|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|
|Date Published||2012 Aug|
|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|
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.
Clinical nursing research Clin Nurs Res. 2011 Sep 16.
|User Guide Notes|
|Endnote Keywords|| |
Diabetes/self Care/methods/self Care/methods/HOSPITALIZATION
|Endnote ID|| |
|Alternate Journal||Clin Nurs Res|