TY - JOUR
T1 - A predictive model of health outcomes for young people with type 2 diabetes
AU - Jung, Sun Young
AU - Lee, Sook Ja
AU - Kim, Sun Hee
AU - Jung, Kyung Mi
N1 - Funding Information:
This manuscript was supported by Foundation of Nursing Research Institute in Korea University .
Publisher Copyright:
Copyright © 2015, Korean Society of Nursing Science.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - Summary Purpose This study was conducted to develop and test a hypothetical model to predict health outcomes in young people with type 2 diabetes. Methods Data were collected from 190 adults aged 23-45 with type 2 diabetes mellitus who visited the endocrinology outpatient department of the two university hospitals in South Korea from November 2, 2012 to March 7, 2013. Data collection used the structured questionnaires and patient medical records. The descriptive and correlation statistics were analyzed using PASW 18.0 and structural equation modeling procedure was performed using the AMOS 18.0 program. Results The fit of the hypothetical model was appropriate with the ratio of the chi-square statistic to degrees of freedom at 17.00, goodness-of-fit index at.975, adjusted goodness-of-fit index at.930, root mean square error of approximation at.061, normed fit index at.926, Turker-Lewis index at.929, comparative fit index at.966. Behavioral skills were a critical factor that directly affects self-management behaviors. Through behavioral skills, motivation had a statistically significant indirect effect on self-management behavior. Self-management behavior had a statistically significant direct effect on health outcome. Through self-management behavior, behavioral skills had a statistically significant indirect effect on health outcome. These variables explained 17.9% of the total variance for the health outcome in young people with type 2 diabetes. Conclusions The results suggest that self-management behavior could be improved through nursing interventions promoting personal motivation (positive attitude), social motivation (social support), and behavioral skills (self efficacy), which can result in better health outcomes for young people with type 2 diabetes.
AB - Summary Purpose This study was conducted to develop and test a hypothetical model to predict health outcomes in young people with type 2 diabetes. Methods Data were collected from 190 adults aged 23-45 with type 2 diabetes mellitus who visited the endocrinology outpatient department of the two university hospitals in South Korea from November 2, 2012 to March 7, 2013. Data collection used the structured questionnaires and patient medical records. The descriptive and correlation statistics were analyzed using PASW 18.0 and structural equation modeling procedure was performed using the AMOS 18.0 program. Results The fit of the hypothetical model was appropriate with the ratio of the chi-square statistic to degrees of freedom at 17.00, goodness-of-fit index at.975, adjusted goodness-of-fit index at.930, root mean square error of approximation at.061, normed fit index at.926, Turker-Lewis index at.929, comparative fit index at.966. Behavioral skills were a critical factor that directly affects self-management behaviors. Through behavioral skills, motivation had a statistically significant indirect effect on self-management behavior. Self-management behavior had a statistically significant direct effect on health outcome. Through self-management behavior, behavioral skills had a statistically significant indirect effect on health outcome. These variables explained 17.9% of the total variance for the health outcome in young people with type 2 diabetes. Conclusions The results suggest that self-management behavior could be improved through nursing interventions promoting personal motivation (positive attitude), social motivation (social support), and behavioral skills (self efficacy), which can result in better health outcomes for young people with type 2 diabetes.
KW - glycosylated hemoglobin A
KW - health status
KW - self-care
KW - type 2 diabetes mellitus
UR - http://www.scopus.com/inward/record.url?scp=84926167953&partnerID=8YFLogxK
U2 - 10.1016/j.anr.2014.11.002
DO - 10.1016/j.anr.2014.11.002
M3 - Article
C2 - 25829214
AN - SCOPUS:84926167953
VL - 9
SP - 73
EP - 80
JO - Asian Nursing Research
JF - Asian Nursing Research
SN - 2005-3673
IS - 1
M1 - 125
ER -
