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Journals / CURARE Journal of Nursing / 2026 / Sayı: 10

The Effect of Older Adults' Hopelessness Levels on Chronic Disease Self-Management

Aykut Ulaş(Ankara Bilkent City Hospital)0009-0007-8652-0208
Esra Türker(LOKMAN HEKIM UNIVERSITY, FACULTY OF HEALTH SCIENCES, DEPARTMENT OF NURSING AND HEALTH CARE SERVICES)0000-0003-3323-6880
Pages
1–7
Publication Date
2026-04-24
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Reducing hopelessness may improve clinical management and coping with stigma, treatment compliance, and health perceptions, thereby strengthening overall self-management capacities.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study is to determine the relationship between levels of hopelessness and self-management of chronic diseases in older adults with chronic diseases who apply to a university hospital.
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Key Findings & Data:Materials and Methods: This descriptive study included 150 older adults who visited the outpatient clinic between December 2024 and May 2025 for chronic disease follow-up.
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Conclusion & Impact:Reducing hopelessness may improve clinical management and coping with stigma, treatment compliance, and health perceptions, thereby strengthening overall self-management capacities.
🔬Design:Araştırma Makalesi
📍Scope:2024 Verileri
⚙️Variables:: Chronic diseases · hopelessness · older adult

Abstract

Objective: The aim of this study is to determine the relationship between levels of hopelessness and self-management of chronic diseases in older adults with chronic diseases who apply to a university hospital. Materials and Methods: This descriptive study included 150 older adults who visited the outpatient clinic between December 2024 and May 2025 for chronic disease follow-up. Data were collected using the Patient Identification Form, Beck Hopelessness Scale, and Chronic Disease Self-Management Scale. Parametric tests, Pearson correlation, and linear regression analyses were performed. Results: The older adults participating in the study were 58.0% female, 72% married, with an average age of 70.03±3.94. 62.7% of the participants lived in the provincial center, and 39.3% had a primary school education. Participants' Beck Hopelessness Scale total hopelessness score was 10.69±5.58, Chronic Disease Self-Management Scale subscales; SelfStigmatization subscale 2.22±0.72, Treatment Adherence subscale 3.72±0.87; Coping with Stigma subscale 2.62±0.94, and the average score for the Effectiveness of Health Services subscale was 3.17±1.06. Hopelessness showed negative correlations with health care effectiveness, coping with stigma, and treatment compliance, and a positive correlation with self-stigma (p<0.01). Regression analysis indicated that higher hopelessness scores significantly predicted increased self-stigma (β=0.476, p<0.001), while negatively predicting coping (β=-0.592, p<0.001), health care effectiveness, (β=-0.650, p<0.001), and treatment compliance (β=-0.334, p<0.001). Conclusion: Findings demonstrate a significant association between hopelessness and self-management in older adults with chronic diseases. Reducing hopelessness may improve clinical management and coping with stigma, treatment compliance, and health perceptions, thereby strengthening overall self-management capacities.

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Cite This Article

Ulaş, A., Türker, E. (2026). The Effect of Older Adults' Hopelessness Levels on Chronic Disease Self-Management. CURARE Journal of Nursing, Sayı: 10, 1–7. https://doi.org/10.26650/CURARE.2026.1801801

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