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KMID : 1141620170290010027
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Health & Nursing
2017 Volume.29 No. 1 p.27 ~ p.38
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The Relationships of Health Literacy, Medication Adherence and Self-Care Performance of Diabetes Mellitus Patients
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Yoon Su-Ji
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Abstract
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Purpose: This study was to identify the relationships of health literacy, medication adherence and self-care performance for patients with diabetes mellitus.
Method: 110 Patients with diabetes mellitus were recruited from one hospital in Seoul, using Korean Health Literacy Assessment Tool for health literacy, Korean version of Morisky Medication Adherence Scale for medication adherence, and Korean version of Summary of Diabetes Self-Care Activities Questionnaire for self-care performance. The collected data were analyzed using SPSS version 22.0 the mean, standard deviation, t-test, ANOVA, Scheffe test, and multiple linear regression.
Results: Other medical history of chronic disease(B=2.085, p<.05), time since diabetes mellitus diagnosis(B=-.631, p<.001), complications associated with diabetes mellitus(B=-3.119, p<.05), and health literacy(B=1.132, p<.01), each found to affect self-care performance and time sincce diabetes mellitus has the largest effect (B=-.631, p<.001). Model`s R2 is 0.592.
Conclusion: Self care performance of patients with diabetes mellitus was affected by other medical history of chronic disease, diabetes mellitus diagnosis duration, complications associated with diabetes mellitus and health literacy. Among these factors, diabetes mellitus diagnosis duration had the largest effect. Therefore, to improve diabetes mellitus patients`s self-care performance, an integrative approach should be pursued considering patient`s diabetes mellitus diagnosis duration, complications associated with diabetes mellitus and health literacy.
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KEYWORD
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Health literacy, Diabetes mellitus, Medication adherence, Self-care performance
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