Research On The Correlation Between Self-management Ability And Negative Emotion In Elderly Diabetic Patients

Purpose:To systematically investigate and analyze the diabetes mellitus self-care ability and negative emotion level of the older people,and to explore the relationship between diabetes self-care ability and negative emotion of older people with diabetes mellitus.To analyze the influencing factors of the diabetes self-care ability of older people with diabetes mellitus,aiming to provide a reference for clinical medical staff or caregivers to formulate corresponding measures,alleviate the bad mood of patients,and ultimately improve the clinical outcome of patients.Material and method:The convenience sampling method was used to select 298 in-patient older people with diabetes mellitus in the endocrinology department of a third-level general hospital in Liaoning Province from March to August in 2019.The questionnaire composed of SDSCA and diabetes questionnaire(PAID)measures the demographic variables,self-care ability,and negative emotions of the study subjects.SPSS 25.0 statistical software was used to analyze the data: the patient's general situation,self-care ability,total negative emotion scores and scores in each dimension were described using descriptive analysis;the differences in demographic characteristics of self-care ability and negative emotions were measured using two Independent sample t-test or one-way analysis of variance was used for analysis;Pearson bivariate correlation analysis was used for the relationship between diabetes self-care ability and negative emotions;stepwise regression of canonical correlation analysis was used to analyze the factors affecting self-care ability.Results:1.The total score of self-care of older people with diabetes mellitus was 66.38 ± 5.61,and the score index was 51.03.The scoring indicators of the items in each dimension from high to low are: medication management(82.19),exercise(56.22),diet(49.21),abnormal blood glucose management(47.62),foot self-care(41.57),and blood glucose monitoring(40.79).2.The total negative emotional score of older people with diabetes mellitus is 35.48 ± 6.54,and the scores of each dimension from high to low are: therapeutic factor(2.31 ± 0.48),diet factor(1.83 ± 0.43),emotional factor(1.64 ± 0.45),and society Supporting sense factor(1.45± 0.46).3.There is a negative correlation between self-care and negative emotion in older people with diabetes mellitus.4.Analysis of factors related to the self-care ability of older people with diabetes mellitus:therapeutic factors,emotional factors,monthly retirement income,and course of disease,among which the therapeutic factors have the greatest influence.Conclusion:1.The overall self-care level of middle-aged and elderly diabetes mellitus in this study is poor.Age,living status,education level,monthly retirement income,payment method of medical expenses,course of disease,medication,and whether there are complications are demographic characteristics that affect self-care ability factor.2.The overall negative emotions of middle-aged and elderly diabetes mellitus in this study are at a medium level,and the negative emotions related to disease treatment are the most obvious.3.The self-care ability of middle-aged and elderly patients with diabetes mellitus was negatively correlated with negative emotions.4.The self-care ability of older people with diabetes mellitus is negatively correlated with treatment factors and emotional factors,and positively correlated with monthly retirement income and disease duration.