J Korean Acad Fundam Nurs.  2021 Aug;28(3):384-394. 10.7739/jkafn.2021.28.3.384.

Mediating Effect of Acceptance Action in relationship between Diabetes Self-Stigma and Quality of Life in People with Diabetes in Korea

• Seo K

• KMID: 2519692
• DOI: http://doi.org/10.7739/jkafn.2021.28.3.384

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.
Results
The mean scores for diabetes self-stigma, acceptance action and quality of life were 2.67±0.71, 4.12±0.38, and 3.26±0.48, 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; 수용전념치료, 당뇨병, 매개분석, 삶의 질, 사회적 낙인