TY - JOUR T1 - Self-care and health outcomes of diabetes mellitus. JF - Clin Nurs Res Y1 - 2012 A1 - MinKyoung Song A1 - Sarah J Ratcliffe A1 - Nancy C Tkacs A1 - Barbara Riegel KW - Adult KW - Aged KW - Aged, 80 and over KW - Clinical Nursing Research KW - Diabetes Mellitus KW - Female KW - Follow-Up Studies KW - Hospitalization KW - Humans KW - Length of Stay KW - Male KW - Middle Aged KW - Self Care KW - Treatment Outcome AB -

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.

VL - 21 IS - 3 U1 - http://www.ncbi.nlm.nih.gov/pubmed/21926278?dopt=Abstract U3 - 21926278 U4 - Diabetes/self Care/methods/self Care/methods/HOSPITALIZATION ER -