Scholarlink

Background <p>Older adults with type 2 diabetes encounter numerous challenges and stressors, with diabetes-related distress significantly linked to complications and diminished quality of life. Effective management of negative emotions and the adoption of adaptive coping strategies are crucial for improving well-being. Coping strategies consist of three main types: 1)Problem-focused: Direct actions to resolve or alter the stress source. 2)Emotion-focused: Managing emotional responses to stress. 3)Avoidance Strategy: Evading or disengaging from stressful situations. This study aimed to investigate the relationship between coping strategies and quality of life among older adults with type 2 diabetes using logistic regression analysis.</p> Methods <p>A cross-sectional study was conducted in Bushehr in 2023. Using multistage sampling-including both cluster and systematic random sampling-, 384 participants aged 60 years and older with type 2 diabetes were recruited. Data were collected through demographic questionnaires, clinical information, the coping with Stressful Situations Inventory (CISS-21) of Endler and Parker, and The 12-item Short Form Health Survey (SF-12). Analyses were performed using SPSS version 22, with binary logistic regression applied at a significance level of <i>p</i> &lt; 0.05.</p> Results <p>The mean age of participants was 66.76 ± 6.5 years, with near-equal sex distribution (50.5% female), 76% married, and 51.8% having a normal body mass index. The results showed that the dominant coping strategy in 43% of the participants was problem-focused, in 40.9%, it was emotion-focused, and in 16.1%, it was avoidance. Based on the Binary logistic regression analysis, the problem-focused strategy (OR = 0.671, 95% CI [0.610–0.739]) as a predictor of the desired quality of life and emotion-focused strategies (OR = 1.254, 95% CI [1.153–1.364) and avoidance (OR = 1.145, 95% CI [1.046–1.253]) were recognized as predictors of unfavorable quality of life.</p> Conclusion <p>Quality of life in older adults with type 2 diabetes is significantly affected by their coping strategies with progressive stresses. Promoting problem-focused coping may enhance quality of life, and this aspect should be emphasized in educational and supportive interventions.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Coping strategies and their relationship with quality of life in older adults with type 2 diabetes: a binary logistic regression analysis

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月3日

查看全文
  • Sorour Sarvari,
  • Parisa Taheri Tanjani,
  • Ali Ramezankhani,
  • Mojtaba Azadbakht,
  • Nastaran Talavari

摘要

Background

Older adults with type 2 diabetes encounter numerous challenges and stressors, with diabetes-related distress significantly linked to complications and diminished quality of life. Effective management of negative emotions and the adoption of adaptive coping strategies are crucial for improving well-being. Coping strategies consist of three main types: 1)Problem-focused: Direct actions to resolve or alter the stress source. 2)Emotion-focused: Managing emotional responses to stress. 3)Avoidance Strategy: Evading or disengaging from stressful situations. This study aimed to investigate the relationship between coping strategies and quality of life among older adults with type 2 diabetes using logistic regression analysis.

Methods

A cross-sectional study was conducted in Bushehr in 2023. Using multistage sampling-including both cluster and systematic random sampling-, 384 participants aged 60 years and older with type 2 diabetes were recruited. Data were collected through demographic questionnaires, clinical information, the coping with Stressful Situations Inventory (CISS-21) of Endler and Parker, and The 12-item Short Form Health Survey (SF-12). Analyses were performed using SPSS version 22, with binary logistic regression applied at a significance level of p < 0.05.

Results

The mean age of participants was 66.76 ± 6.5 years, with near-equal sex distribution (50.5% female), 76% married, and 51.8% having a normal body mass index. The results showed that the dominant coping strategy in 43% of the participants was problem-focused, in 40.9%, it was emotion-focused, and in 16.1%, it was avoidance. Based on the Binary logistic regression analysis, the problem-focused strategy (OR = 0.671, 95% CI [0.610–0.739]) as a predictor of the desired quality of life and emotion-focused strategies (OR = 1.254, 95% CI [1.153–1.364) and avoidance (OR = 1.145, 95% CI [1.046–1.253]) were recognized as predictors of unfavorable quality of life.

Conclusion

Quality of life in older adults with type 2 diabetes is significantly affected by their coping strategies with progressive stresses. Promoting problem-focused coping may enhance quality of life, and this aspect should be emphasized in educational and supportive interventions.