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KMID : 0388320210280030384
Journal of Korean Academy of Fundamental Nursing
2021 Volume.28 No. 3 p.384 ~ p.394
Mediating Effect of Acceptance Action in relationship between Diabetes Self-Stigma and Quality of Life in People with Diabetes in Korea
Seo Ka-Woun

Abstract
Purpose: This study was done to investigate the mediating effects of acceptance action on the relationship between diabetes self-stigma and quality of life in diabetes patients.

Methods: For this study a descriptive research approach was used. Patients (237) with a diagnosis of diabetes mellitus from a doctor of endocrinology were included. Data collection was done from March 26, to March 28, 2020. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson¡¯s correlation coefficient analysis, and hierarchecal multiple regression.

Result: The mean scores for diabetes self-stigma, acceptance action and quality of life were 2.67¡¾0.71, 4.12¡¾0.38, and 3.26¡¾0.48, respectively. Acceptance action was found to partial mediate the relationship between diabetes self-stigma and quality of life (z=-4.20, p<.001), and its explanatory power was 17.6%.

Conclusion: To improve the quality of life among patients with diabetes in diabetes self-stigma situations, it is necessary to improve their acceptance action and develop step-by-step and differentiated acceptance action enhancement programs through multidisciplinary collaboration.
KEYWORD
Acceptance and commitment therapy, Diabetes mellitus, Mediation analysis, Quality of life, Social stigma
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