| Title | Self-care and health outcomes of diabetes mellitus. |
| Publication Type | Journal Article |
| Year of Publication | 2012 |
| Authors | Song, MK, Ratcliffe, SJ, Tkacs, NC, Riegel, B |
| Journal | Clin Nurs Res |
| Volume | 21 |
| Issue | 3 |
| Pagination | 309-26 |
| Date Published | 2012 Aug |
| ISSN Number | 1552-3799 |
| Keywords | Adult, Aged, Aged, 80 and over, Clinical Nursing Research, Diabetes Mellitus, Female, Follow-Up Studies, Hospitalization, Humans, Length of Stay, Male, Middle Aged, Self Care, Treatment Outcome |
| Abstract | 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. |
| DOI | 10.1177/1054773811422604 |
| User Guide Notes | |
| Endnote Keywords | Diabetes/self Care/methods/self Care/methods/HOSPITALIZATION |
| Endnote ID | 62701 |
| Alternate Journal | Clin Nurs Res |
| Citation Key | 7632 |
| PubMed ID | 21926278 |
