Li-Yun Lee1, Heng-Hsin Tung2,3, Shiow-Luan Tsay4, Yen-Chin Chen5, Hsiao-Huang Lee5, Yu-Xiong Zeng5. 1. Department of Nursing, DaYeh University, Changhua, (ROC), Taiwan. 2. School of Nursing, National Yang-Ming University, Taipei, (ROC), Taiwan. 3. Tungs' Taichung MetroHarbor Hospital, Taichung, (ROC), Taiwan. 4. College of Nursing & Health Sciences, DaYeh University, Changhua, (ROC), Taiwan. 5. China Medical University Beigang Hospital, Beigang Township, Yunlin County, (ROC), Taiwan.
Abstract
AIM AND OBJECTIVES: To investigate factors related to self-management and predictors of self-management in older adult patients with type 2 diabetic nephropathy. BACKGROUND: Diabetic patients suffer many comorbidities during their lifetime, and the process of self-management is complex. Self-management and an integrated care experience are extremely important for older adults with diabetic nephropathy. DESIGN: A cross-sectional correlation design was adopted. METHODS: A total of 123 older patients were enrolled in the study from June 2016 to November 2017. Data collection involved a demographic questionnaire, the Patients' Experience of Integrated Care Questionnaire and the Partners in Health Scale to measure the integrated care experience and self-management. Data analysis included descriptive statistics, independent t tests, Pearson product-moment correlation and multiple linear regression. The methods are consistent with the STROBE criteria (Data S1). RESULTS: The results showed that the majority of the sample was female (56.9%). The average age was 77 years old. Stepwise regression analysis showed that re-admission during the past year (p < .001), physical function (p < .001) and integrated care experience (p < .001) are predictors of self-management in older adult patients with type 2 diabetic nephropathy and explained 42.8% of the variation in self-management behaviour. CONCLUSION: The results can be used to enhance the awareness of clinicians of the importance of an integrated care experience and self-management among older patients with type 2 diabetic nephropathy. Clinicians also should pay attention to physical function and the integrated care experience to promote self-management. RELEVANCE TO CLINICAL PRACTICE: Studies on the integrated care experience and self-management of diabetic neuropathy in older adults are limited in Taiwan. The results of this study provide valuable information to support the importance of integrated care among this specific population.
AIM AND OBJECTIVES: To investigate factors related to self-management and predictors of self-management in older adult patients with type 2 diabetic nephropathy. BACKGROUND:Diabeticpatients suffer many comorbidities during their lifetime, and the process of self-management is complex. Self-management and an integrated care experience are extremely important for older adults with diabetic nephropathy. DESIGN: A cross-sectional correlation design was adopted. METHODS: A total of 123 older patients were enrolled in the study from June 2016 to November 2017. Data collection involved a demographic questionnaire, the Patients' Experience of Integrated Care Questionnaire and the Partners in Health Scale to measure the integrated care experience and self-management. Data analysis included descriptive statistics, independent t tests, Pearson product-moment correlation and multiple linear regression. The methods are consistent with the STROBE criteria (Data S1). RESULTS: The results showed that the majority of the sample was female (56.9%). The average age was 77 years old. Stepwise regression analysis showed that re-admission during the past year (p < .001), physical function (p < .001) and integrated care experience (p < .001) are predictors of self-management in older adult patients with type 2 diabetic nephropathy and explained 42.8% of the variation in self-management behaviour. CONCLUSION: The results can be used to enhance the awareness of clinicians of the importance of an integrated care experience and self-management among older patients with type 2 diabetic nephropathy. Clinicians also should pay attention to physical function and the integrated care experience to promote self-management. RELEVANCE TO CLINICAL PRACTICE: Studies on the integrated care experience and self-management of diabetic neuropathy in older adults are limited in Taiwan. The results of this study provide valuable information to support the importance of integrated care among this specific population.