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Korean J Adult Nurs. 2018 Oct;30(5):555-564. Korean. Original Article. https://doi.org/10.7475/kjan.2018.30.5.555
Park Y , Jang EH , Kim JO .
Professor, Department of Nursing, Kunsan National University, Gunsan, Korea.
Assistant Professor, Department of Nursing, Incheon Catholic University, Incheon, Korea. cartooneh@hanmail.net
Head Nurse, Gunsan Medical Center, Gunsan, Korea.
Abstract

Purpose

The purposes of this study were to examine the relationships between resilience, depression, and self-care competence and identify factors associated with self-care competence in patients with type 1 and type 2 diabetes mellitus.

Methods

This study was a descriptive research. Structured questionnaire on patients' sociodemographic and clinical characteristics, resilience, depression, and self-care competence was used for survey with a convenience sample of 152 patients with diabetes mellitus. Data were collected from July to December 2016. Data were analyzed using descriptive statistics, independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression with SPSS/WIN 21.0 program.

Results

The mean scores on resilience, depression, and self-care competence were 2.86±0.42, 18.11±10.05, and 4.27±0.78, respectively. Self-care competence showed a statistically significant positive correlation with resilience (r=.47, p < .001), and negative correlation with depression (r=−.29, p < .001). Resilience showed a negative correlation with depression (r=−.53, p < .001). Resilience (β=.38, p < .001) was significantly associated with factors of self-care competence in patients with diabetes mellitus.

Conclusion

The results of the study indicate that factor influencing self-care competence was resilience in patients with diabetes mellitus. Therefore, nursing intervention programs for increasing the self-care competence should include regular assessments and strategies for improving resilience in patients with diabetes mellitus. It is recommended that the studies should be performed to confirm the relationship between resilience and self-care competence by using resilience instrument developed for adults.

Copyright © 2019. Korean Association of Medical Journal Editors.