Self-Management Among Adults with Type 2 Diabetes in Vietnam

Dao, Hanh T. T.

Thursday, 2 August 2012: 8:30 AM

Hanh T. T. Dao, RN, BNS, MNS
School of Nursing and Midwifery, Queensland University of Technology, Brisbane, Australia
Debra J. Anderson, RN, BA, GDNS (ed), MN, PhD
School of Nursing and Midwifery, Queensland University of Technology, Brisbane, Queensland, Australia
Anne M. Chang, RN, DipNEd, BEdSt, MEdSt, PhD
Nursing Research Centre (inc. Queensland Centre for Evidence Based Nursing and Midwifery), Mater Health Services, Brisbane, Australia

Learning Objective 1: To describe to what extent adults with type 2 diabetes in Vietnam perform their diabetes self-management.

Learning Objective 2: To examine the association between demographic, health-related characteristics and diabetes self-management among adults with type 2 diabetes in Vietnam.

Purpose:

The purposes of this study were to describe the extent to which adults with type 2 diabetes in Vietnam perform their diabetes self-management and to examine the association between demographic, health-related characteristics and diabetes self-management in this population.

Methods:

A cross-sectional survey with convenience sampling was conducted on 198 adult out- patients with type 2 diabetes in an endocrine clinic in a tertiary hospital in Vietnam. A structured interview was used to collect data about demographic characteristics and health-related characteristics and the extent to which the participants perform their diabetes self-management. Diabetes self-management was measured by the Vietnamese version of The Diabetes Self-Management Instrument. Descriptive statistics, independent t tests, ANOVA, and simple regression analysis were used for data analysis.

Results:

Of 198 participants, diabetes self-management scores ranged from 49 to 140 out of 140 (Mean=96.73, SD=19.37).There were significant positive relationships between diabetes self-management and age (β_o=117.32, β₁= -0.35, R²=0.03, p<0.05); religion (F_3.194=6.51, P<0.001); marital status (F_2.195=3.42, P<0.05); education level (F_7.190=8.257, P<0.001); occupation (F_3.194=8.11, p<0.001); workload (F_3.194=6.46, p<0.001); income (β_o= 85.26, β₁=3.66, R²=0.08, p<0.001); and attendance to diabetic patients' clubs (t₁₉₆=3.62, p<0.001).

Conclusion:

Findings in this study indicated that the frequency of performing diabetes self-management among adults with type 2 diabetes in Vietnam was sub-optimal. There were big gaps in the extent to which these people perform their diabetes self-management. Participants who were younger, had no religion, were married or lived with their partners, had higher education, jobs with light or normal workload, higher incomes and attended diabetic patients’ clubs were more likely to performed diabetes self-management than others. Targeted diabetes self-management support should be implemented for adults with type 2 diabetes in Vietnam in the future. An adapted theory-based model could be a useful framework to develop this supporting program.

See more of: Culturally Diverse Health Behaviors: Global Perspectives on Diabetes
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