Older diabetic patients' attitudes and beliefs about health and illness.
OBJECTIVE
To determine older diabetic patients' attitudes and beliefs about illness and health.


BACKGROUND
Prevention of metabolic complications and treatment for cardiovascular risk factors are the main aims of the care and treatment of older diabetic patients. For the effective management of diabetes, it is crucial to recognise patients' beliefs and attitudes about and behaviours towards their health and illness.


METHODS
A descriptive study.


METHODS
The sample included 70 diabetic patients aged 65 and older. Data were collected using a socio-demographic form and the Health Belief Model Scale. The data were analysed using descriptive statistics, Mann-Whitney U-test, t-test, Kruskal-Wallis test, Welch variance analysis and Spearman correlation.


RESULTS
Results showed that older diabetic patients' attitudes about illness and health were negative. Among individuals aged 65-70 years with more than secondary education and previous employment, mean perceived severity scores were found to be significantly higher than in other groups. The mean perceived barriers scores were found to be higher than in other groups, and this difference was statistically significant for older participants who declared a good economic status, who exhibited good/very good adherence to nutritional therapy and who were exercising and checking their blood sugar regularly. The perceived benefits and recommended activities scores of patients needing more education were significantly higher.


CONCLUSIONS
Patients who were female, aged 70 and older, and of low educational and economic statuses; who showed poor adherence to treatment and medical nutrition therapy; and who needed diabetes-related training had negative health beliefs and were particularly at risk.


CONCLUSIONS
Determining the personal factors that influence health behaviours can support the development of educational activities for diabetes management, complication prevention and treatment adherence improvement.
Faculty of Nursing, Hacettepe University, Sıhhıye, Ankara, Turkey.
Hatice
H
Ağralı
Imatullah
I
Akyar
D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000451:nursing / Q000517:prevention & control / Q000523:psychology*; D005006:Ethnicity; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006299:Health Services for the Aged; D006801:Humans; D008297:Male; D012307:Risk Factors; D012959:Socioeconomic Factors; D018709:Statistics, Nonparametric
aged care; attitudes; beliefs; diabetes; nurse