PURPOSE
The purpose of this study was to investigate the health literacy and self-care activities of elderly diabetes patients and identify the effects of mediation of resilience in the relationship between them.
METHODS
A structured self-report questionnaire measuring health literacy, resilience and self-care activities was completed by 145 elderly people aged 65 years or older, who were diagnosed with type 2 diabetes mellitus at the Pusan National University hospital in Busan city, and who visited the outpatient clinic for endocrinology. Data collection was conducted from February 10, 2017 to March 31, 2017, and the collected data were analyzed using SPSS/WIN 23.0 program.
RESULTS
The subjects' health literacy and resilience (r=.19, p=.023), health literacy and self-care activities (r=.26, p=.001), resilience and self-care activities (r=.39, p < .001) were significantly correlated. Resilience completely mediated in the relationship between health literacy and self-care activities (z=2.37, p=.017).
CONCLUSION
Resilience plays a mediating role in the association among health literacy and self-care activities. It is necessary to develop a variety of intervention programs that can improve resilience in increasing self-care activities.

Citations

• Factors influencing self-management and health-related quality of life in low-income patients with diabetes: a predictive model
  Jihyon Pahn, Youngran Yang, Sun Hee Kim
  International Journal of Nursing Studies Advances.2025; 8: 100349.     CrossRef
• The Effect of Digital Health Literacy, Self-Efficacy on Self-Care Behaviors among Community-Dwelling Elderly: Focusing on Gyeongsangbuk-do
  Hyojin Son, Youngran Han
  Research in Community and Public Health Nursing.2025; 36: 59.     CrossRef
• Relationships Among Health Literacy, Self-Efficacy, Self-Management, and HbA1c Levels in Older Adults with Diabetes in South Korea: A Cross-Sectional Study
  Geun Young Jang, Soo Jung Chang, Jun Hee Noh
  Journal of Multidisciplinary Healthcare.2024; Volume 17: 409.     CrossRef
• Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
  Young-Eun Yi, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179.     CrossRef
• Effects of health perception, health literacy, and resilience on health behaviors among elderly women
  Yong Mi Kim, Min Sun Song
  Korean Journal of Health Education and Promotion.2024; 41(2): 79.     CrossRef
• Impact of Type D Personality and Health Literacy on Resilience of Inpatients with Cardiovascular Diseases: A Cross-Sectional Study
  Da Eun Kim, Seon Young Hwang
  Korean Journal of Adult Nursing.2023; 35(1): 23.     CrossRef
• Mediation role of patient engagement on the association between health literacy and self‐care behaviours in individuals with type 2 diabetes
  Dilara Cengiz, Hatice Agrali, Fatos Korkmaz, Imatullah Akyar
  International Journal of Nursing Practice.2022;[Epub]     CrossRef
• The Associated Factors of Medical Treatment in Diabetic Patients
  Sun Ju Choi, So Yeon Ryu, Jong Park, Seong Woo Choi
  Journal of Health Informatics and Statistics.2021; 46(3): 302.     CrossRef
• Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community
  Jeongju Hong
  Journal of Korean Academy of Community Health Nursing.2021; 32(3): 303.     CrossRef
• Effect of Role Conflict on Job Satisfaction by Comprehensive Nursing Care Service Ward Nurse: Moderating and Mediating Effect of Resilience
  So Hee Lee, Roma Seol, Min Hye Kim
  Journal of Korean Critical Care Nursing.2021; 14(3): 50.     CrossRef
• The Effects of the Level of Health Literacy and Self-care Activities on Quality of Life of Patients with Diabetes in Korea
  Soo Jin Kang, Chanho Park
  Journal of Korean Academy of Community Health Nursing.2020; 31(2): 189.     CrossRef
• Associations among Health Literacy, Psychosocial Factors, and Cancer-related Health Actions: A Systematic Literature Review
  Eun Jin Kim, Su Hyun Kim
  Korean Journal of Adult Nursing.2018; 30(6): 565.     CrossRef
• Association of Resilience and Depression with Self-care Competence in Adult Patients with Diabetes Mellitus
  Youngrye Park, Eun Hee Jang, Ji Ok Kim
  Korean Journal of Adult Nursing.2018; 30(5): 555.     CrossRef