Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share By
A Structural Equation Model of Self-Care Activities in Diabetic Elderly Patients Publisher

Summary: Study shows social support and mental health impact self-care in diabetic elderly. Can support improve outcomes? #DiabetesCare #ElderlyHealth

Alavi M1 ; Molavi R1 ; Eslami P1
Authors

Source: Iranian Journal of Nursing and Midwifery Research Published:2018


Abstract

Background: Self-care is a valuable strategy to improve health and reduce events of hospitalization and the duration of hospital stay in elderly diabetic patients. This study aimed to examine the model of self-care behaviors in elderly diabetic patients. Materials and Methods: A survey was conducted among 209 diabetic elderly patients who were admitted in three hospitals affiliated with the Isfahan University of Medical Sciences, Iran. Convenience sampling method was used to recruit the participants. Depression, anxiety, stress, and perceived social support were considered as predicting exogenous variables and elderly patients' self-care activities were treated as endogenous variables. The data were collected by a four-part questionnaire consisting of demographic and health-related characteristics; 21-item depression anxiety stress scale, multidimensional scale of perceived social support, and Diabetes Self-care Activities scale. Structural equation modelling by Statistical Package for the Social Sciences (SPSS) version 16 and Analysis of Moment Structures-7 (AMOS) software was applied for data analysis. Results: Mean (standard deviation) of depression, anxiety, stress, perceived social support, and self-care activities of participants were 14.29 (4.3), 13.62 (3.74), 16.83 (4.23), 57.33 (14.19), and 44.56 (13.77), respectively. The results showed that the overall model fitted the data (χ 2 /df = 3.8, goodness-of-fit index (GFI) = 0.52, incremental fit index (IFI) = 0.48, and root mean square error of approximation (RMSEA) = 0.14). Three out of four variables (i.e., perceived social support, anxiety, and depression) significantly predicted adherence to self-care behaviors among diabetic elderly patients (p < 0.05). Conclusions: The perceived social support, anxiety, and depression were identified as key constructs which need to be taken into account and well managed by health care professionals to enhance adherence to self-care activities in diabetic elderly patients. © 2017 Iranian Journal of Nursing and Midwifery Research.
Related Docs
View other Related Docs
1. Do Psychosocial Factors Predict Readmission Among Diabetic Elderly Patients?, Iranian Journal of Nursing and Midwifery Research (2017)
2. Can Health Promotion Model Constructs Predict Nutritional Behavior Among Diabetic Patients?, Journal of Research in Medical Sciences (2013)
3. Psychosocial Factors Predicting Length of Hospitalization in Elderly Individuals With Diabetes in Selected Hospitals of Isfahan University of Medical Sciences, Isfahan, Iran, in 2015, ARYA Atherosclerosis (2017)
Experts (# of related papers)
View all Related Experts
Ahmadali Eslami (4)
Mousa Alavi (3)
A Structural Equation Model of Self-Care Activities in Diabetic Elderly Patients
Other Related Docs
4. Evaluation of Self-Care and Its Relationship With Perceived Self-Efficacy in Patients Type 2 Diabetes in Khorramabad City, Iranian Journal of Endocrinology and Metabolism (2015)
5. Relationship Between General Health of Older Health Service Users and Their Self-Esteem in Isfahan in 2014, Iranian Journal of Nursing and Midwifery Research (2015)
6. The Effectiveness of Stress Management Training on Blood Glucose Control in Patients With Type 2 Diabetes, Diabetology and Metabolic Syndrome (2018)
7. Assessment of Diabetic Distress and Disease Related Factors in Patients With Type 2 Diabetes in Isfahan: A Way to Tailor an Effective Intervention Planning in Isfahan-Iran, Journal of Diabetes and Metabolic Disorders (2012)
8. Development and Evaluation of a New Questionnaire to Assess Social Cognitive Factors of Self-Management in Patients With Type 2 Diabetes: A Psychometric Study, Journal of Diabetes and Metabolic Disorders (2022)
9. Evaluation of Patients With Type 2 Diabetes and Their Families Understand the Relationship of Continuous Care by Type of Care, Advances in Environmental Biology (2014)
10. Effect of Education Based on Health Belief Model on Self-Care Behavior and Metabolic Indices in Patients With Type 2 Diabetes: A Clinical Research Trial, Journal of Mazandaran University of Medical Sciences (2021)
11. The Relationship of Perceived Social Support and Locus of Control Subscales With Illness Perception in Myocardial Infarction Patients, Using Structural Equation Modeling, Archives of Psychiatry and Psychotherapy (2019)
12. Evaluating Somatization, Depression, Anxiety, and Health Anxiety Symptoms in Caregivers of Covid-19 Inpatients, International Journal of Body, Mind and Culture (2024)
13. Assessment of the Psychometric Properties of the Persian Version of the Diabetes Self-Management Questionnaire (Dsmq) in Patients With Type 2 Diabetes, Journal of Diabetes and Metabolic Disorders (2022)
14. Investigating the Stress, Anxiety, and Depression of Nurses Caring for Patients With Covid-19 in Isfahan City, Iran, and Its Relationship With Their Spiritual Health, Journal of Health System Research (2024)
15. A Structural Equation Model of Health Anxiety: The Roles of Fatigue, Spiritual Vitality, Social Support, and Lifestyle in Chronic Fatigue Syndrome, International Journal of Body, Mind and Culture (2025)
16. Association of Stressful Life Events With Psychological Problems: A Large-Scale Community-Based Study Using Grouped Outcomes Latent Factor Regression With Latent Predictors, Computational and Mathematical Methods in Medicine (2017)
17. Effect of Family-Centered Empowerment Model on the Care Burden of the Caregivers of Older Adults With Heart Failure, Journal of Client-Centered Nursing Care (2021)
18. E-Health: The Impact of Social Network on Self Care Behavior in Heart Failure Patients Toward Covid-19 Epidemic, Advanced Biomedical Research (2021)
19. Psychosomatic Complaints Profile in Patients With Type 2 Diabetes: A Matched Case-Control Study, Egyptian Journal of Neurology, Psychiatry and Neurosurgery (2019)
20. Investigating the Effect of Stress Coping Skills Training on Anxiety and Quality of Life in Elderly Individuals With Type 2 Diabetes Referring to Healthcare Centers in Shiraz City, Iran, Journal of Health System Research (2025)