Predictors for self-management in older adults with type 2 diabetic nephropathy
Li-Yun Lee PhD, RN
Assistant Professor
Department of Nursing, DaYeh University, Changhua, (ROC) Taiwan
Search for more papers by this authorCorresponding Author
Heng-Hsin Tung PhD, FNP, RN
Professor Consultant
School of Nursing, National Yang-Ming University, Taipei, (ROC) Taiwan
Tungs' Taichung MetroHarbor Hospital, Taichung, (ROC) Taiwan
Correspondence
Heng-Hsin Tung, School of Nursing, National Yang Ming University, Taipei, Taiwan (ROC).
Email: [email protected]
Search for more papers by this authorShiow-Luan Tsay RN, APN, PhD
Professor and Dean
College of Nursing & Health Sciences, DaYeh University, Changhua, (ROC) Taiwan
Search for more papers by this authorYen-Chin Chen RN
Head Nurse
China Medical University Beigang Hospital, Beigang Township, Yunlin County, (ROC) Taiwan
Search for more papers by this authorHsiao-Huang Lee RN
Supervision
China Medical University Beigang Hospital, Beigang Township, Yunlin County, (ROC) Taiwan
Search for more papers by this authorYu-Xiong Zeng MD
Doctor
China Medical University Beigang Hospital, Beigang Township, Yunlin County, (ROC) Taiwan
Search for more papers by this authorLi-Yun Lee PhD, RN
Assistant Professor
Department of Nursing, DaYeh University, Changhua, (ROC) Taiwan
Search for more papers by this authorCorresponding Author
Heng-Hsin Tung PhD, FNP, RN
Professor Consultant
School of Nursing, National Yang-Ming University, Taipei, (ROC) Taiwan
Tungs' Taichung MetroHarbor Hospital, Taichung, (ROC) Taiwan
Correspondence
Heng-Hsin Tung, School of Nursing, National Yang Ming University, Taipei, Taiwan (ROC).
Email: [email protected]
Search for more papers by this authorShiow-Luan Tsay RN, APN, PhD
Professor and Dean
College of Nursing & Health Sciences, DaYeh University, Changhua, (ROC) Taiwan
Search for more papers by this authorYen-Chin Chen RN
Head Nurse
China Medical University Beigang Hospital, Beigang Township, Yunlin County, (ROC) Taiwan
Search for more papers by this authorHsiao-Huang Lee RN
Supervision
China Medical University Beigang Hospital, Beigang Township, Yunlin County, (ROC) Taiwan
Search for more papers by this authorYu-Xiong Zeng MD
Doctor
China Medical University Beigang Hospital, Beigang Township, Yunlin County, (ROC) Taiwan
Search for more papers by this authorFunding information
This study was founded by China Medical University Beigang Hospital, CMUBH-105-002.
Abstract
Aim and Objectives
To investigate factors related to self-management and predictors of self-management in older adult patients with type 2 diabetic nephropathy.
Background
Diabetic patients suffer many comorbidities during their lifetime, and the process of self-management is complex. Self-management and an integrated care experience are extremely important for older adults with diabetic nephropathy.
Design
A cross-sectional correlation design was adopted.
Methods
A total of 123 older patients were enrolled in the study from June 2016 to November 2017. Data collection involved a demographic questionnaire, the Patients' Experience of Integrated Care Questionnaire and the Partners in Health Scale to measure the integrated care experience and self-management. Data analysis included descriptive statistics, independent t tests, Pearson product-moment correlation and multiple linear regression. The methods are consistent with the STROBE criteria (Data S1).
Results
The results showed that the majority of the sample was female (56.9%). The average age was 77 years old. Stepwise regression analysis showed that re-admission during the past year (p < .001), physical function (p < .001) and integrated care experience (p < .001) are predictors of self-management in older adult patients with type 2 diabetic nephropathy and explained 42.8% of the variation in self-management behaviour.
Conclusion
The results can be used to enhance the awareness of clinicians of the importance of an integrated care experience and self-management among older patients with type 2 diabetic nephropathy. Clinicians also should pay attention to physical function and the integrated care experience to promote self-management.
Relevance to Clinical Practice
Studies on the integrated care experience and self-management of diabetic neuropathy in older adults are limited in Taiwan. The results of this study provide valuable information to support the importance of integrated care among this specific population.
CONFLICT OF INTEREST
This is an original study and article. We do not have any potential conflict(s) of interest related to the publication of this article.
Supporting Information
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