2021 Volume 25 Issue 1 Pages 83-92
This study aims to identify psychological and social factors related to the self-care abilities of patients with adult-onset type 1 diabetes. A self-rating anonymous questionnaire was administered to 98 patients. The inclusion criteria for the study were that participants were diagnosed with type 1 diabetes in adulthood. The relationship between self-care abilities, uncertainty in illness, sense of coherence (SOC), and family support were analyzed using the covariance structure analysis. We collected 92 valid responses. The results showed that factors related to self-care abilities in adult-onset type 1 diabetes are family support and Complexity of interpretation of information, which is a subscale of uncertainty in illness, and SOC. In the family support and instability of self-confidence in carrying on a struggle sufficient concurrent illness and unpredictability of daily life among the subscales for uncertainty in illness, it was suggested that self-care ability indirectly affects the SOC. It may be inferred that family support has a significant influence on self-care ability. Both the direct and total effect of family support on the self-care agency were higher than other pass coefficients, and the importance of the nursing care to support family support was suggested.
