Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
10.7739/jkafn.2024.31.2.179
- Author:
Young-Eun YI
1
;
Hyun-Ju LEE
Author Information
1. Nurse, Busan Medical Center, Busan, Korea
- Publication Type:Original Article
- From:Journal of Korean Academy of Fundamental Nursing
2024;31(2):179-190
- CountryRepublic of Korea
- Language:KO
-
Abstract:
Purpose:The purpose of this study was to identify the influence of digital literacy and patient activation on sick role behavior in vulnerable older adults with diabetes.
Methods:This cross-sectional, descriptive study included 142 vulnerable older adults aged over 65 with diabetes who were seen at Busan Medical Center. Data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, and stepwise multiple regression analysis with SPSS for Windows version 23.0.
Results:Sick role behavior was significantly correlated with digital literacy (r=.68, p<.001) and patient activation (r=.83, p<.001). Digital literacy had a significant correlation with patient activation (r=.63, p<.001). Multiple regression analysis for sick role behavior revealed that the most powerful predictor was patient activation (β=.55, p<.001). Patient activation, digital literacy, gender (female), religiosity (being religious) and cohabitation (living with family) explained 81.0% of the variance in sick role behavior.
Conclusion:Various factors were found to be related to the sick role behavior of vulnerable older adults with diabetes. Based on the results of this study, further development and application of a customized educational interventional program for improving the sick role behavior of older adults with diabetes will have a positive influence on disease treatment and health management for this population.
