Doctoral Dissertations

Date of Award

5-2002

Degree Type

Dissertation

Degree Name

Doctor of Philosophy

Major

Nursing

Major Professor

Martha R. Alligood

Committee Members

Debra C. Wallace, Kathy J. Ekkison, Robert H. Kirk

Abstract

The purpose of this study was to test a middle range theory of well-being in adults with diabetes mellitus derived from Neuman’s Theory of Optimal Client System Stability and the Neuman Systems Model. The relationships among stress, well-being, and fatigue in adults living with diabetes mellitus were examined to test the theory that disruption in well-being in adults living with the stress of diabetes mellitus leads to greater fatigue. Data were collected from a convenience sample of 87 adults with Type 1 and Type 2 diabetes mellitus. Subjects completed a questionnaire packet that was designed to elicit demographic information, a measure of their stress related to living with diabetes mellitus, a measure of the physiological, psychological, sociocultural, developmental, and spiritual well-being, and a measure of their level of fatigue. Data were analyzed using bivariate correlation and hierarchical multiple regression.

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