Self-care and health outcomes of diabetes mellitus.

TitleSelf-care and health outcomes of diabetes mellitus.
Publication TypeJournal Article
Year of Publication2012
AuthorsSong, MK, Ratcliffe, SJ, Tkacs, NC, Riegel, B
JournalClin Nurs Res
Date Published2012 Aug
ISSN Number1552-3799
KeywordsAdult, 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.

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Endnote Keywords

Diabetes/self Care/methods/self Care/methods/HOSPITALIZATION

Endnote ID


Alternate JournalClin Nurs Res
Citation Key7632
PubMed ID21926278