J Korean Acad Psychiatr Ment Health Nurs.  2024 Dec;33(4):355-364. 10.12934/jkpmhn.2024.33.4.355.

Effects of Depression, Patient Activation, and Family Support on Patient Role Behavior of Elderly Patients with Diabetes Mellitus

• Park JH
• Park JS

• KMID: 2562994
• DOI: http://doi.org/10.12934/jkpmhn.2024.33.4.355

Abstract

Purpose
To examine effects of depression, patient activation, and family support on patient role behavior of old adult patients with diabetes mellitus.
Methods
A descriptive research design was used with a convenience sample of 131 elderly patients. Data were collected from Feb. 23, 2023 to Apr. 18, 2023 using self-reported questionnaires. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis.
Results
Patient role behavior was negatively correlated with depression (r=-.32, p<.001) but positively correlated with patient activation (r=.55, p<.001) and family support (r=.18, p=.038). The following factors affected the performance of geriatric nursing: patient activation (β=.38, p<.001), sex (β=.30, p<.001), diabetic-educated experience (β=0.26, p<.001), and depression (β=-.19, p=.013). These factors explained 31.0% of the variance.
Conclusion
To enhance patient role behavior of old adult patient with diabetes mellitus, developing individualized patient activation intervention programs and a depression prevention program that considers characteristics of patients is necessary.

Keyword

Elderly; Diabetes mellitus; Depression; Role; Family support; 노인, 당뇨병, 우울, 역할, 가족지지