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KMID : 0895920220240040389
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Journal of Korean Gerontological Nursing
2022 Volume.24 No. 4 p.389 ~ p.397
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The effects of diabetes knowledge, self-efficacy, and depression on self-management in older patients with diabetes in the community: A cross-sectional study
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Park Hyeok-Gyu
Kwon Myoung-Jin
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Abstract
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Purpose: The purpose of this study was to identify factors related to self-management of older patients with diabetes.
Methods: The subjects of the study were 255 older patients with diabetes registered at the public health center in C-do O-gun. Data were analyzed with IBM SPSS ver. 24.0.
Results: The self-management had significant positive correlations with diabetes knowledge (r=.29, p<.001) and self-efficacy (r=.62, p<.001), and had a significant negative correlation with depression (r=-.47, p<.001). A hierarchical multiple regression was conducted to analyze the factors effecting self-management. In the Model II, subjects with religion (β=.10, p=.033), subjects of higher than middle school graduate (β=.12, p=.036), subjects with one comorbidity (β= .16, p=.034), diabetes knowledge (β=.12, p=.017), self-efficacy (β=.49, p<.001), and depression (β=-.27, p<.001) had significant effects on self-management, and the explanatory power increased to 48.7% (F=22.88, p<.001).
Conclusion: To improve the self-management of older patients with diabetes, not only sufficient diabetes knowledge should be provided through systematic education, but also development of the self-management program that improves self-efficacy and includes psychological support for the prevention and mitigation of depression is required.
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KEYWORD
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Diabetes mellitus, Knowledge, Self efficacy, Depressive disorder, Self care
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