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Effects of Health Literacy and Knowledge on Diabetic Self-care in the Elderly with DM Living Alone

독거노인 당뇨병 환자의 건강정보이해능력과 당뇨지식이 자가간호 이행에 미치는 영향

  • Kim, Nan Hui (Graduate School, College of Nursing, Chonbuk National University) ;
  • Yang, Youngran (College of Nursing, Research Institute of Nursing Science, Chonbuk National University) ;
  • Lee, Myung Ha (College of Nursing, Research Institute of Nursing Science, Chonbuk National University)
  • 김난희 (전북대학교 간호대학 대학원) ;
  • 양영란 (전북대학교 간호대학.간호과학연구소) ;
  • 이명하 (전북대학교 간호대학.간호과학연구소)
  • Received : 2016.10.04
  • Accepted : 2016.12.08
  • Published : 2016.12.31

Abstract

Purpose: The aim of this study was to evaluate the level of self-care adherence in the elderly with diabetes mellitus (DM) who have lived alone, and to investigate the association between health literacy, diabetic knowledge and self-care adherence. Methods: Descriptive research using the cross-sectional approach was conducted. Data was collected by using a convenience sampling of 201 participants who aged sixty-five years old or more and have lived alone. Statistical analysis was conducted by using an independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient and stepwise multiple regression analysis. Results: Mean scores of health literacy, diabetic knowledge and adherence of self-care were $4.41{\pm}3.54$ points out of a possible $12, 6.22{\pm}2.55$ points out of a possible $15, 58.56{\pm}17.28$ points out of a possible 112, respectively. Adherence of self-care showed a statistical association with health literacy (r=.26, p<.001) and diabetic knowledge (r=.30, p<.001). Statistically significant factors in the regression model were monthly income, diabetic knowledge and exercise. Conclusion: The level of self-care adherence in the elderly with diabetes living alone was relatively low. Diabetic knowledge was an important factor to improve the level of self-care adherence for the elderly with diabetes living alone.

Keywords

References

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