Self-Care and Health Outcomes of Diabetes Mellitus

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

Research output: Contribution to journalArticle

12 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)309-326
Number of pages18
JournalClinical Nursing Research
Volume21
Issue number3
DOIs
StatePublished - Aug 2012
Externally publishedYes

Fingerprint

Self Care
Diabetes Mellitus
Health
Hospitalization
Snacks
Medical Day Care
Retirement
Patient Education
Eating
Logistic Models

Keywords

  • diabetes mellitus
  • health outcomes
  • self-care

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Self-Care and Health Outcomes of Diabetes Mellitus. / Song, MinKyoung; Ratcliffe, Sarah J.; Tkacs, Nancy C.; Riegel, Barbara.

In: Clinical Nursing Research, Vol. 21, No. 3, 08.2012, p. 309-326.

Research output: Contribution to journalArticle

Song, MinKyoung ; Ratcliffe, Sarah J. ; Tkacs, Nancy C. ; Riegel, Barbara. / Self-Care and Health Outcomes of Diabetes Mellitus. In: Clinical Nursing Research. 2012 ; Vol. 21, No. 3. pp. 309-326.
@article{85248bef123e46f8b461fe723c1ea2ac,
title = "Self-Care and Health Outcomes of Diabetes Mellitus",
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.",
keywords = "diabetes mellitus, health outcomes, self-care",
author = "MinKyoung Song and Ratcliffe, {Sarah J.} and Tkacs, {Nancy C.} and Barbara Riegel",
year = "2012",
month = "8",
doi = "10.1177/1054773811422604",
language = "English (US)",
volume = "21",
pages = "309--326",
journal = "Clinical Nursing Research",
issn = "1054-7738",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - Self-Care and Health Outcomes of Diabetes Mellitus

AU - Song, MinKyoung

AU - Ratcliffe, Sarah J.

AU - Tkacs, Nancy C.

AU - Riegel, Barbara

PY - 2012/8

Y1 - 2012/8

N2 - 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.

AB - 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.

KW - diabetes mellitus

KW - health outcomes

KW - self-care

UR - http://www.scopus.com/inward/record.url?scp=84864010101&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84864010101&partnerID=8YFLogxK

U2 - 10.1177/1054773811422604

DO - 10.1177/1054773811422604

M3 - Article

C2 - 21926278

AN - SCOPUS:84864010101

VL - 21

SP - 309

EP - 326

JO - Clinical Nursing Research

JF - Clinical Nursing Research

SN - 1054-7738

IS - 3

ER -