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已发表论文
2 型糖尿病患者健康素养在自我效能与生活质量之间的中介效应
Authors Li J , Lin Y, Li X, Cui Y , Wang Q, Ouyang A, Hua Y
Received 12 June 2025
Accepted for publication 14 September 2025
Published 23 September 2025 Volume 2025:18 Pages 3625—3637
DOI https://doi.org/10.2147/DMSO.S546698
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Melissa Olfert
Jiayao Li,1,* Yue Lin,1,* Xiaomiao Li,2 Yi Cui,1 Qianqian Wang,1 Anping Ouyang,3 Yan Hua1
1Department of Nursing, Air Force Medical University, Xi’an, Shaanxi, People’s Republic of China; 2Department of Endocrinology, Xijing Hospital, Air Force Medical University, Xi’an, Shaanxi, People’s Republic of China; 3Department of Military Medical Psychology, Air Force Medical University, Xi’an, Shaanxi, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yan Hua, Department of Nursing, Air Force Medical University, Xi’an, People’s Republic of China, Email huayan1112@126.com
Objective: The purpose of this study is to investigate how health literacy mediates the link between type 2 diabetes mellitus patients’ self-efficacy and quality of life.
Methods: Between January 2025 and April 2025, researchers gathered a convenience sample of T2DM patients from six hospitals in Shaanxi Province, China. These participants completed the Diabetes-Management SE Scale, Health Literacy Scale for Chronic Patients, and the Short Form 36 Health Survey Questionnaire to assess their self-efficacy, health literacy, and quality of life. We used SPSS 27.0 and Mplus 8.3 software to perform statistical analysis of the relationships between variables.
Results: Patients with T2DM had a moderate quality of life score of 59.48 ± 14.57. Self-efficacy and quality of life were positively correlated (r = 0.950, p < 0.001). Furthermore, the association between self-efficacy and quality of life was partially mediated by health literacy (β = 0.276, 95% CI = 0.201– 0.346, p < 0.001), with the mediating impact explaining 36.0% of the overall effect.
Conclusion: In patients with T2DM, self-efficacy and quality of life are substantially correlated, and health literacy mediates this relationship. The above findings provide scientific evidence for developing intervention strategies.
Keywords: diabetes, self-efficacy, health literacy, quality of life, cross-sectional study
1Department of Nursing, Air Force Medical University, Xi’an, Shaanxi, People’s Republic of China; 2Department of Endocrinology, Xijing Hospital, Air Force Medical University, Xi’an, Shaanxi, People’s Republic of China; 3Department of Military Medical Psychology, Air Force Medical University, Xi’an, Shaanxi, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yan Hua, Department of Nursing, Air Force Medical University, Xi’an, People’s Republic of China, Email huayan1112@126.com
Objective: The purpose of this study is to investigate how health literacy mediates the link between type 2 diabetes mellitus patients’ self-efficacy and quality of life.
Methods: Between January 2025 and April 2025, researchers gathered a convenience sample of T2DM patients from six hospitals in Shaanxi Province, China. These participants completed the Diabetes-Management SE Scale, Health Literacy Scale for Chronic Patients, and the Short Form 36 Health Survey Questionnaire to assess their self-efficacy, health literacy, and quality of life. We used SPSS 27.0 and Mplus 8.3 software to perform statistical analysis of the relationships between variables.
Results: Patients with T2DM had a moderate quality of life score of 59.48 ± 14.57. Self-efficacy and quality of life were positively correlated (r = 0.950, p < 0.001). Furthermore, the association between self-efficacy and quality of life was partially mediated by health literacy (β = 0.276, 95% CI = 0.201– 0.346, p < 0.001), with the mediating impact explaining 36.0% of the overall effect.
Conclusion: In patients with T2DM, self-efficacy and quality of life are substantially correlated, and health literacy mediates this relationship. The above findings provide scientific evidence for developing intervention strategies.
Keywords: diabetes, self-efficacy, health literacy, quality of life, cross-sectional study