| Objective:To describe the status of health behaviors and care behaviors of family caregivers and self-management behaviors of type 2 diabetes patients.To analyze the general information on affecting self-management behaviors and to explore the association of family caregivers'health behaviors,care behaviors and patients'self-management behaviors.In order to provide a scientific basis for improving the health behaviors,care behaviors and self-management behaviors.Methods:From September 2017 to October 2018,400 diabetes patients and 400 family caregivers were selected by convenient sampling methods from three Grade A tertiary hospitals in Urumqi and Shihezi.The survey tools were used:General Information Questionnaire,Diabetes Self-Management Behavior Scale,Health Promotion Lifestyle Scale and Family Caregiver Care Behavior Questionnaire.Using SPSS 23.0 and Amos21.0 to analyze the validity and reliability.The mean±standard deviation was used to describe the self-management behaviors of the patients,the health behaviors and the care behaviors of the caregivers;the t-test,analysis of variance and multiple linear regression were used to analyze the influencing factors;the pearson correlation analysis,hierarchical regression analysis and mediation effect model were used to analyze the relationship between the three.Results:1.The Family Caregiver Care Behavior Questionnaire's EFA extracted 6 factors and the cumulative contribution rate was 72.70%.CFA yielded:X~2/df=1.390<2,RMSEA=0.046,NFI=0.905,RFI=0.886,IFI=0.972,ILI=0.971,CFI=0.971,GFI=0.853.The total Cronbach's?coefficient of the questionnaire was0.959.The questionnaire had good validity.2.The average score of the health behaviors of family caregivers was 105.34±17.47,and the score index was 65.83%,which was at a medium level;the average score of the care behaviors of family caregivers was 96.53±22.39,and the score index was 66.57%,which was at a medium level.3.The average score of self-management behaviors of type 2 diabetes was 86.63±17.06,and the score index was 66.64%,which was at a medium level.The scores of each dimension from high to low:abnormal blood glucose was 70.05%,exercise behavior was 69.20%,drug management behavior was 69.03%,foot care was 59.92%,and the diet behavior was 55.50%.Multiple linear regression analysis showed that patients'occupational status,complications,disease duration,health status and cognitive behaviors were statistically significant in patients'self-management behavior(P<0.05),of which F=9.164,R~2=0.2,adjust R~2=17.8%.4.Pearson correlation analysis showed that the total scores of family caregivers'health behaviors and their dimensions were positively correlated with the total scores of care behaviors and each dimension;the total scores of family caregivers'health behaviors and the total dimensions of self-management behaviors of patients.The total scores of family caregivers'care behaviors and their dimensions were positively correlated with the total scores of self-management behaviors of patients and each dimension.5.Care behaviors play a part in mediating between family caregivers'health behaviors and patient self-management behaviors.Conclusion:1.The family caregiver care behavior questionnaire had been tested with good reliability and validity.2.The level of the health behaviors of family caregivers was at a medium level;the level of the care behaviors of family caregivers was at a medium level.3.The level of the self-management behaviors of patients with type 2 diabetes was at a medium level,and the scores of foot care are at a low level,indicating that the practice of foot care was still weak.The patient's occupational status,complications,course of disease,health status,and awareness of care behavior are factors influencing the patient's self-management behavior.4.There was a correlation between family caregivers'health behaviors,care behaviors and patient self-management behaviors.5.The care behavior acts as a partial intermediary between health behaviors and patient self-management behaviors. |
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