PURPOSE
The purposes of this study were to examine the relationships between resilience, depression, and self-care competence and identify factors associated with self-care competence in patients with type 1 and type 2 diabetes mellitus.
METHODS
This study was a descriptive research. Structured questionnaire on patients' sociodemographic and clinical characteristics, resilience, depression, and self-care competence was used for survey with a convenience sample of 152 patients with diabetes mellitus. Data were collected from July to December 2016. Data were analyzed using descriptive statistics, independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression with SPSS/WIN 21.0 program.
RESULTS
The mean scores on resilience, depression, and self-care competence were 2.86±0.42, 18.11±10.05, and 4.27±0.78, respectively. Self-care competence showed a statistically significant positive correlation with resilience (r=.47, p < .001), and negative correlation with depression (r=−.29, p < .001). Resilience showed a negative correlation with depression (r=−.53, p < .001). Resilience (β=.38, p < .001) was significantly associated with factors of self-care competence in patients with diabetes mellitus.
CONCLUSION
The results of the study indicate that factor influencing self-care competence was resilience in patients with diabetes mellitus. Therefore, nursing intervention programs for increasing the self-care competence should include regular assessments and strategies for improving resilience in patients with diabetes mellitus. It is recommended that the studies should be performed to confirm the relationship between resilience and self-care competence by using resilience instrument developed for adults.

Citations

• Cardiovascular Health Behavior Prediction Model in Patients With Type 2 Diabetes
  Sun Kyung Lee, Seon Young Hwang
  Journal of Cardiovascular Nursing.2025; 40(2): E72.     CrossRef
• The Effect of Mindfulness and Emotional Regulation on Self-care Competence Among Cancer Patients Undergoing Chemotherapy
  Seri Son, Sunhee Lee
  Cancer Nursing.2025; 48(3): e203.     CrossRef
• Factors Influencing the Dietary Behavior of Patients with Type 2 Diabetes Mellitus: A Cross-sectional Study
  Sohyun Jin, Youngshin Song
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 80.     CrossRef
• The Effect of Self-Esteem, Stress, Family Support, and Resilience on Interpersonal Relationship Competence in Depressive Disorder Patients
  Hee Jin Moon, Kuem Sun Han
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(4): 438.     CrossRef
• Perceptions of resilience in patients undergoing peritoneal dialysis: A Q‐methodology study
  Mi Young Chon, Eun Ja Yeun, Kyoung Hee Jung, Young‐il Jo, Kyeong Ryong Lee
  Nursing & Health Sciences.2020; 22(1): 108.     CrossRef
• Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
  Yoonjung Kim, Sanggeon Park
  STRESS.2019; 27(4): 320.     CrossRef

PURPOSE
The purpose of the study was to describe psychosocial difficulties experienced by cancer patients.
METHODS
Three focus group interviews were conducted to collect the data from 19 outpatients with cancer undergoing treatments during 2009. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using constant comparative analysis of grounded theory.
RESULTS
As a result of constant comparative analysis, 'psychosocial distress' was identified as a core category, and seven subcategories were identified. 'Plunged into negative emotions' and 'damaged self-identity' were identified as major categories in the individual dimension. 'Difficulty in dealing with diagnosis' and 'hasty expectations and concerns' were identified in the dimension of family. 'Inefficient communication' and 'lack of necessary information' were identified in the dimension of health care setting. 'Lonely journey into a strange territory' was identified in the dimension of society.
CONCLUSION
The results of the study indicate that cancer patients experience a wide range of psychosocial problems. Thus, in assessing and relieving psychosocial distress of cancer patients, it is necessary to focus not only on the level of the individual but also on the levels of family, health care setting, and society in general is necessary.