Predictors for self-management in older adults with type 2 diabetic nephropathy

Li Yun Lee, Heng Hsin Tung*, Shiow Luan Tsay, Yen Chin Chen, Hsiao Huang Lee, Yu Xiong Zeng

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

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.

Original languageEnglish
Pages (from-to)922-931
Number of pages10
JournalJournal of Clinical Nursing
Volume29
Issue number5-6
DOIs
StatePublished - 1 Mar 2020

Keywords

  • diabetic nephropathy
  • integrated care experience
  • older adults
  • self-management

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