%0 Journal Article %J Clin Nurs Res %D 2012 %T Self-care and health outcomes of diabetes mellitus. %A MinKyoung Song %A Sarah J Ratcliffe %A Nancy C Tkacs %A Barbara Riegel %K Adult %K Aged %K Aged, 80 and over %K Clinical Nursing Research %K Diabetes Mellitus %K Female %K Follow-Up Studies %K Hospitalization %K Humans %K Length of Stay %K Male %K Middle Aged %K Self Care %K Treatment Outcome %X

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.

%B Clin Nurs Res %V 21 %P 309-26 %8 2012 Aug %G eng %N 3 %1 http://www.ncbi.nlm.nih.gov/pubmed/21926278?dopt=Abstract %3 21926278 %4 Diabetes/self Care/methods/self Care/methods/HOSPITALIZATION %$ 62701 %R 10.1177/1054773811422604