• Users Online: 185
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2020  |  Volume : 2  |  Issue : 3  |  Page : 103-109

The relationship between diabetes-related distress and self-management in empty-nest elderly patients with type 2 diabetes mellitus: The mediating effect of self-efficacy


1 Department of Medical Nursing, School of Nursing, Yangzhou University, Yangzhou, China; Department of Basic Medicine and Nosography, Nagano College of Nursing, Komagane, Nagano, Japan
2 Department of Medical Nursing, School of Nursing, Yangzhou University, Yangzhou, China
3 Department of Basic Medicine and Nosography, Nagano College of Nursing, Komagane, Nagano, Japan
4 Department of Respiration, Affiliated Hospital of Yangzhou University, Yangzhou, China

Correspondence Address:
Xin LI
Department of Respiration, Affiliated Hospital of Yangzhou University, No. 368 Hanjiang Middle Road, Hanjiang District, Yangzhou City 225000, Jiangsu Province
China
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jin.jin_11_20

Rights and Permissions

Objective: The aim of this study is to investigate the mediating effect of self-efficacy between diabetes-related distress and self-management in empty-nest elderly patients with type 2 diabetes mellitus (T2DM). Methods: A total of 347 empty-nest elderly patients with T2DM from Jiangsu Province Hospital of Chinese Medicine and Affiliated Hospital of Yangzhou University were investigated by a self-designed General Information Questionnaire, the Self-efficacy for diabetes, the Diabetes Distress Scale, and the summary of diabetes self-care activities. Diabetes-related distress and diabetes self-management were tested for correlation analysis with self-efficacy. Meditational analyses were conducted to test the hypothesized mediating effects of diabetes self-efficacy as an intervention variable between diabetes distress and self-management. Results: About 68.59% of patients suffered from diabetes-related distress. The results of bivariate correlations revealed that self-efficacy was negatively correlated with diabetes-related distress (r =–0.627, P < 0.01) and positively correlated with self-management (r = 0.356, P < 0.01). The relationship effects of diabetes distress on self-management were fully mediated by self-efficacy. Conclusions: Diabetes-related distress prevails in empty-nest elderly patients with T2DM. Self-efficacy plays a mediate role between diabetes-related distress and self-management. Psychological intervention is contributed to reducing diabetes-related distress.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed264    
    Printed25    
    Emailed0    
    PDF Downloaded26    
    Comments [Add]    

Recommend this journal