Asian Nurs Res.  2016 Dec;10(4):289-294. 10.1016/j.anr.2016.10.004.

Factors Influencing Intention to Receive Examination of Diabetes Complications

Affiliations
  • 1Community Health Center, Tainan Sin-Lau Hospital, the Presbyterian Church in Taiwan, Tainan, Taiwan.
  • 2Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan. fanny77@seed.net.tw
  • 3Department of Physical Therapy, I-Shou University, Kaohsiung, Taiwan.
  • 4Department of Family Medicine, Tainan Sin-Lau Hospital, the Presbyterian Church in Taiwan, Tainan, Taiwan.
  • 5Medical Affairs, Department of Health, Tainan City Government, Tainan, Taiwan.

Abstract

PURPOSE
The purpose of this study was to understand the situation of diabetes patients receiving examinations for diabetes complications and to explore the factors influencing their intention to receive examinations for diabetes complications.
METHODS
A cross-sectional study was performed that included 251 diabetes patients who visited outpatient clinics in Southern Taiwan. A survey using a self-administered questionnaire was conducted from October 2015 to January 2016. The questionnaire included items on demographic characteristics, perceived susceptibility to diabetes complications, perceived seriousness of diabetes complications, perceived benefits of taking action to receive diabetes complication examinations, perceived barriers to taking action to receive diabetes complication examinations, and the intention to receive diabetes complication examinations. The data were analyzed using regression analysis.
RESULTS
The percentage of participants who received fundus, foot, and kidney examinations was 67.7%, 61.4%, and 73.3%, respectively. Every point increase on the perceived barriers to taking action to receive diabetes complication examinations scale increased the intention to receive a foot examination in the following year by 0.91 times (p = .002), and every point increase on the perceived susceptibility to diabetes complications scale increased the intention to receive a kidney examination in the following year by 1.19 times (p = .045).
CONCLUSIONS
Nurses should shoulder the responsibility to increase patients' intention to receive examination of diabetes complications. The results of this study can be used to promote nurses' care efficacy in preventing diabetes complications. They can also provide medical institutions with information to establish prevention and control policies for diabetes complications.

Keyword

diabetes complications; diabetes mellitus; health

MeSH Terms

Ambulatory Care/utilization
Cross-Sectional Studies
Diabetic Angiopathies/nursing/*prevention & control/psychology
Diabetic Nephropathies/nursing/*prevention & control/psychology
Disease Susceptibility/psychology
Early Diagnosis
Female
Humans
Intention
Kidney Function Tests
Male
Middle Aged
Nurse-Patient Relations
Ophthalmoscopy
Patient Acceptance of Health Care/*psychology
Perception
Physical Examination/nursing/*psychology/utilization
Taiwan
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