusion Self-management of elderly patients with type 2 diabetes needs to be improved.Effective efforts should be made to promote patients' knowledge and eventually improve their quality of life.

Factors Influencing Self-Management in Chinese Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis.

Abstract: Diabetes is a major public health problem in China. Diabetes self-management is critical for patients to achieved better health outcomes, however, previous studies have shown suboptimal diabetes self-management performance. We conducted a systematic review and meta-analysis to identify factors associated with diabetes self-management in Chinese adults. The results showed that confrontation, resignation, overall health beliefs, perceived susceptibility, perceived barriers, and self-efficacy were factors associated with overall diabetes self-management performance and six aspects of diabetes self-management behaviors. There is some limited evidence to suggest that provider-patient communication, married individuals, higher educational level, and higher household income level may also be linked to better diabetes self-management practice. Having healthcare insurance and utilizing chronic illness resources generally appeared to have a favorable effect on diabetes self-management performance. In addition, there were a number of factors for which the evidence is too limited to be able to ascertain its strength of association with diabetes self-management practice. The findings of this review suggest that diabetes self-management behaviors are affected by a wide range of personal and environmental factors, which allow health care providers to develop theory-based strategies to improve diabetes-self-management behaviors in this population.

Testing the information-motivation-behavioural skills model of diabetes self-management among Chinese adults with type 2 diabetes: A protocol of a 3-month follow-up study

Abstract: Introduction Currently, China leads the world in the number of people with diabetes, making it home to a third of the global diabetic population. Persons with diabetes have to carry out 95% of their self-care. As an important component of diabetes care, diabetes self-management (DSM) is defined as everyday behaviours that persons carry out to control diabetes. Consistent findings have been reported that level of compliance to suggested DSM behaviours is not considered optimal among Chinese adults with type 2 diabetes (T2D). The underlying reasons for suboptimal DSM behaviours among Chinese adults are not well known and no conceptual model has been developed to guide DSM interventions in this population. Although the information-motivation-behavioural skills model has been tested among Chinese adults with T2D, some key components of the original model were not tested. In this proposed study protocol, we will refine and test a culturally tailored model of DSM longitudinally among 250 Chinese adults residing in China. Methods and analysis This is a descriptive, repeated-measure study to be conducted at a tertiary hospital in Chengdu, China. A total of 250 adults with T2D will be enrolled and followed for 3 months in this study. Information of multiple domains will be collected, including demographics, diabetes knowledge, health education form, provider-patient communication, health beliefs, social support, diabetes self-efficacy, the medical coping modes, the diabetes self-care, depression, diabetes-dependent quality of life, haemoglobin A1c, blood pressure and blood lipids at baseline and 3-month follow-up. Main analyses comprise linear regression modelling controlling for covariates and structural equation modelling. Ethics and dissemination Ethical approval has been obtained through the Fourth People’s Hospital of Chengdu Research Ethics Committee (study approval number 2017017). We aim to disseminate the findings through international conferences, international peer-reviewed journals and social media. Trial registration number ChiCTR-ROC-17013592.