Exploring the relationship between self-care agency and quality of life in adults with diabetes: A cross-sectional study

Takahashi, Kei; Takeishi, Chizuko; Tsutsumi, Chiyo; Nakao, Tomomi; Sato, Yuichi; Uchizono, Yuji; Nunoi, Kiyohide; Tabira, Yasunori; Shimizu, Yasuko

doi:https://doi.org/10.1371/journal.pone.0326783

Exploring the relationship between self-care agency and quality of life in adults with diabetes: A cross-sectional study

Takahashi, Kei; Takeishi, Chizuko; Tsutsumi, Chiyo et al.

PLOS ONE, 2025, 20(7), e0326783

アクセス数:22件（2025-12-08 12:42 集計）

固定URL: https://hdl.handle.net/11094/102929

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タイトル	Exploring the relationship between self-care agency and quality of life in adults with diabetes: A cross-sectional study
著者	NRID 1000010894941 1000010894941 researchmap permalink kei-t kei-t 著者名 Takahashi, Kei
	著者名 Takeishi, Chizuko
	NRID 1000020369846 1000020369846 著者名 Tsutsumi, Chiyo
	NRID 1000090609661 1000090609661 著者名 Nakao, Tomomi
	著者名 Sato, Yuichi
	著者名 Uchizono, Yuji
	著者名 Nunoi, Kiyohide
	著者名 Tabira, Yasunori
	NRID 1000050252705 1000050252705 ORCID 0000-0002-7398-4587 0000-0002-7398-4587 researchmap permalink read0055555 read0055555 Scopus Author ID 36097126100 36097126100 著者名 Shimizu, Yasuko
内容	Takahashi K., Takeishi C., Tsutsumi C., et al. Exploring the relationship between self-care agency and quality of life in adults with diabetes: A cross-sectional study. PLOS ONE 20(7), e0326783 (2025); https://doi.org/10.1371/journal.pone.0326783.
抄録	Self-care agency is the ability to perform self-care. Clarifying the factors of self-care agency that are related to quality of life can help determine the most effective nursing support. This cross-sectional study of patients with type 1 or type 2 diabetes aimed to explore the relationship between self-care agency and quality of life in adults with diabetes. Using a selective sampling method, we conducted a questionnaire survey using the Instrument of Diabetes Self-Care Agency and the SF-12 Health Survey. After identifying items related to quality of life from single regression and correlation analyses, multiple regression analyses were performed. There were 139 respondents, with an average age of 62.8 ± 11.7 years, of whom 71 were men (51.0%) and 117 had type 2 diabetes (84.1%). The average self-care agency score was 153.6 ± 22.5 points. Based on the results of the single regression analysis, age, sex, HbA1c, and BMI were selected as adjustment factors. Multiple regression analyses showed that the “ability to cope with stress” was related to the role/social component summary of health-related quality of life (β = 0.40, p < 0.01). The association between self-care agency and the mental component summary differed by age and sex, while “ability to cope with stress” was commonly related to this component across all groups (β = 0.39–0.70, p < 0.05). The “ability to make the most of the support available” (β = 0.37–0.52, p < 0.05) and the “ability to self-manage” (β = 0.51–0.56, p < 0.01) were also related to this component in the 65-and-over group. No factors of self-care agency were related to the physical component summary of health-related quality of life. The results suggest that nurses can clarify the type of support that will lead to improved quality of life by evaluating patients’ self-care agency.
出版者	Public Library of Science
収録物名	PLOS ONE
巻(号)	20(7)
ページ	e0326783
刊行年月	2025-07-01
言語	英語
ハンドルURL	https://hdl.handle.net/11094/102929
eISSN	19326203
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1371/journal.pone.0326783
アクセス権	open access
権利情報	This article is licensed under a Creative Commons Attribution 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	PLOS ONE. 2025, 20(7), p. e0326783
DC.title	Exploring the relationship between self-care agency and quality of life in adults with diabetes: A cross-sectional study
DC.creator	Takahashi, Kei
	Takeishi, Chizuko
	Tsutsumi, Chiyo
	Nakao, Tomomi
	Sato, Yuichi
	Uchizono, Yuji
	Nunoi, Kiyohide
	Tabira, Yasunori
	Shimizu, Yasuko
DC.publisher	Public Library of Science
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2025-07-01
DC.identifier	https://doi.org/10.1371/journal.pone.0326783
DC.description	Takahashi K., Takeishi C., Tsutsumi C., et al. Exploring the relationship between self-care agency and quality of life in adults with diabetes: A cross-sectional study. PLOS ONE 20(7), e0326783 (2025); https://doi.org/10.1371/journal.pone.0326783.
DCTERMS.abstract	Self-care agency is the ability to perform self-care. Clarifying the factors of self-care agency that are related to quality of life can help determine the most effective nursing support. This cross-sectional study of patients with type 1 or type 2 diabetes aimed to explore the relationship between self-care agency and quality of life in adults with diabetes. Using a selective sampling method, we conducted a questionnaire survey using the Instrument of Diabetes Self-Care Agency and the SF-12 Health Survey. After identifying items related to quality of life from single regression and correlation analyses, multiple regression analyses were performed. There were 139 respondents, with an average age of 62.8 ± 11.7 years, of whom 71 were men (51.0%) and 117 had type 2 diabetes (84.1%). The average self-care agency score was 153.6 ± 22.5 points. Based on the results of the single regression analysis, age, sex, HbA1c, and BMI were selected as adjustment factors. Multiple regression analyses showed that the “ability to cope with stress” was related to the role/social component summary of health-related quality of life (β = 0.40, p < 0.01). The association between self-care agency and the mental component summary differed by age and sex, while “ability to cope with stress” was commonly related to this component across all groups (β = 0.39–0.70, p < 0.05). The “ability to make the most of the support available” (β = 0.37–0.52, p < 0.05) and the “ability to self-manage” (β = 0.51–0.56, p < 0.01) were also related to this component in the 65-and-over group. No factors of self-care agency were related to the physical component summary of health-related quality of life. The results suggest that nurses can clarify the type of support that will lead to improved quality of life by evaluating patients’ self-care agency.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	102929
citation_title	Exploring the relationship between self-care agency and quality of life in adults with diabetes: A cross-sectional study
citation_author	Takahashi, Kei
	Takeishi, Chizuko
	Tsutsumi, Chiyo
	Nakao, Tomomi
	Sato, Yuichi
	Uchizono, Yuji
	Nunoi, Kiyohide
	Tabira, Yasunori
	Shimizu, Yasuko
citation_publisher	Public Library of Science
citation_language	英語
citation_date	2025-07-01
citation_journal_title	PLOS ONE
citation_volume	20
citation_issue	7
citation_firstpage	e0326783
citation_doi	https://doi.org/10.1371/journal.pone.0326783
citation_public_url	https://hdl.handle.net/11094/102929

Exploring the relationship between self-care agency and quality of life in adults with diabetes: A cross-sectional study

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