The Influence of Health Literacy and Diabetes Knowledge on Diabetes Self-care Activities in Korean Low-income Elders with Diabetes.
10.12799/jkachn.2014.25.3.217
- Author:
Jihye JEONG
1
;
Namhee PARK
;
So Young SHIN
Author Information
1. Department of Nursing, College of Medicine, Inje University, Busan, Korea. parknh@inje.ac.kr
- Publication Type:Original Article
- Keywords:
Health literacy;
Knowledge;
Self care;
Diabetes mellitus;
Aged
- MeSH:
Aged;
Delivery of Health Care;
Diabetes Mellitus;
Education;
Health Education;
Health Literacy*;
Humans;
Korea;
Self Care*;
Vital Signs;
Vulnerable Populations;
Surveys and Questionnaires
- From:Journal of Korean Academy of Community Health Nursing
2014;25(3):217-224
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population. METHODS: This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients. RESULTS: In the regression model, diabetes knowledge (beta=.322, p<.001), exercise (beta=.337, p<.001), and experiences of diabetes education (beta=.241, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled. CONCLUSION: To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.
