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
Volume21
Issue3
Pagination309-26
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
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.

Notes

Clinical nursing research Clin Nurs Res. 2011 Sep 16.

DOI10.1177/1054773811422604
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/21926278?dopt=Abstract

Endnote Keywords

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

Endnote ID

62701

Alternate JournalClin Nurs Res
Citation Key7632
PubMed ID21926278