Date of Award
Doctor of Philosophy
Evidence from previous studies showed that older adults with diabetes demonstrate low levels of self-care for managing their symptoms and blood glucose and have difficulty adhering to self-care behaviors for long periods of time. Since self-care is motivated by self-concept, the consistency of self-concept may help patients better cope with their health problems and form longstanding healthy behaviors. The purposes of this study are to: (1) examine the relationship between self-consistency and self-care among older Chinese adults with type 2 diabetes; (2) examine the bi-variate relationships among depressive symptoms, self-consistency, and self-care among older Chinese adults with type 2 diabetes; (3) examine the bi-variate relationships among demographics, health measures, self-consistency, and self-care; and (4) identify the predictors of self-care among self-consistency, depressive symptoms, demographics, and health measures. This is a cross-sectional study of Chinese adults aged 60 years and older with type 2 diabetes in community healthcare centers in Shanghai. Demographic and health data were collected, in addition to data using established scales of self-care, self-consistency, and the geriatric depression. Pearson correlation and multivariate linear regression analyses were used to test the associations between the variables. The sample of 195 older adults with type 2 diabetes were surveyed, and the average age was 71.6 years. The results of Pearson correlation analysis showed that: (1) Self-consistency did not directly correlate with the self-care of older adults with type 2 diabetes; (2) Self-consistency and self-care had a significantly negative correlation with depressive symptoms; (3) Self-consistency overall correlated with the number of comorbidities and SPH except age, gender, education level, marital status, income, duration, HbA1c, BMI, or number of complications; (4) Self-care correlated with the number of complications, but did not correlate with age, gender, education level, marital status, income, duration, HbA1c, BMI, or number of comorbidities, or SPH; (5) The path analysis using multiple linear regression showed that stability of self-concept and depressive symptoms directly and negatively predicted self-care; duration directly and positively predicted self-care; self-knowledge, stability of self-concept, and SPH all directly and negatively predicted depressive symptoms; self-knowledge and SPH indirectly predicted self-care` through depressive symptoms. Future research could build structural equation models to further clarify the relationships among these variables, especially the relationship between self-consistency and self-care, with a larger sample size. Further, a longitudinal study is needed to determine changes in self-care over time and what may account for improvements or declines in self-care over the disease duration.
Dissertation or thesis originally submitted to ProQuest
Embargoed until 2024-01-19
Hu, Jing, "Self-consistency and Self-care Among Older Adults With Type 2 Diabetes" (2023). Electronic Theses and Dissertations. 3026.
Available for download on Friday, January 19, 2024