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
  • [31] Mediating role diet self-efficacy plays in the relationship between social support and diet self-management for patients with type 2 diabetes
    Yang, Li
    Li, Kun
    Liang, Yan
    Zhao, Qiuli
    Cui, Dan
    Zhu, Xuemei
    ARCHIVES OF PUBLIC HEALTH, 2021, 79 (01)
  • [32] The mediating role of diabetes stigma and self-efficacy in relieving diabetes distress among patients with type 2 diabetes mellitus: a multicenter cross-sectional study
    Xing, Shuping
    Liu, Yeling
    Zhang, Hua
    Li, Bin
    Jiang, Xinjun
    FRONTIERS IN PSYCHOLOGY, 2023, 14
  • [33] The Association Between Self-Management Barriers and Self-Efficacy in Chinese Patients with Type 2 Diabetes: The Mediating Role of Appraisal
    Cheng, Li
    Sit, Janet W. H.
    Leung, Doris Y. P.
    Li, Xiaomei
    WORLDVIEWS ON EVIDENCE-BASED NURSING, 2016, 13 (05) : 356 - 362
  • [34] Self-management of physical activity in adults with type 1 diabetes
    McCarthy, Margaret M.
    Whittemore, Robin
    Gholson, Georica
    Grey, Margaret
    APPLIED NURSING RESEARCH, 2017, 35 : 18 - 23
  • [35] Type 2 Diabetes Self-Management Barriers in Older Adults An Integrative Review of the Qualitative Literature
    Saunders, Tina
    JOURNAL OF GERONTOLOGICAL NURSING, 2019, 45 (03): : 43 - 54
  • [36] The Effects of an Educational Self-Efficacy Intervention on Osteoporosis Prevention and Diabetes Self-Management Among Adults With Type 2 Diabetes Mellitus
    Ha, Mei
    Hu, Jie
    Petrini, Marcia A.
    McCoy, Thomas P.
    BIOLOGICAL RESEARCH FOR NURSING, 2014, 16 (04) : 357 - 367
  • [37] Associations between economic hardship and markers of self-management in adults with type 2 diabetes: results from Diabetes MILES - Australia
    O'Neil, Adrienne
    Williams, Emily D.
    Browne, Jessica L.
    Horne, Rob
    Pouwer, Frans
    Speight, Jane
    AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 2014, 38 (05) : 466 - 472
  • [38] Evaluation of the effectiveness of Persian diabetes self-management education in older adults with type 2 diabetes at a diabetes outpatient clinic in Tehran: a pilot randomized control trial
    Saghaee, Arezoo
    Ghahari, Setareh
    Nasli-Esfahani, Ensieh
    Sharifi, Farshad
    Alizadeh-Khoei, Mahtab
    Rezaee, Mehdi
    JOURNAL OF DIABETES AND METABOLIC DISORDERS, 2020, 19 (02) : 1491 - 1504
  • [39] Exercise and Self-Management in Adults with Type 1 Diabetes
    McCarthy, Margaret
    Ilkowitz, Jeniece
    Zheng, Yaguang
    Dickson, Victoria Vaughan
    CURRENT CARDIOLOGY REPORTS, 2022, 24 (07) : 861 - 868
  • [40] Relationship between illness perception and self-management behaviors among women with gestational diabetes mellitus in China during the COVID-19 pandemic: A mediating role of depression
    Wang, Jiarun
    Zhu, Luyang
    An, Ran
    Chen, Yujia
    Pan, Xinlong
    Zhang, Wei
    Chen, Xiaoli
    Zou, Zhijie
    Zhang, Yingzi
    JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, 2024, 50 (11) : 2057 - 2065
12345