title: [Exploring relocation stress and diabetes control in the elderly residents of long-term care facilities].
abstract: BACKGROUND
  Stress and glycemic control have a significant and positive relationship. However, elderly diabetic patients who are relocated involuntarily to an institution often exhibit poor control of blood sugar. Few studies have addressed the relationship between relocation stress and diabetes control.
  
  
  OBJECTIVE
  This study explores the relationship between relocation stress and glycemic control in seniors with diabetes in nursing homes.
  
  
  METHODS
  This study used a cross-sectional descriptive correlation design with a convenience sampling method to recruit 88 elderly diabetes patients who had relocated to a nursing home within the past 1 year. The structural questionnaires used in this study adopted a personal and disease characteristics datasheet and the modified Chinese-version Relocation Appraisal Scale (RAS). SPSS (Window 18.0 version) was used for statistical analyses.
  
  
  RESULTS
  Those participants with diabetes who relocated involuntary, had low functional independence, lived with their family prior to admission, had poor health, or were diagnosed with depression faced a significantly higher risk of poor diabetes control. The significant predictors for diabetes control were: low functional independence and relocation stress, which accounted for 45.7% of the total variance for diabetes control.
  
  
  CONCLUSIONS
  The result of this study may be referenced to help reduce relocation stress and help improve glycemic control in recently institutionalized seniors with diabetes.
authors.affiliation: Department of Nursing, Shu Zen College of Medicine and Management, Taiwan, ROC.
authors.forename: Yueh-Ying
authors.initials: YY
authors.lastname: Yang
authors.affiliation: Department of Nursing, Fooyin University, Taiwan, ROC. ft036@fy.edu.tw.
authors.forename: Shu-Ming
authors.initials: SM
authors.lastname: Chen
authors.affiliation: Department of Nursing, Fooyin University, Taiwan, ROC.
authors.forename: Chien-Lin
authors.initials: CL
authors.lastname: Kuo
authors.affiliation: Kaohsiung Municipal Min-Sheng Hospital, Taiwan, ROC.
authors.forename: Hsin-Ju
authors.initials: HJ
authors.lastname: Lee
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000097:blood / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008134:Long-Term Care; D008297:Male; D012648:Self Care; D013315:Stress, Psychological
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human
keywords: diabetes elderly; glycemic control; long-term care facilities; relocation stress