Cargando…

Factors Affecting Self-Care Behavior Levels among Elderly Patients with Type 2 Diabetes: A Quantile Regression Approach

Background and objectives: Identifying factors that affect self-care according to low, middle, and high self-care levels among elderly patients with diabetes is the best way to prevent various life-threatening complications, and this can be accomplished by using an individualized approach to improve...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Min Young, Lee, Eun Ju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681195/
https://www.ncbi.nlm.nih.gov/pubmed/31277522
http://dx.doi.org/10.3390/medicina55070340
_version_ 1783441675694112768
author Kim, Min Young
Lee, Eun Ju
author_facet Kim, Min Young
Lee, Eun Ju
author_sort Kim, Min Young
collection PubMed
description Background and objectives: Identifying factors that affect self-care according to low, middle, and high self-care levels among elderly patients with diabetes is the best way to prevent various life-threatening complications, and this can be accomplished by using an individualized approach to improve self-care. A quantile regression model is beneficial for estimating such factors because it allows the consideration of the entire conditional distribution of a dependent variable as it relates to independent variables. The objective of this study was to identify factors that affect self-care among elderly patients with diabetes using quantile regression. Materials and Methods: A cross-sectional survey of elderly patients with diabetes was conducted using the Self-Care Scale and six other related scales at three medical health centers in South Korea. Results: In the 10% quantile, the factors affecting self-care were age, smoking within the past six months, being educated about diabetes, depression, knowledge related to diabetes, self-efficacy, diabetes distress, and family support. Additional factors were as follows: age, smoking within the past six months, self-efficacy, and diabetes distress in the 25% quantile; age, self-efficacy, perceived health status, and diabetes distress in the 50% quantile; age, self-efficacy, perceived health status, and diabetes distress in the 75% quantile; and self-efficacy and perceived health status in the 90% quantile. Conclusions: Based on the results of this study, suggestions include providing education for sub-groups incapable of self-care, teaching stress management strategies, and increasing family support. In addition, for individuals capable of self-care, simplified programs that consist of self-efficacy improvement and stress control strategies are necessary.
format Online
Article
Text
id pubmed-6681195
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-66811952019-08-09 Factors Affecting Self-Care Behavior Levels among Elderly Patients with Type 2 Diabetes: A Quantile Regression Approach Kim, Min Young Lee, Eun Ju Medicina (Kaunas) Article Background and objectives: Identifying factors that affect self-care according to low, middle, and high self-care levels among elderly patients with diabetes is the best way to prevent various life-threatening complications, and this can be accomplished by using an individualized approach to improve self-care. A quantile regression model is beneficial for estimating such factors because it allows the consideration of the entire conditional distribution of a dependent variable as it relates to independent variables. The objective of this study was to identify factors that affect self-care among elderly patients with diabetes using quantile regression. Materials and Methods: A cross-sectional survey of elderly patients with diabetes was conducted using the Self-Care Scale and six other related scales at three medical health centers in South Korea. Results: In the 10% quantile, the factors affecting self-care were age, smoking within the past six months, being educated about diabetes, depression, knowledge related to diabetes, self-efficacy, diabetes distress, and family support. Additional factors were as follows: age, smoking within the past six months, self-efficacy, and diabetes distress in the 25% quantile; age, self-efficacy, perceived health status, and diabetes distress in the 50% quantile; age, self-efficacy, perceived health status, and diabetes distress in the 75% quantile; and self-efficacy and perceived health status in the 90% quantile. Conclusions: Based on the results of this study, suggestions include providing education for sub-groups incapable of self-care, teaching stress management strategies, and increasing family support. In addition, for individuals capable of self-care, simplified programs that consist of self-efficacy improvement and stress control strategies are necessary. MDPI 2019-07-04 /pmc/articles/PMC6681195/ /pubmed/31277522 http://dx.doi.org/10.3390/medicina55070340 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Min Young
Lee, Eun Ju
Factors Affecting Self-Care Behavior Levels among Elderly Patients with Type 2 Diabetes: A Quantile Regression Approach
title Factors Affecting Self-Care Behavior Levels among Elderly Patients with Type 2 Diabetes: A Quantile Regression Approach
title_full Factors Affecting Self-Care Behavior Levels among Elderly Patients with Type 2 Diabetes: A Quantile Regression Approach
title_fullStr Factors Affecting Self-Care Behavior Levels among Elderly Patients with Type 2 Diabetes: A Quantile Regression Approach
title_full_unstemmed Factors Affecting Self-Care Behavior Levels among Elderly Patients with Type 2 Diabetes: A Quantile Regression Approach
title_short Factors Affecting Self-Care Behavior Levels among Elderly Patients with Type 2 Diabetes: A Quantile Regression Approach
title_sort factors affecting self-care behavior levels among elderly patients with type 2 diabetes: a quantile regression approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681195/
https://www.ncbi.nlm.nih.gov/pubmed/31277522
http://dx.doi.org/10.3390/medicina55070340
work_keys_str_mv AT kimminyoung factorsaffectingselfcarebehaviorlevelsamongelderlypatientswithtype2diabetesaquantileregressionapproach
AT leeeunju factorsaffectingselfcarebehaviorlevelsamongelderlypatientswithtype2diabetesaquantileregressionapproach