The mediating role of expectations regarding aging between diabetes distress and self-management behaviors in older adults with type 2 diabetes mellitus

被引：0
|
作者：
Yao, Ting [1 ]
Sun, Jing [1 ,2 ]
Jiang, Qiuxia [3 ]
Wang, Han [1 ]
Zhang, Jing [1 ]
Zhang, Feng [1 ,2 ]
Cao, Hong [1 ,2 ]
Li, Dan [1 ,2 ]
Yan, Jiai [1 ,2 ]
Yang, Ju [1 ,2 ]
Wang, Yingyu [1 ,2 ]
Zhuang, Ruijuan [1 ,3 ]
机构：
[1] Jiangnan Univ, Wuxi Sch Med, Wuxi, Jiangsu, Peoples R China
[2] Jiangnan Univ, Affiliated Hosp, Clin Assessment Ctr Funct Food, Dept Nutr, Wuxi, Jiangsu, Peoples R China
[3] Jiangnan Univ, Affiliated Hosp, 200 Huihe Rd, Wuxi 214122, Jiangsu, Peoples R China
来源：
GERIATRIC NURSING | 2025年 / 63卷
关键词：
Diabetes distress; Diabetes self-management behavior; Expectations regarding aging; Type 2 diabetes mellitus; QUALITY-OF-LIFE; PHYSICAL-ACTIVITY; CARE BEHAVIOR; HEALTH; ASSOCIATION; DEPRESSION; EFFICACY; BELIEFS;
D O I：
10.1016/j.gerinurse.2025.03.033
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
Objectives: To investigate the relationships among diabetes stress, expectations regarding aging, and selfmanagement behaviors in older adults with type 2 diabetes mellitus. Methods: In this cross-sectional study, we surveyed 257 older patients aged >60 years with type 2 diabetes mellitus using the Diabetes Distress Scale, the 21-item Expectations Regarding Aging Scale, and the Diabetes Self-Care Behavior Scale. We conducted correlation and mediation analyses using SPSS 26.0 and PROCESS software. Results: Diabetes distress was negatively associated with diabetes self-management and expectations regarding aging. Expectations regarding aging were positively associated with diabetes self-management. Expectations regarding aging partially mediated the relationship between diabetes distress and self-management. Conclusions: The self-management behavior of older patients with type 2 diabetes mellitus can be improved by reducing diabetes-related distress and increasing expectations regarding aging. Therefore, healthcare professionals should emphasize the mental health of older patients with type 2 diabetes mellitus and provide timely education on healthy aging. (c) 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
引用
收藏
页码：362 / 369
页数：8
相关论文
共 50 条
  • [1] The Mediating Role of Self-Efficacy in Shaping Self-Management Behaviors Among Adults With Type 2 Diabetes
    Jiang, Xinjun
    Jiang, Hua
    Li, Mingzi
    Lu, Yanhui
    Liu, Keke
    Sun, Xiaohong
    WORLDVIEWS ON EVIDENCE-BASED NURSING, 2019, 16 (02) : 151 - 160
  • [2] The role of trait emotional intelligence in diabetes self-management behaviors: The mediating effect of diabetes-related distress
    Schinckus, Louise
    Avalosse, Herve
    Van den Broucke, Stephan
    Mikolajczak, Moira
    PERSONALITY AND INDIVIDUAL DIFFERENCES, 2018, 131 : 124 - 131
  • [3] The mediating effect of self-efficacy on the relationship between diabetes self-management ability and patient activation in older adults with type 2 diabetes
    Zhang, Anqi
    Wang, Jinsong
    Wan, Xiaojuan
    Guo, Zihe
    Zhang, Ziyi
    Zhao, Shuhan
    Bai, Shuo
    Miao, Yamin
    Zhang, Jing
    GERIATRIC NURSING, 2023, 51 : 136 - 142
  • [4] Computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus
    Pal, Kingshuk
    Eastwood, Sophie V.
    Michie, Susan
    Farmer, Andrew J.
    Barnard, Maria L.
    Peacock, Richard
    Wood, Bindie
    Inniss, Joni D.
    Murray, Elizabeth
    COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2013, (03):
  • [5] Effects of depression, diabetes distress, diabetes self-efficacy, and diabetes self-management on glycemic control among Chinese population with type 2 diabetes mellitus
    Lin, Keke
    Park, Chang
    Li, Mingzi
    Wang, Xiudong
    Li, Xiushu
    Li, Wei
    Quinn, Laurie
    DIABETES RESEARCH AND CLINICAL PRACTICE, 2017, 131 : 179 - 186
  • [6] Factors influencing diabetes self-management among adults with type 2 diabetes mellitus in China
    Yang, Ni
    Masingboon, Khemaradee
    Samartkit, Niphawan
    BELITUNG NURSING JOURNAL, 2022, 8 (05) : 389 - 395
  • [7] The role of emotion dysregulation in self-management behaviors among adults with type 2 diabetes
    Kollin, Sophie R.
    Gratz, Kim L.
    Lee, Aaron A.
    JOURNAL OF BEHAVIORAL MEDICINE, 2024, 47 (04) : 672 - 681
  • [8] Diabetes symptoms and self-management behaviors in rural older adults
    Kirk, Julienne K.
    Arcury, Thomas A.
    Ip, Edward
    Bell, Ronny A.
    Saldana, Santiago
    Nguyen, Ha T.
    Quandt, Sara A.
    DIABETES RESEARCH AND CLINICAL PRACTICE, 2015, 107 (01) : 54 - 60
  • [9] Type 2 Diabetes Self-Management Variables and Predictors
    Emery, Karin A.
    Robins, Jo
    Salyer, Jeanne
    Thurby-Hay, Linda
    Djira, Gemechis
    CLINICAL NURSING RESEARCH, 2022, 31 (07) : 1250 - 1262
  • [10] Predictors of Diabetes Self-Management in Older Adults Receiving Chemotherapy
    Hershey, Denise Soltow
    Given, Barbara
    Given, Charles
    Corser, William
    von Eye, Alexander
    CANCER NURSING, 2014, 37 (02) : 97 - 105
12345