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Self-care and health outcomes of diabetes mellitus
Song, MinKyoung Ratcliffe, Sarah J. Tkacs, Nancy C. Riegel, Barbara
Song, MinKyoung
Ratcliffe, Sarah J.
Tkacs, Nancy C.
Riegel, Barbara
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
Date
2012
Type
Journal article
Journal
Clinical Nursing Research
Book
Volume
21
Issue
3
Page Range
309-326
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled