• Title, Summary, Keyword: Diabetes

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Research into Clinical Nurses' Knowledge, Importance and Perception of Diabetes Mellitus (임상 간호사의 당뇨병에 대한 지식, 중요도 및 인지도 조사)

  • Shin, Jeong-Sup;Park, Choon-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.8 no.1
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    • pp.95-107
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    • 2002
  • The purpose of this study is to determine the clinical nurses' knowledge of DM and diabetes patient education aptitude so as to provide a basis for clinical nurse training with respect to diabetes patient education program. The data has been collected through the questionnaires of 42 items from the Knowledge on DM and each 16 item from the Importance on the elements of diabetes patient and the Recognition for clinical nurses, respectfully. 166 nurses from a general hospital who had participated in clinical nurse training in Sep. 28 and Oct. 4, 2001 were subject to respond the questionnaires. Analysis has been done by using statistical method such as percentage, average, standard deviation, t-test, ANOVA, Duncan test and Pearson correlation coefficients. The findings are as follows: 1. Clinical nurses' knowledge levels of diabetes 1) The average level of nurses' knowledge about diabetes is 29.37 (right answer- finding rate: 70%), which is intermediate. 2) Amongst the nurses classified by their knowledge levels about diabetes, the group with less than one year career and that with more than 5 year careers are found to have higher knowledge levels. The item with the highest right answer-finding rate was 'Please find the wrong out of the following examples about foot care'. Meanwhile, the item with highest incorrect answer-finding rate was 'what does blood sugar control aims for amongst gestational diabetes?'. 2. Clinical nurses' importance and perception levels of educational training about diabetes 1) There were no differences amongst nurses' importance level about diabetes. 2) Nurses usually had high scores(4.30) in terms of the items related to the importances about educational training. 3) There were quite high recognitions of general characteristics and symptoms about diabetes, amongst the nurse cohorts working more than one year and less than 5 years, and over 5 years, the group belonging to the internal department, that having the previous experiences of dealing with diabetes, and that having their diabetic relatives and other close people. Meanwhile, strangely, the group who identified themselves as 'not good at treating diabetes' had a high recognition level of educational training about diabetes. 3. Relationship between knowledge levels and importance & perception levels of diabetes 1) The higher knowledge about diabetes nurses had, the more importance they recognized. 2) It is found that there was no relationship between knowledge and perception of diabetes. 3) The more importance about diabetes nurses had, the higher perception they obtained. In conclusion, there is an urgent need for systematic educational programs about diabetes including technical aspects, in order to upgrade and improve nurses knowledge levels. In addition, re-educational training should be provided at regular intervals. Further, we believe the nurses with high knowledge about diabetes and interests in the provision of educations for patients can be far more confident, and in return, patients can have better self-management about diabetes obtained through educations. Based on the above-mentioned findings, we would like to make the suggestion: re-evaluation about nurses' knowledge and cognition levels should be carried out after job training programs about diabetes.

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System Thinking on Diabetes Prevention and Management (당뇨병 예방 및 관리의 시스템 사고)

  • Noh, Young-Min;Lee, Ji-Uhn;Park, Jun-Hee;Choi, Nam-Hee;Homer, Jack B.;Yun, Eun-Kyoung
    • Korean System Dynamics Review
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    • v.17 no.1
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    • pp.25-40
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    • 2016
  • This research aims to identify important variables and their effects on diabetes prevention or progression from prediabetes to diabetic complication using system thinking. Based on the existing studies, we have constructed a causal loop diagram explaining dynamics of diabetes and have found 7 important reinforcing loops and 3 balancing loops in the causal loop diagram. The CLD displays an effect of increasing prediabetes early detection and awareness on diabetes prevention. The findings indicate that the projects in Korea for reducing incidence of diabetes and potential risk of complication have focused on variables which are related only on diabetes even though prediabetes has been a critical point on diabetes prevention and management. Thus, it also concludes that the effect of projects focusing only on diabetes have faced limitation to manage diabetes accordingly.

Prevalence and Risk Factors for Diabetes Mellitus and Impaired Fasting Glucose of Adults (30-69세 성인의 공복혈당장애와 당뇨병의 유병률과 위험인자 분석)

  • 김희승;노유자;김남초;유양숙;용진선;오정아
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1479-1487
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    • 2000
  • This study was conducted to draw out prevalence and the risk factors of diabetes mellitus and impaired fasting glucose for adults,(age 30-69). The subjects were 2096 adults, who had regular health examinations between January and December of 1999 at K Hospital in Seoul. The data was analyzed using chi-square test, unpaired t-test and logistic regression. Diabetes Mellitus and impaired fasting glucose were diagnosed by ADA (American Diabetes Association, 1997) criteria. The results were as follows: 1. Mens' prevalence of Diabetes Mellitus was 7.9% and womens' prevalence of Diabetes Mellitus was 3.8%. Mens' prevalence of impaired fasting glucose was 10.4% and womens' prevalence of impaired fasting glucose was 6.5%. Prevalences of Diabetes Mellitus and impaired fasting glucose increased with age. 2. Prevalence of Diabetes Mellitus and impaired fasting glucose of obese subjects (relative body weight>=162) was higher than that of overweight subjects (110<=relative body weight<=119) in men and women. 3. The diagnoses of Diabetes Mellitus and impaired fasting glucose increased with systolic blood pressure and triglyceride. 4. Significant factors associated with diabetes in the logistic regression best gut model were age, relative body weight, systolic blood pressure, triglyceride in men, and systolic blood pressure in women. In conclusion, as age, weight, systolic blood pressure and triglyceride get higher, Diabetes Mellitus and impaired fasting glucose prevalence also increases, porportionally.

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Rearranging Everyday Lives among People with Type 2 Diabetes in Korea

  • Yi, Myungsun;Koh, Moonhee;Son, Haeng-Mi
    • Korean Journal of Adult Nursing
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    • v.26 no.6
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    • pp.703-711
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    • 2014
  • Purpose: The purpose of the study was to understand what are the experiences and management of type 2 diabetes in everyday lives among Korean people. Methods: A grounded theory method was utilized to explore how people with type 2 diabetes to experience and manage their disease under the Korean socio-cultural context. The data were collected via narrative in-depth interviews with 21 people with type 2 diabetes during 2010-2011 and all interviews were transcribed for verbatim analysis. Results: The core category was 'Rearranging everyday lives by accepting diabetes as lifelong annoying companion.' Four stages were identified: ignoring; struggling compromising and conciliating. Each stage illustrates major problems and/or strategies that the participants face in dealing with diabetes. The process illustrates the transference from their ordinary life, in which diabetes or health was ignored, to the health-oriented life, within which diabetes is integrated into their lives. The most difficult barriers they faced in everyday lives include social stigma of diabetes and collectivistic culture in Korea. Within the culture, the group goals are concerned over individual ones, making it harder for the participants to take care of their own health. Conclusion: The findings of the study imply that health care professionals may consider the influence of social stigma in caring diabetic patients. Also, the intervention study is warranted to educate Korean people with diabetes to get aware of the sociocultural context and stigma as well as personal difficulties in self-caring diabetes.

Determination of the type-2 diabetes risk status of the individuals who applied to the internal diseases outpatient clinic

  • Emine, Kiyak;Nermin, Olgun;Cigdem, Inan
    • CELLMED
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    • v.4 no.3
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    • pp.21.1-21.5
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    • 2014
  • The purpose of this study is to determine the type-2 diabetes risk status of the individuals applying to the internal diseases outpatient clinic and the affecting factors. This descriptive study was conducted on 500 individuals who applied to the internal diseases department of a hospital in Ordu Turkey, between May and June 2010 without diabetes diagnosis. The questionnaire form and Type 2 Diabetes Risk Assessment Form are used to collect the data. For the evaluation of data; independent samples t-test and One-Way Anova are used to evaluate the data. It is determined that the type-2 diabetes risk an score of the individuals participating in the study is $10.4{\pm}5.5$ and 32.4% of them have low type-2 diabetes risk score, 26.6% have slightly elevated score, 18% have moderate score, 16.6% have high and 6.4% have very high type-2 diabetes risk score. It is found that the type-2 diabetes risk mean score of the women participating in the study who are adults, are married, have low education level, are unemployed, are non-smoker, do not drink alcohol and do not have any information about type-2 diabetes is statistically significantly high (p < 0.05). It is determined that 16.6% of the individuals participating in the study have high type-2 diabetes risk and 6.4% have very high type-2 diabetes risk.

