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KMID : 0388320130200010027
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Journal of Korean Academy of Fundamental Nursing
2013 Volume.20 No. 1 p.27 ~ p.36
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Factors Influencing Self - Care Behaviors Related to Insulin Therapy in Elders with Diabetes Mellitus
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Sohn Na-Yeong
Yang Jin-Hyang
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Abstract
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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.
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KEYWORD
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Elderly, Diabetes mellitus, Insulin, Self care, Self efficacy
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