{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T08:05:30Z","timestamp":1779437130977,"version":"3.53.1"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"abstract":"<jats:p>\n                    This randomized controlled trial examined whether an empowerment-based nursing intervention reduces anxiety among hospitalized patients with type 2 diabetes mellitus (T2DM) and whether self-management capacity mediates this association. Between January 2022 and January 2025, 170 adult inpatients with T2DM were randomly assigned to standard care (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200985) or empowerment-based nursing plus standard care (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200985). Empowerment, self-management capacity, and anxiety were assessed at baseline and post-intervention. Compared with standard care, the intervention group showed significantly higher empowerment and self-management capacity and lower anxiety (all\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Empowerment was positively associated with self-management capacity (\u03b2\u2009=\u20090.192,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.012) and negatively associated with anxiety (\u03b2\u2009=\u2009\u22120.330,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001), whereas the indirect effect through self-management capacity was not significant. These findings suggest that empowerment-based nursing reduces anxiety primarily through direct psychological mechanisms.\n                  <\/jats:p>","DOI":"10.1177\/13591053261446856","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T07:13:27Z","timestamp":1779174807000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["From empowerment to anxiety reduction: The mediating role of self-management capacity in type 2 diabetes mellitus"],"prefix":"10.1177","author":[{"given":"Qianyu","family":"Su","sequence":"first","affiliation":[{"name":"College of Nursing, Jinzhou Medical University, Liaoning, China"},{"name":"Suizhou Central Hospital, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Wu","sequence":"additional","affiliation":[{"name":"Suizhou Central Hospital, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiyan","family":"Hu","sequence":"additional","affiliation":[{"name":"Suizhou Central Hospital, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingjie","family":"Song","sequence":"additional","affiliation":[{"name":"Suizhou Central Hospital, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9042-3300","authenticated-orcid":false,"given":"Huan","family":"Wang","sequence":"additional","affiliation":[{"name":"College of Nursing, Jinzhou Medical University, Liaoning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.6.739"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41574-021-00512-2"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2013.19.5.374"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms25031882"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.103407"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-1059"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1118324"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-72"},{"key":"e_1_3_3_10_1","first-page":"1","volume-title":"Diagnostic Criteria and Classification of Diabetes. 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(2005) Shared care with task delegation to nurses for type 2 diabetes: prospective observational study. Netherlands Journal of Medicine 63(3): 103\u2013110.","journal-title":"Netherlands Journal of Medicine"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4384-7"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-007-9110-y"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105315596373"}],"container-title":["Journal of Health Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053261446856","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13591053261446856","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053261446856","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T07:18:32Z","timestamp":1779434312000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13591053261446856"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,19]]},"references-count":27,"alternative-id":["10.1177\/13591053261446856"],"URL":"https:\/\/doi.org\/10.1177\/13591053261446856","relation":{},"ISSN":["1359-1053","1461-7277"],"issn-type":[{"value":"1359-1053","type":"print"},{"value":"1461-7277","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,19]]},"article-number":"13591053261446856"}}