The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
10.12799/jkachn.2022.33.4.446
- Author:
Hyesun KIM
1
;
Kawoun SEO
Author Information
1. Assistant Professor, Department of Nursing, Hyejeon College, Hongseong, Korea
- Publication Type:ORIGINAL ARTICLE
- From:Journal of Korean Academy of Community Health Nursing
2022;33(4):446-455
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study investigated the mediating effects of acceptance action on the relationship between diabetes distress and self-stigma in older adults with diabetes.
Methods:A descriptive research approach was adopted using 187 patients diagnosed with diabetes mellitus by an endocrinology doctor. The data were collected from 26 to 31 March, 2020 and were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient analysis, and hierarchical multiple regression.
Results:The mean scores for diabetes distress, self-stigma, and acceptance action were 2.98±0.64, 2.54±0.74, and 4.16±0.35, respectively. Acceptance action partially mediated the relationship between diabetes distress and self-stigma (z=1.98, p=.024), with an explanatory power of 51.0%.
Conclusion:To reduce diabetes self-stigma among old adults in diabetes distress situations, it is necessary to improve their acceptance action and develop step-by-step differentiated acceptance action enhancement programs through multidisciplinary collaborations.
