KMID : 0869520160220020170
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Journal of East-West Nirsing Research 2016 Volume.22 No. 2 p.170 ~ p.177
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The Mediating Effect of Regimen Distress in the Relationship between Medication Adherence and Glycemic Control in Men with Type 2 Diabetes Mellitus
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Seo Yeong-Mi
Choi Won-Hee
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Abstract
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Purpose: The purpose of this study was to examine the mediating effect of regimen distress in the relationship between medication adherence and glycemic control in men with type 2 diabetes.
Methods: A total of 116 patients with type 2 diabetes was recruited for the cross-sectional survey design. Data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson`s correlation coefficient, and multiple regression using Baron and Kenny steps for mediation.
Results: The mean score for medication adherence was 6.32, and the mean glycemic control level (HbA1c) was 7.47%. The mean score was 2.37 for regimen distress. There were significant correlations among medication adherence, regimen distress, and HbA1c. Regimen distress had a partial mediating effect (¥â=.22, p=.005) in the relationship between medication adherence and HbA1c (Sobel test: Z=2.47, p=.013).
Conclusion: Regimen distress was found to be associated with glycemic control in men with type 2 diabetes. Based on the findings of this study, nursing intervention programs focusing on decreasing regimen distress are highly recommended to improve level of glycemic control in patients with type 2 diabetes.
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KEYWORD
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Psychological stress, Blood glucose, Medication adherence, Diabetes mellitus
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