Self-care and health outcomes of diabetes mellitus
Journal article
Song, MinKyoung, Ratcliffe, Sarah J., Tkacs, Nancy C. and Riegel, Barbara. (2012). Self-care and health outcomes of diabetes mellitus. Clinical Nursing Research. 21(3), pp. 309 - 326. https://doi.org/10.1177/1054773811422604
Authors | Song, MinKyoung, Ratcliffe, Sarah J., Tkacs, Nancy C. and Riegel, Barbara |
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Abstract | Studies show that self-care improves diabetes mellitus (DM) outcomes; however, previous studies have focused on self-care maintenance, and little is known about self-care management. The objective of this study is to examine the influence of DM self-care maintenance and management on number of hospitalizations and hospitalization days. A cohort design with secondary analysis of data from the Health and Retirement Study 2002-2004 was used. Data from 726 adults with DM were analyzed with logistic regression and negative binomial regression adjusting for covariates. Self-care maintenance and management were significant determinants of hospitalization outcomes. Establishing a goal for HbA1c (self-care management) and eating ≥2 snacks or desserts per day (self-care maintenance) were associated with a decrease in hospitalizations (IRR = 0.860, p = .001; IRR = 0.914, p = .043, respectively). DM self-care maintenance and management influence health outcomes but in different ways. These data provide evidence that both elements are needed in the education of patients about DM. |
Keywords | diabetes mellitus; self-care; health outcomes |
Year | 2012 |
Journal | Clinical Nursing Research |
Journal citation | 21 (3), pp. 309 - 326 |
Publisher | SAGE Publications Inc. |
ISSN | 1054-7738 |
Digital Object Identifier (DOI) | https://doi.org/10.1177/1054773811422604 |
Scopus EID | 2-s2.0-84864010101 |
Page range | 309 - 326 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | United States |
https://acuresearchbank.acu.edu.au/item/8775z/self-care-and-health-outcomes-of-diabetes-mellitus
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