Korean J Adult Nurs.  2018 Oct;30(5):555-564. 10.7475/kjan.2018.30.5.555.

Association of Resilience and Depression with Self-care Competence in Adult Patients with Diabetes Mellitus

• Park Y
• Jang EH
• Kim JO

• KMID: 2423846
• DOI: http://doi.org/10.7475/kjan.2018.30.5.555

Abstract

PURPOSE
The purposes of this study were to examine the relationships between resilience, depression, and self-care competence and identify factors associated with self-care competence in patients with type 1 and type 2 diabetes mellitus.
METHODS
This study was a descriptive research. Structured questionnaire on patients' sociodemographic and clinical characteristics, resilience, depression, and self-care competence was used for survey with a convenience sample of 152 patients with diabetes mellitus. Data were collected from July to December 2016. Data were analyzed using descriptive statistics, independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression with SPSS/WIN 21.0 program.
RESULTS
The mean scores on resilience, depression, and self-care competence were 2.86±0.42, 18.11±10.05, and 4.27±0.78, respectively. Self-care competence showed a statistically significant positive correlation with resilience (r=.47, p < .001), and negative correlation with depression (r=−.29, p < .001). Resilience showed a negative correlation with depression (r=−.53, p < .001). Resilience (β=.38, p < .001) was significantly associated with factors of self-care competence in patients with diabetes mellitus.
CONCLUSION
The results of the study indicate that factor influencing self-care competence was resilience in patients with diabetes mellitus. Therefore, nursing intervention programs for increasing the self-care competence should include regular assessments and strategies for improving resilience in patients with diabetes mellitus. It is recommended that the studies should be performed to confirm the relationship between resilience and self-care competence by using resilience instrument developed for adults.

MeSH Terms

Adult*
Depression*
Diabetes Mellitus*
Diabetes Mellitus, Type 2
Humans
Mental Competency*
Nursing
Outpatients
Self Care*

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