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

Number of Access:22（2025-12-08 13:48 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/102929

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Title
Exploring the relationship between self-care agency and quality of life in adults with diabetes: A cross-sectional study
Creator
NRID
1000010894941 1000010894941
researchmap permalink
kei-t kei-t
CreatorName
Takahashi, Kei
CreatorName
Takeishi, Chizuko
NRID
1000020369846 1000020369846
CreatorName
Tsutsumi, Chiyo
NRID
1000090609661 1000090609661
CreatorName
Nakao, Tomomi
CreatorName
Sato, Yuichi
CreatorName
Uchizono, Yuji
CreatorName
Nunoi, Kiyohide
CreatorName
Tabira, Yasunori
NRID
1000050252705 1000050252705
ORCID
0000-0002-7398-4587 0000-0002-7398-4587
researchmap permalink
read0055555 read0055555
Scopus Author ID
36097126100 36097126100
CreatorName
Shimizu, Yasuko
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.
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.
Publisher
Public Library of Science
Source Title
PLOS ONE
Volume (Issue)
20(7)
Page
e0326783
Date of Issued
2025-07-01
Language
English
Handle URL
https://hdl.handle.net/11094/102929
eISSN
19326203
Relation.isIdenticalTo
DOI (Publisher Version)
https://doi.org/10.1371/journal.pone.0326783
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open access
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This article is licensed under a Creative Commons Attribution 4.0 International License.
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Category
学術雑誌論文 Journal Article