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
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