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The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
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Hye Sun Kim, Ka Woun Seo
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J Korean Acad Community Health Nurs. 2022;33(4):446-455. Published online December 31, 2022
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DOI: https://doi.org/10.12799/jkachn.2022.33.4.446
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Abstract
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- Purpose
This study investigated the mediating effects of acceptance action on the relationship between diabetes distress and self-stigma in older adults with diabetes.
Methods: A descriptive research approach was adopted using 187 patients diagnosed with diabetes mellitus by an endocrinology doctor. The data were collected from 26 to 31 March, 2020 and were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient analysis, and hierarchical multiple regression.
Results: The mean scores for diabetes distress, self-stigma, and acceptance action were 2.98±0.64, 2.54±0.74, and 4.16±0.35, respectively. Acceptance action partially mediated the relationship between diabetes distress and self-stigma (z=1.98, p=.024), with an explanatory power of 51.0%.
Conclusion: To reduce diabetes self-stigma among old adults in diabetes distress situations, it is necessary to improve their acceptance action and develop step-by-step differentiated acceptance action enhancement programs through multidisciplinary collaborations.
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Citations
Citations to this article as recorded by
- The relationship between stigma and psychological distress among people with diabetes: a meta-analysis
Xiajun Guo, Sijia Wu, Haishan Tang, Yuanyuan Li, Wanglin Dong, Guangli Lu, Shuang Liang, Chaoran Chen BMC Psychology.2023;[Epub] CrossRef
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The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes
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Ka Woun Seo
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J Korean Acad Community Health Nurs. 2021;32(1):86-94. Published online March 31, 2021
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DOI: https://doi.org/10.12799/jkachn.2021.32.1.86
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1,650
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87
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6
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Abstract
PDF
- Purpose
This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes.
Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson’s correlation coefficient, and hierarchical multiple regression.
Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants’ education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care.
Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.
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Citations
Citations to this article as recorded by
- “Shame on Me”: Exploring the Role of Self-Stigma in Psychological Outcomes Among Type 2 Diabetes Patients in Hong Kong
Nelson C. Y. Yeung, Eric Kam Pui Lee, Alice Pik Shan Kong, Maria Kwan Wa Leung International Journal of Behavioral Medicine.2024; 31(2): 241. CrossRef - Bringing an end to diabetes stigma and discrimination: an international consensus statement on evidence and recommendations
Jane Speight, Elizabeth Holmes-Truscott, Matthew Garza, Renza Scibilia, Sabina Wagner, Asuka Kato, Victor Pedrero, Sonya Deschênes, Susan J Guzman, Kevin L Joiner, Shengxin Liu, Ingrid Willaing, Katie M Babbott, Bryan Cleal, Jane K Dickinson, Jennifer A H The Lancet Diabetes & Endocrinology.2024; 12(1): 61. CrossRef - “Diabetes is really simple on paper, but really complicated when you actually have it”: Understanding the daily stressors of adolescents living with Type 1 diabetes
Kaitlyn Rechenberg, Carley Geiss, Rebecca Koerner, Nicole Ríos, Usha Menon Journal for Specialists in Pediatric Nursing.2024;[Epub] CrossRef - Type 2 diabetes stigma and its association with clinical, psychological, and behavioral outcomes: A systematic review and meta-analysis
Samuel Akyirem, Emmanuel Ekpor, Diana Namumbejja Abwoye, Janene Batten, LaRon E. Nelson Diabetes Research and Clinical Practice.2023; 202: 110774. CrossRef - Stigma perception and determinants among patients with type 2 diabetes mellitus in Iraq
Taqi M. J. Taher, Hussein A. Ahmed, Ali A. Abutiheen, Shaymaa A. Alfadhul, Hasanain F. Ghazi Journal of the Egyptian Public Health Association.2023;[Epub] CrossRef - The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
Hyesun Kim, Kawoun Seo Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446. CrossRef
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