Self-Care and Health Outcomes of Diabetes Mellitus

被引：22
作者：
Song, MinKyoung [1 ]
Ratcliffe, Sarah J. [1 ,2 ]
Tkacs, Nancy C. [1 ]
Riegel, Barbara [1 ]
机构：
[1] Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA
[2] Univ Penn, Perelman Sch Med, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA
来源：
CLINICAL NURSING RESEARCH | 2012年 / 21卷 / 03期
关键词：
diabetes mellitus; self-care; health outcomes; GLYCEMIC CONTROL; BLOOD-GLUCOSE; MEDICATION ADHERENCE; DECISION-MAKING; POPULATION; MANAGEMENT; ADULTS; RISK;
D O I：
10.1177/1054773811422604
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
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.
引用
收藏
页码：309 / 326
页数：18
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