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The Mediating Effect of Regimen Distress in the Relationship between Medication Adherence and Glycemic Control in Men with Type 2 Diabetes Mellitus

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KMID : 0869520160220020170
¼­¿µ¹Ì ( Seo Yeong-Mi ) - °æ³²°úÇбâ¼ú´ëÇб³ °£È£Çаú

ÃÖ¿øÈñ ( Choi Won-Hee ) - °æ¼º´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose: The purpose of this study was to examine the mediating effect of regimen distress in the relationship between medication adherence and glycemic control in men with type 2 diabetes.

Methods: A total of 116 patients with type 2 diabetes was recruited for the cross-sectional survey design. Data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson`s correlation coefficient, and multiple regression using Baron and Kenny steps for mediation.

Results: The mean score for medication adherence was 6.32, and the mean glycemic control level (HbA1c) was 7.47%. The mean score was 2.37 for regimen distress. There were significant correlations among medication adherence, regimen distress, and HbA1c. Regimen distress had a partial mediating effect (¥â=.22, p=.005) in the relationship between medication adherence and HbA1c (Sobel test: Z=2.47, p=.013).

Conclusion: Regimen distress was found to be associated with glycemic control in men with type 2 diabetes. Based on the findings of this study, nursing intervention programs focusing on decreasing regimen distress are highly recommended to improve level of glycemic control in patients with type 2 diabetes.
KeyWords
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Psychological stress, Blood glucose, Medication adherence, Diabetes mellitus
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