Abstract
Purpose
The purpose of the study was to analyze the effects of self-care behavior, empowerment, and social support on glycosylated hemoglobin in patients with type 2 diabetes.
Methods
The data were collected during the period of July 1 to July 31, 2016. In total, 172 participants were recruited from outpatients who had been diagnosed with type 2 diabetes at a health care center, a health promotion center at National Health Insurance Corporation, and a tertiary hospital. Statistical data were analyzed with SPSS 20.0 using frequency analysis, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients, and hierarchical regression analysis.
Results
The study results showed that self-care behavior (β=-.34, p<.001), empowerment (β=-.34, p<.001), and social support (β=-.20, p=.018) were found to be influential factors affecting glycosylated hemoglobin, with an overall descriptive power of 69%.
Conclusion
Self-care behavior, empowerment, and social support are considered to be important factors in blood glucose management for the patients with type 2 diabetes. Therefore, self-caring blood glucose programs and internal synchronizing education through social support and empowerment need to be improved.
References
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Table 1.
Variables | Categories | n (%) | M±SD | t or F | p |
---|---|---|---|---|---|
Age (year) | <50 | 31 (18.0) | 6.96±0.51 | 0.81 | .488 |
50~ < 59 | 54 (31.4) | 6.78±0.63 | |||
≥60 | 87 (50.6) | 6.80±0.46 | |||
Gender | Males | 70 (40.7) | 6.95±0.66 | 2.40 | .018 |
Females | 102 (59.3) | 6.73±0.56 | |||
Marriage status | Married | 153 (89.0) | 6.80±0.58 | -0.66 | .518 |
Others† | 19 (11.0) | 6.93±0.79 | |||
Education | ≤ Elementary school | 26 (15.1) | 6.75±0.68 | 0.36 | .783 |
Middle school | 52 (30.2) | 6.86±0.61 | |||
High school | 74 (43.1) | 6.84±0.58 | |||
≥ College | 20 (11.6) | 6.73±0.63 | |||
Occupation | Unemployed | 87 (50.6) | 6.70±0.52 | -2.82 | .005 |
Employed | 85 (49.4) | 6.95±0.66 | |||
Religion | Christian | 32 (18.6) | 6.72±0.47 | 0.82 | .489 |
Catholic | 16 (9.3) | 6.89±0.87 | |||
Buddhist | 39 (22.7) | 6.93±0.55 | |||
No religion | 85 (49.4) | 6.80±0.61 | |||
Monthly income | <100 | 37.8 (37.8) | 6.73±0.59 | 2.15 | .062 |
100~< 200 | 30.8 (30.8) | 6.77±0.53 | |||
200~< 300 | 14.0 (14.0) | 7.08±0.66 | |||
300~<400 | 11 (6.4) | 7.10±0.69 | |||
400~< 500 | 9 (5.2) | 6.60±0.76 | |||
≥ 500 | 10 (5.8) | 6.97±0.61 | |||
BMI | Underweight (< 18.5)a | 5 (53.0) | 6.42±0.58 | 7.49 | < .001 |
Normal (18.5~<22.9)b | 107 (62.2) | 6.70±0.54 | a,b< d | ||
Overweight (23.0~ < 24.9)c | 35 (20.3) | 6.95±0.67 | |||
Obesity (>25.0)d | 25 (14.5) | 7.24±0.55 | |||
Drinking (time/week) | Nonea | 82 (47.7) | 6.68±0.56 | 11.76 | <.001 |
1~2b | 57 (33.1) | 6.75±0.54 | a,b< c,d | ||
3~4c | 26 (15.1) | 7.22±0.57 | |||
4~5d | 7 (4.1) | 7.64±0.56 | |||
Smoking | No | 143 (83.1) | 6.77±0.59 | -2.37 | .019 |
Yes | 29 (16.9) | 7.06±0.66 | |||
Duration of disease (year) | < 10 | 92 (53.5) | 6.81±0.53 | 0.49 | .613 |
10~<20 | 58 (33.7) | 6.87±0.66 | |||
≥ 20 | 22 (12.8) | 6.72±0.70 | |||
Diabetic complication | No | 166 (96.5) | 6.82±0.61 | 0.50 | .615 |
Yes | 6 (3.5) | 6.60±0.00 | |||
Diabetes education | Noa | 57(33.1) | 7.18±0.63 | 22.96 | < .001 |
1b | 58(33.7) | 6.79±0.58 | a,b>c | ||
≥ 2c | 57(33.2) | 6.49±0.39 |
Table 2.
Table 3.
Table 4.
Variables | Step 1 | Step 2 | ||||||
---|---|---|---|---|---|---|---|---|
B | β | t | p | B | β | t | p | |
Gender† | 0.05 | 03 | 0.37 | .574 | 0.12 | .08 | 1.63 | .069 |
Occupation‡ | 0.06 | .05 | 0.65 | .520 | 0.09 | .07 | 1.43 | .155 |
BMI | 0.07 | .26 | 3.60 | <.001 | 0.01 | .02 | 0.17 | .869 |
Drinking | 0.22 | .31 | 3.76 | <.001 | 0.06 | .07 | 1.41 | .162 |
Smoking§ | 0.05 | .03 | 0.41 | .684 | -0.14 | -.09 | -1.72 | .087 |
Self-care behaviors | -0.21 | -.34 | -3.97 | <.001 | ||||
Empowerment | -0.30 | -.34 | -3.62 | <.001 | ||||
Social support | -0.34 | -.20 | -2.39 | .018 | ||||
R2=.29, Adj. R2=.20, F=11.64, p<.001 | R2=.70, Adj. R2=.69, F=55.79, p<.001 |