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KMID : 0367020180300050555
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Journal of Korean Academic of Adult Nursing
2018 Volume.30 No. 5 p.555 ~ p.564
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Association of Resilience and Depression with Self-care Competence in Adult Patients with Diabetes Mellitus
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Park Young-Rye
Jang Eun-Hee
Kim Ji-Ok
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Abstract
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Purpose: The purposes of this study were to examine the relationships between resilience, depression, and self-care competence and identify factors associated with self-care competence in patients with type 1 and type 2 diabetes mellitus.
Methods: This study was a descriptive research. Structured questionnaire on patients' sociodemographic and clinical characteristics, resilience, depression, and self-care competence was used for survey with a convenience sample of 152 patients with diabetes mellitus. Data were collected from July to December 2016. Data were analyzed using descriptive statistics, independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression with SPSS/WIN 21.0 program.
Results: The mean scores on resilience, depression, and self-care competence were 2.86±0.42, 18.11±10.05, and 4.27±0.78, respectively. Self-care competence showed a statistically significant positive correlation with resilience (r=.47, p<.001), and negative correlation with depression (r=?.29, p<.001). Resilience showed a negative correlation with depression (r=?.53, p<.001). Resilience (β=.38, p<.001) was significantly associated with factors of self-care competence in patients with diabetes mellitus.
Conclusion: The results of the study indicate that factor influencing self-care competence was resilience in patients with diabetes mellitus. Therefore, nursing intervention programs for increasing the self-care competence should include regular assessments and strategies for improving resilience in patients with diabetes mellitus. It is recommended that the studies should be performed to confirm the relationship between resilience and self-care competence by using resilience instrument developed for adults.
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KEYWORD
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Diabetes mellitus, Resilience, Depression, Self-care, Outpatients
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