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Nan Hui Kim 1 Article
Effects of Health Literacy and Knowledge on Diabetic Self-care in the Elderly with DM Living Alone
Nan Hui Kim, Young Ran Yang, Myung Ha Lee
J Korean Acad Community Health Nurs. 2016;27(4):370-379.   Published online December 31, 2016
DOI: https://doi.org/10.12799/jkachn.2016.27.4.370
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  • 12 Citations
AbstractAbstract PDF
PURPOSE
The aim of this study was to evaluate the level of self-care adherence in the elderly with diabetes mellitus (DM) who have lived alone, and to investigate the association between health literacy, diabetic knowledge and self-care adherence.
METHODS
Descriptive research using the cross-sectional approach was conducted. Data was collected by using a convenience sampling of 201 participants who aged sixty-five years old or more and have lived alone. Statistical analysis was conducted by using an independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient and stepwise multiple regression analysis.
RESULTS
Mean scores of health literacy, diabetic knowledge and adherence of self-care were 4.41±3.54 points out of a possible 12, 6.22±2.55 points out of a possible 15, 58.56±17.28 points out of a possible 112, respectively. Adherence of self-care showed a statistical association with health literacy (r=.26, p<.001) and diabetic knowledge (r=.30, p<.001). Statistically significant factors in the regression model were monthly income, diabetic knowledge and exercise.
CONCLUSION
The level of self-care adherence in the elderly with diabetes living alone was relatively low. Diabetic knowledge was an important factor to improve the level of self-care adherence for the elderly with diabetes living alone.

Citations

Citations to this article as recorded by  
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  • Relationships of health literacy to self‐care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator
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RCPHN : Research in Community and Public Health Nursing