The Paths of Social Support, Resilience, and Emotional Distress on Quality of Life in Patients with Type 2 Diabetes

2.50
Hdl Handle:
http://hdl.handle.net/10755/601604
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
The Paths of Social Support, Resilience, and Emotional Distress on Quality of Life in Patients with Type 2 Diabetes
Author(s):
Wang, Ruey-Hsia; Shin, Shyi Jang; Lee, Yau-Jiunn
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Ruey-Hsia Wang, PhD, RN, wrhsia@kmu.edu.tw; Shyi Jang Shin, PhD; Yau-Jiunn Lee, PhD
Abstract:
Session presented on Saturday, July 25, 2015: Background: Quality of life is an important health outcome for patients with Type 2 diabetes. Previous evidences have indicated that resilience, social support, and emotional distress are significantly associated with quality of life. However, the causal paths among social support, resilience, emotional distress, and quality of life have been less examined, especially in Asian populations with type 2 diabetes. Purpose: The purpose of this cross-sectional study was to test a hypothesized model addressing the paths of social support, resilience, and emotional distress on quality of life in patients with type 2 diabetes. Methods: Patients diagnosed with T2DM for at least six months were recruited from one medical center and three local endocrine clinics in Taiwan by convenience sampling. A self-reported anonymous questionnaire was used to collect information regarding social support, resilience, diabetes-specific emotional distress, and quality of life. A hypothesized path model was tested by structural equation modelling. Results: Overall, 600 patients (n=337, 56.2% males; and n=263, 43.8% females) aged 20 to 84 years with a mean of 58.25'11.37 years participated in the study. The means of social support, resilience, diabetes-specific emotional distress, and quality of life were at medium to high levels. Social support (r=.22), resilience (r=.28), and diabetes-specific emotional distress (r=-.43) were significantly associated with quality of life. Social support significantly associated with resilience (r=.40) and diabetes-specific emotional distress (r=-.24). Resilience was significantly associated with diabetes-specific emotional distress (r=-.28). Structural equation modelling indicated that social support significantly directly influenced resilience (?=.40), diabetes-specific emotional distress (?=-.15), and quality of life (?=.13). Resilience significantly directly influenced diabetes-specific emotional distress (?= -.22), and also significantly indirectly influenced quality of life through diabetes-specific emotional distress (?=.09). Diabetes-specific emotional distress significantly directly affected quality of life (?= -.40).' Conclusion: Enhancing social support and resilience might help to reduce emotional distress and, finally, improve the quality of life of patients with type 2 diabetes. Further longitudinal and experimental studies are needed to confirm the directions among variables addressed in the model.
Keywords:
quality of life; type 2 diabetes; path model
MeSH:
Quality of Life; Diabetes Mellitus, Type 2
CINAHL Headings:
Support, Psychosocial
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15PST275
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleThe Paths of Social Support, Resilience, and Emotional Distress on Quality of Life in Patients with Type 2 Diabetesen
dc.contributor.authorWang, Ruey-Hsiaen
dc.contributor.authorShin, Shyi Jangen
dc.contributor.authorLee, Yau-Jiunnen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsRuey-Hsia Wang, PhD, RN, wrhsia@kmu.edu.tw; Shyi Jang Shin, PhD; Yau-Jiunn Lee, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/601604-
dc.description.abstractSession presented on Saturday, July 25, 2015: Background: Quality of life is an important health outcome for patients with Type 2 diabetes. Previous evidences have indicated that resilience, social support, and emotional distress are significantly associated with quality of life. However, the causal paths among social support, resilience, emotional distress, and quality of life have been less examined, especially in Asian populations with type 2 diabetes. Purpose: The purpose of this cross-sectional study was to test a hypothesized model addressing the paths of social support, resilience, and emotional distress on quality of life in patients with type 2 diabetes. Methods: Patients diagnosed with T2DM for at least six months were recruited from one medical center and three local endocrine clinics in Taiwan by convenience sampling. A self-reported anonymous questionnaire was used to collect information regarding social support, resilience, diabetes-specific emotional distress, and quality of life. A hypothesized path model was tested by structural equation modelling. Results: Overall, 600 patients (n=337, 56.2% males; and n=263, 43.8% females) aged 20 to 84 years with a mean of 58.25'11.37 years participated in the study. The means of social support, resilience, diabetes-specific emotional distress, and quality of life were at medium to high levels. Social support (r=.22), resilience (r=.28), and diabetes-specific emotional distress (r=-.43) were significantly associated with quality of life. Social support significantly associated with resilience (r=.40) and diabetes-specific emotional distress (r=-.24). Resilience was significantly associated with diabetes-specific emotional distress (r=-.28). Structural equation modelling indicated that social support significantly directly influenced resilience (?=.40), diabetes-specific emotional distress (?=-.15), and quality of life (?=.13). Resilience significantly directly influenced diabetes-specific emotional distress (?= -.22), and also significantly indirectly influenced quality of life through diabetes-specific emotional distress (?=.09). Diabetes-specific emotional distress significantly directly affected quality of life (?= -.40).' Conclusion: Enhancing social support and resilience might help to reduce emotional distress and, finally, improve the quality of life of patients with type 2 diabetes. Further longitudinal and experimental studies are needed to confirm the directions among variables addressed in the model.en
dc.subjectquality of lifeen
dc.subjecttype 2 diabetesen
dc.subjectpath modelen
dc.subject.meshQuality of Lifeen
dc.subject.meshDiabetes Mellitus, Type 2en
dc.subject.cinahlSupport, Psychosocialen
dc.date.available2016-03-17T12:50:27Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:50:27Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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