J Korean Acad Community Health Nurs.  2022 Dec;33(4):446-455. 10.12799/jkachn.2022.33.4.446.

The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea

• Kim H
• Seo K

• KMID: 2537756
• DOI: http://doi.org/10.12799/jkachn.2022.33.4.446

Abstract

Purpose
This study investigated the mediating effects of acceptance action on the relationship between diabetes distress and self-stigma in older adults with diabetes.
Methods
A descriptive research approach was adopted using 187 patients diagnosed with diabetes mellitus by an endocrinology doctor. The data were collected from 26 to 31 March, 2020 and were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient analysis, and hierarchical multiple regression.
Results
The mean scores for diabetes distress, self-stigma, and acceptance action were 2.98±0.64, 2.54±0.74, and 4.16±0.35, respectively. Acceptance action partially mediated the relationship between diabetes distress and self-stigma (z=1.98, p=.024), with an explanatory power of 51.0%.
Conclusion
To reduce diabetes self-stigma among old adults in diabetes distress situations, it is necessary to improve their acceptance action and develop step-by-step differentiated acceptance action enhancement programs through multidisciplinary collaborations.

Keyword

Acceptance and commitment therapy; Aged; Diabetes mellitus; Social stigma; Stress