Outpatient support needs and related potential risk factors among older adults with diabetes
Year: 2025
Type: article
Abstract: Objective: To understand the factors that allow older adults to promote self-care is important.The purpose of this study was to reveal important risks related to the self-care support needs of older adults with diabetes through multiple regression, and to describe recommendations to enhance their independent mobility and self-care through the assessment of support needs, with respect to self-care concerns and anxiety about vulnerability.Methods: We conducted exploratory factor analysis (EFA) with primary vulnerability-related covariates.The correlation between several clinical features and the risk of insufficient self-care was examined.Multivariate linear regression estimated the independent variables for understanding vulnerability.Results: A total of 632 older Japanese adults with diabetes excluding two incomplete responses were analyzed.The EFA established a valid fivefactor solution with 18 items ([hope for group education], [barrier to meal preparation], [vulnerable life], [hope for personal education], and [emergency preparedness and response]). Predictors for the five-factor solution reflected individual-level factors and were female sex (β = .023,p = .022),living alone (β = .064,p = .000),absence of a contact person once a week (β = .042,p = .043),level of care need (β = .038,p = .008),and available emergency medical care (β = -.023,p = .001).Conclusions: Social support networks were significantly related to vulnerability and disease control in older adults with diabetes.Realizing the high diabetes risk associated with vulnerability is important for outpatient intervention.
Authors: Yoshiko Miyawaki, Yasuko Shimizu
Institutions: Konan Women's University, The University of Osaka
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7083624303