Volume 29, Issue 5-6 pp. 852-862
ORIGINAL ARTICLE

Factors influencing self-management behaviours among patients with type 2 diabetes mellitus in the Solomon Islands

Benjamin Harry Bezo RN, PhD

Benjamin Harry Bezo RN, PhD

Lecturer

School of Nursing & Allied Health Sciences, Solomon Islands National University, Honiara, Solomon Islands

School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan

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Yu-Tung Huang PhD

Yu-Tung Huang PhD

Associate Research Fellow

Center for Big Data Analytics and Statistics, Chang Gung Memorial Hospital, Taipei, Taiwan

Department of Renal Care, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

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Chiu-Chu Lin RN, PhD

Corresponding Author

Chiu-Chu Lin RN, PhD

Professor

Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

Correspondence

Chiu-Chu Lin, No. 100, Shi-Chuan 1st Rd., San Ming District, Kaohsiung City 807, Taiwan.

Email: [email protected]

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First published: 10 December 2019
Citations: 14

Abstract

Aims and objectives

This study aims to explore the current state of self-management behaviours among persons with type 2 diabetes mellitus in the Solomon Islands and to discuss the factors influencing these behaviours.

Background

The prevalence of diabetes and diabetes complications is increasing in the Solomon Islands. However, the effective diabetes prevention and care are not provided in the country.

Design

This is a cross-sectional study.

Methods

A convenience sample of 150 persons with type 2 diabetes mellitus was recruited from a hospital in the Solomon Islands from August 2017–September 2017. Self-report questionnaires were used to measure the self-management behaviours, diabetes knowledge and illness perception. In addition, the study adhered to the EQUATOR checklist, STROBE (see Appendix S1).

Results

The overall score for self-management was 56.9 ± 13.2 and diabetes knowledge and illness perception, as influencing factors of self-management, earned total scores of 13.3 ± 4.0 and 55.8 ± 12.0, respectively. Stepwise regression analysis identified illness perception, diabetes knowledge and smoking as significant influencing factors, explaining 20.8% of the total variance in self-management.

Conclusions

The level of diabetes self-management behaviours demonstrated by persons with type 2 diabetes mellitus in this study was rated as less than ideal. Diabetes knowledge and illness perception were the two main factors influencing patient self-management in the Solomon Islands.

Relevance to clinical practice

The study addressed the current state of the self-management behaviours of persons with diabetes and discussed the factors influencing these behaviours. The findings indicated that knowledge and illness perception of diabetes were the two main factors and provided baseline information for policymakers, health planners and healthcare providers highlighting diabetes as an important issue in Solomon Islands.

CONFLICT OF INTEREST

The authors declare that they have no competing interests.

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