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...
Autores principales: | , |
---|---|
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 |