Korean J Adult Nurs.  2018 Aug;30(4):376-384. 10.7475/kjan.2018.30.4.376.

Health Literacy and Self-care Activities of Older Patients with Type 2 Diabetes: The Mediating Effect of Resilience

• Yoo EW
• Lee YM

• KMID: 2418980
• DOI: http://doi.org/10.7475/kjan.2018.30.4.376

Abstract

PURPOSE
The purpose of this study was to investigate the health literacy and self-care activities of elderly diabetes patients and identify the effects of mediation of resilience in the relationship between them.
METHODS
A structured self-report questionnaire measuring health literacy, resilience and self-care activities was completed by 145 elderly people aged 65 years or older, who were diagnosed with type 2 diabetes mellitus at the Pusan National University hospital in Busan city, and who visited the outpatient clinic for endocrinology. Data collection was conducted from February 10, 2017 to March 31, 2017, and the collected data were analyzed using SPSS/WIN 23.0 program.
RESULTS
The subjects' health literacy and resilience (r=.19, p=.023), health literacy and self-care activities (r=.26, p=.001), resilience and self-care activities (r=.39, p < .001) were significantly correlated. Resilience completely mediated in the relationship between health literacy and self-care activities (z=2.37, p=.017).
CONCLUSION
Resilience plays a mediating role in the association among health literacy and self-care activities. It is necessary to develop a variety of intervention programs that can improve resilience in increasing self-care activities.

MeSH Terms

Aged
Ambulatory Care Facilities
Busan
Data Collection
Diabetes Mellitus
Diabetes Mellitus, Type 2
Endocrinology
Health Literacy*
Humans
Negotiating*
Self Care*