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Self-Care and Health Outcomes of Diabetes Mellitus

Author

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  • MinKyoung Song
  • Sarah J. Ratcliffe
  • Nancy C. Tkacs
  • Barbara Riegel

Abstract

Studies show that self-care improves diabetes mellitus (DM) outcomes; however, previous studies have focused on self-care maintenance, and little is known about self-care management. The objective of this study is to examine the influence of DM self-care maintenance and management on number of hospitalizations and hospitalization days. A cohort design with secondary analysis of data from the Health and Retirement Study 2002-2004 was used. Data from 726 adults with DM were analyzed with logistic regression and negative binomial regression adjusting for covariates. Self-care maintenance and management were significant determinants of hospitalization outcomes. Establishing a goal for HbA1c (self-care management) and eating ≥2 snacks or desserts per day (self-care maintenance) were associated with a decrease in hospitalizations (IRR = 0.860, p = .001; IRR = 0.914, p = .043, respectively). DM self-care maintenance and management influence health outcomes but in different ways. These data provide evidence that both elements are needed in the education of patients about DM.

Suggested Citation

  • MinKyoung Song & Sarah J. Ratcliffe & Nancy C. Tkacs & Barbara Riegel, 2012. "Self-Care and Health Outcomes of Diabetes Mellitus," Clinical Nursing Research, , vol. 21(3), pages 309-326, August.
    • Handle: RePEc:sae:clnure:v:21:y:2012:i:3:p:309-326
    DOI: 10.1177/1054773811422604
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    References listed on IDEAS

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    1. F. Thomas Juster & Richard Suzman, 1995. "An Overview of the Health and Retirement Study," Journal of Human Resources, University of Wisconsin Press, vol. 30, pages 7-56.
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