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Journal of Integrative Nursing ›› 2020, Vol. 2 ›› Issue (3): 103-109.doi: 10.4103/jin.jin_11_20

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The relationship between diabetes‑related distress and self‑management in empty‑nest elderly patients with type 2 diabetes mellitus: The mediating effect of self‑efficacy

Hui‑Wen XU1,2, Yuan YUAN1,2, Lin LIU1, En TAKASHI2, Kitayama AKIO2, Xin LI3   

  1. 1Department of Medical Nursing, School of Nursing, Yangzhou University, Yangzhou, China; 2Department of Basic Medicine and Nosography, Nagano College of Nursing, Komagane, Nagano, Japan; 3Department of Respiration, Affiliated Hospital of Yangzhou University, Yangzhou, China
  • Online:2020-08-31 Published:2020-09-27
  • Contact: Xin LI, Department of Respiration, Affiliated Hospital of Yangzhou University, No. 368 Hanjiang Middle Road, Hanjiang District, Yangzhou City 225000, Jiangsu Province, China

Abstract: Objective: The aim of this study is to investigate the mediating effect of self-efficacy between diabetes-related distress and self-management in empty-nest elderly patients with type 2 diabetes mellitus (T2DM).
Methods: A total of 347 empty-nest elderly patients with T2DM from Jiangsu Province Hospital of Chinese Medicine and Affiliated Hospital of Yangzhou University were investigated by a self-designed General Information Questionnaire, the Self-efficacy for diabetes, the Diabetes Distress Scale, and the summary of diabetes self-care activities. Diabetes-related distress and diabetes self-management were tested for correlation analysis with self-efficacy. Meditational analyses were conducted to test the hypothesized mediating effects of diabetes self-efficacy as an intervention variable between diabetes distress and self-management.
Results: About 68.59% of patients suffered from diabetes-related distress. The results of bivariate correlations revealed that self-efficacy was negatively correlated with diabetes-related distress (r =–0.627, P < 0.01) and positively correlated with self-management (r = 0.356, P < 0.01). The relationship effects of diabetes distress on self-management were fully mediated by self-efficacy.
Conclusions: Diabetes-related distress prevails in empty-nest elderly patients with T2DM. Self-efficacy plays a mediate role between diabetes-related distress and self-management. Psychological intervention is contributed to reducing diabetes-related distress.

Key words: Diabetes mellitus, empty nest elderly, mediating effect, self-efficacy