J Korean Acad Fundam Nurs.  2013 Feb;20(1):27-36.

Factors Influencing Self-Care Behaviors Related to Insulin Therapy in Elders with Diabetes Mellitus

Affiliations
  • 1Busan St. Mary's Medical Center, Busan, Korea.
  • 2Department of Nursing, Inje University, Busan, Korea. jhyang@inje.ac.kr

Abstract

PURPOSE
Self-care behavior is a key dimension of healthcare quality among elderlys with diabetes mellitus. The purpose of this study was to identify factors associated with self-care behaviors related to insulin therapy among elders with diabetes mellitus.
METHODS
The research was a cross-sectional, descriptive design using questionnaires. The participants were 147 older adult patients with diabetes mellitus receiving insulin therapy. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS statistics 19.0 program.
RESULTS
Participants' self-care behaviors related to insulin therapy were not adequate. Stepwise multiple regression analysis for self-care behaviors related to insulin therapy revealed that the most powerful predictor was self-efficacy. Self-efficacy, family support and frequency of blood sugar test explained 54.4% of the variance in self-care behaviors related to insulin therapy.
CONCLUSION
The results indicate a need to promote self- efficacy, family support and frequency of blood sugar testing with these participants. In addition, strategies to improve self-care behaviors among elderly patients should be considered by health professionals, family members and the elderly patients themselves.

Keyword

Elderly; Diabetes mellitus; Insulin; Self care; Self efficacy

MeSH Terms

Adult
Aged
Blood Glucose
Diabetes Mellitus
Health Occupations
Humans
Insulin
Quality of Health Care
Surveys and Questionnaires
Self Care
Self Efficacy
Blood Glucose
Insulin
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