Diabetes Metab J > Volume 32(3); 2008 > Article
Korean Diabetes Journal 2008;32(3):280-289.
DOI: https://doi.org/10.4093/kdj.2008.32.3.280    Published online June 1, 2008.
Current Status of Self-management and Barriers in Elderly Diabetic Patient.
Gyong Ae Choi, Soo Mi Jang, Hong Woo Nam
1Department of Social Work, HanGang Sacred Heart Hospital Hallym University, Korea.
2Department of Social Welfare, Cheongju University, Korea.
3Department of Internal Medicine, National Hospital, Korea.
Abstract
BACKGROUND
Diabetes has a critical effect on elderly diabetic patients' quality of life. Elderly diabetic patients have many difficulties in diabetes self-management because their physical, psychological and social functions are decreased as a result of the aging process. Therefore, we evaluated the current status of self-management and barriers in elderly diabetic patients METHODS: The sample was 124 elderly diabetic patients (over 61 years) who visited a hospital and two senior welfare centers in Seoul from July to August 2006. The results of the study were analyzed by descriptive statistics, ANOVA, T-test, and hierarchical regression. RESULTS: 1) Diabetes self-management was composed of insulin injection, diet, exercise, foot management, smoking and drinking alcohol. An average score of self-management in the elderly diabetic patients was 4.5784. In demographic variables, only job status showed a significant effect on self-management. 2) Barriers such as 'forgetting taking diet and medication', 'being interrupted by others', and 'lack of family and social support' were significant factors in diabetes self-management. 3) These barriers for diabetes self-management were still significant in the case of controlling demographic and clinical variables. CONCLUSION: Diabetic educator should identify the significant factors that affect patient's self-management such as whether they have a full-time job, or the type of their job. In addition, diabetes education should focus on assertiveness training to deal with various interpersonal barriers and empowerment for enhancing patient's self-efficacy. These approaches would benefit patients who experience barriers of diabetes self-management
Key Words: Barriers, Elderly diabetic patients, Self-management, Social support


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