Factors Influencing Self-Care Behaviors Related to Insulin Therapy in Elders with Diabetes Mellitus.
- Author:
Na Yeong SOHN
1
;
Jin Hyang YANG
Author Information
1. Busan St. Mary's Medical Center, Busan, Korea.
- Publication Type:Original Article
- Keywords:
Elderly;
Diabetes mellitus;
Insulin;
Self care;
Self efficacy
- MeSH:
Adult;
Aged;
Blood Glucose;
Diabetes Mellitus;
Health Occupations;
Humans;
Insulin;
Quality of Health Care;
Surveys and Questionnaires;
Self Care;
Self Efficacy
- From:Journal of Korean Academy of Fundamental Nursing
2013;20(1):27-36
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Self-care behavior is a key dimension of healthcare quality among elderlys with diabetes mellitus. The purpose of this study was to identify factors associated with self-care behaviors related to insulin therapy among elders with diabetes mellitus. METHODS: The research was a cross-sectional, descriptive design using questionnaires. The participants were 147 older adult patients with diabetes mellitus receiving insulin therapy. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS statistics 19.0 program. RESULTS: Participants' self-care behaviors related to insulin therapy were not adequate. Stepwise multiple regression analysis for self-care behaviors related to insulin therapy revealed that the most powerful predictor was self-efficacy. Self-efficacy, family support and frequency of blood sugar test explained 54.4% of the variance in self-care behaviors related to insulin therapy. CONCLUSION: The results indicate a need to promote self- efficacy, family support and frequency of blood sugar testing with these participants. In addition, strategies to improve self-care behaviors among elderly patients should be considered by health professionals, family members and the elderly patients themselves.
