[Exploring relocation stress and diabetes control in the elderly residents of long-term care facilities]
Yueh-Ying Yang1, Shu-Ming Chen2, Chien-Lin Kuo3
1Department of Nursing, Shu Zen College of Medicine and Management, Taiwan, ROC.
Background:
Stress and glycemic control have a significant and positive relationship. However, elderly diabetic patients who are relocated involuntarily to an institution often exhibit poor control of blood sugar. Few studies have addressed the relationship between relocation stress and diabetes control.
Purpose:
This study explores the relationship between relocation stress and glycemic control in seniors with diabetes in nursing homes.
Method:
This study used a cross-sectional descriptive correlation design with a convenience sampling method to recruit 88 elderly diabetes patients who had relocated to a nursing home within the past 1 year. The structural questionnaires used in this study adopted a personal and disease characteristics datasheet and the modified Chinese-version Relocation Appraisal Scale (RAS). SPSS (Window 18.0 version) was used for statistical analyses.
Result:
Those participants with diabetes who relocated involuntary, had low functional independence, lived with their family prior to admission, had poor health, or were diagnosed with depression faced a significantly higher risk of poor diabetes control. The significant predictors for diabetes control were: low functional independence and relocation stress, which accounted for 45.7% of the total variance for diabetes control.
Conclusions:
The result of this study may be referenced to help reduce relocation stress and help improve glycemic control in recently institutionalized seniors with diabetes.
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