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KMID : 0607720160270040370
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Journal of Korean Community Nursing
2016 Volume.27 No. 4 p.370 ~ p.379
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Effects of Health Literacy and Knowledge on Diabetic Self-care in the Elderly with DM Living Alone
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Kim Nam-Hui
Yang Young-Ran
Lee Myung-Ha
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Abstract
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Purpose: The aim of this study was to evaluate the level of self-care adherence in the elderly with diabetes mellitus (DM) who have lived alone, and to investigate the association between health literacy, diabetic knowledge and self-care adherence.
Methods: Descriptive research using the cross-sectional approach was conducted. Data was collected by using a convenience sampling of 201 participants who aged sixty-five years old or more and have lived alone. Statistical analysis was conducted by using an independent t-test, one-way ANOVA, Scheffe? test, Pearson correlation coefficient and stepwise multiple regression analysis.
Results: Mean scores of health literacy, diabetic knowledge and adherence of self-care were 4.41±3.54 points out of a possible 12, 6.22±2.55 points out of a possible 15, 58.56±17.28 points out of a possible 112, respectively. Adherence of self-care showed a statistical association with health literacy (r=.26, p<.001) and diabetic knowledge (r=.30, p<.001). Statistically significant factors in the regression model were monthly income, diabetic knowledge and exercise.
Conclusion: The level of self-care adherence in the elderly with diabetes living alone was relatively low. Diabetic knowledge was an important factor to improve the level of self-care adherence for the elderly with diabetes living alone.
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KEYWORD
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Elderly, Diabetes mellitus, Health literacy, Knowledge, Self care
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