PMID- 38488165
OWN - NLM
STAT- MEDLINE
DCOM- 20240326
LR  - 20240326
IS  - 1948-965X (Electronic)
IS  - 1682-3141 (Linking)
VI  - 32
IP  - 2
DP  - 2024 Apr 1
TI  - Factors of Influence on Diabetes Awareness in Older People With Chronic 
      Obstructive Pulmonary Disease Comorbid With Type 2 Diabetes Mellitus.
PG  - e323
LID - 10.1097/jnr.0000000000000602 [doi]
AB  - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a common comorbidity in patients 
      with chronic obstructive pulmonary disease (COPD) and has been associated with an 
      increased risk of mortality in this population. PURPOSE: This study was designed 
      to investigate the predictive factors of diabetes awareness (DA), including 
      diabetes knowledge (DK), and diabetes care behaviors (DCB) among older people 
      with both COPD and T2DM. METHODS: This was a cross-sectional descriptive 
      correlation study. One hundred thirty-three older-age patients with COPD comorbid 
      with T2DM receiving treatment at a chest hospital were enrolled as participants. 
      Both DK and DCB were utilized to measure DA. The Diabetes Knowledge Questionnaire 
      was utilized to measure DK, and the Summary of Diabetes Self-Care Activities was 
      used to evaluate DCB. RESULTS: The average glycated hemoglobin (HbA1c) was 7.68% 
      ( SD = 1.55%), with 74 (55.6%) participants having a level > 7%. The average DA 
      was 46.46% ( SD = 13.34%), the average DK was 53.42% ( SD = 18.91%), and the 
      average DCB was 39.50% ( SD = 16.66%). In terms of demographic variables, age, 
      diabetes education, diabetes shared care, and HbA1c were all significantly 
      associated with DA, DK, and DCB (all p s < .05). The overall variance in DA was 
      significantly explained by diabetes education and HbA1c (all p s < .05). The 
      overall variance in DK was significantly explained by age, diabetes education, 
      and HbA1c. The overall variance in DCB was significantly explained by diabetes 
      education and HbA1c (all p s < .05). CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Our 
      study findings indicate that older adult patients with COPD comorbid with T2DM 
      are at elevated risks of poor glycemic control and low DA. Healthcare 
      professionals should be aware of these issues and develop appropriate DA plans to 
      prevent poor glycemic control in this population. Providing accurate information 
      on diabetes to older adults with COPD comorbid with T2DM is important to 
      improving their DK and promoting better DCB.
CI  - Copyright (c) 2024 The Authors. Published by Wolters Kluwer Health, Inc.
FAU - Liao, Lin-Yu
AU  - Liao LY
AD  - PhD, RN, Head Nurse, Department of Nursing, Chest Hospital, Ministry of Health 
      and Welfare, Taiwan.
FAU - Chen, Kuei-Min
AU  - Chen KM
AUID- ORCID: 0000-0002-4075-9607
AD  - PhD, RN, FAAN, Professor, College of Nursing, Center for Long-Term Care Research, 
      Kaohsiung Medical University, and Department of Medical Research, Kaohsiung 
      Medical University Hospital, Taiwan.
FAU - Cheng, Hsiu-Rong
AU  - Cheng HR
AD  - PhD, RN, Associate Professor, Department of Nursing, Chung Hwa University of 
      Medical Technology, Tainan, Taiwan.
FAU - Hsu, Hui-Fen
AU  - Hsu HF
AD  - PhD, Postdoctoral Fellow, College of Nursing, Kaohsiung Medical University, 
      Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20240401
PL  - China (Republic : 1949- )
TA  - J Nurs Res
JT  - The journal of nursing research : JNR
JID - 101128757
RN  - 0 (Glycated Hemoglobin)
SB  - IM
MH  - Humans
MH  - Aged
MH  - *Diabetes Mellitus, Type 2/complications/therapy
MH  - Glycated Hemoglobin
MH  - Cross-Sectional Studies
MH  - Comorbidity
MH  - *Pulmonary Disease, Chronic Obstructive/complications
COIS- The authors declare no conflicts of interest.
EDAT- 2024/03/15 12:45
MHDA- 2024/03/26 06:44
CRDT- 2024/03/15 08:03
PHST- 2024/03/26 06:44 [medline]
PHST- 2024/03/15 12:45 [pubmed]
PHST- 2024/03/15 08:03 [entrez]
AID - 00134372-202404000-00007 [pii]
AID - 10.1097/jnr.0000000000000602 [doi]
PST - epublish
SO  - J Nurs Res. 2024 Apr 1;32(2):e323. doi: 10.1097/jnr.0000000000000602.