Experiences of Diabetes Education among Educators of Diabetes : a content analysis approach (당뇨병 교육자의 당뇨교육 경험: 내용분석적 접근)

  • Kang, Soo Jin;Chang, Soo Jung
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.221-235
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    • 2016
  • Purpose: This study explored experiences of diabetes education among educators of diabetes. Methods: Data were collected from individual in-depth interviews with 10 nurses and 2 dieticians with had at least 3 years of experience in diabetes education. Data collection was conducted between May 2014 and February 2015. All interviews were recorded and stored as digital audio files, which were then transcribed verbatim. Data were analyzed through qualitative content analysis. Results: Analysis showed that four categories could be derived from the data: 1) barriers of diabetes education from an educator's perspective, 2) barriers of diabetes education form a patient's perspective, 3) facilitating factors of diabetes education from an educator's perspective, and 4) facilitating factors of diabetes education from a patient's perspective. Conclusion: This study suggests the necessity to strengthen the policy systems and financial support at a national level to provide diabetes education with higher quality to patients. In addition, it is required to develop various diabetes education programs with consideration to patient characteristics.

Diabetes Mellitus and Cause-Specific Mortality: A Population-Based Study

  • Li, Sen;Wang, Jiaxin;Zhang, Biao;Li, Xinyi;Liu, Yuan
    • Diabetes and Metabolism Journal
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    • v.43 no.3
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    • pp.319-341
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    • 2019
  • Background: To investigate whether diabetes contributes to mortality for major types of diseases. Methods: Six National Health and Nutrition Examination Survey data cycles (1999 to 2000, 2001 to 2002, 2003 to 2004, 2005 to 2006, 2007 to 2008, and 2009 to 2010) and their linked mortality files were used. A population of 15,513 participants was included according to the availability of diabetes and mortality status. Results: Participants with diabetes tended to have higher all-cause mortality and mortality due to cardiovascular disease, cancer, chronic lower respiratory diseases, cerebrovascular disease, influenza and pneumonia, and kidney disease. Confounder-adjusted Cox proportional hazard models showed that both diagnosed diabetes category (yes or no) and diabetes status (diabetes, prediabetes, or no diabetes) were associated with all-cause mortality and with mortality due to cardiovascular disease, chronic lower respiratory diseases, influenza and pneumonia, and kidney disease. No associations were found for cancer-, accidents-, or Alzheimer's disease-related mortality. Conclusion: The current study's findings provide epidemiological evidence that diagnosed diabetes at the baseline is associated with increased mortality risk due to cardiovascular disease, chronic lower respiratory diseases, influenza and pneumonia, and kidney disease, but not with cancer or Alzheimer's disease.

Diabetes Fact Sheet in Korea, 2016: An Appraisal of Current Status

  • Won, Jong Chul;Lee, Jae Hyuk;Kim, Jae Hyeon;Kang, Eun Seok;Won, Kyu Chang;Kim, Dae Jung;Lee, Moon-Kyu
    • Diabetes and Metabolism Journal
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    • v.42 no.5
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    • pp.415-424
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    • 2018
  • Background: This report presents the recent prevalence and comorbidities related to diabetes in Korea by analyzing the nationally representative data. Methods: Using data from the Korea National Health and Nutrition Examination Survey for 2013 to 2014, the percentages and the total number of subjects over the age of 30 years with diabetes and prediabetes were estimated and applied to the National Population Census in 2014. Diagnosis of diabetes was based on fasting plasma glucose (${\geq}126mg/dL$), current taking of antidiabetic medication, history of previous diabetes, or glycosylated hemoglobin (HbA1c) ${\geq}6.5%$. Impaired fasting glucose (IFG) was defined by fasting plasma glucose in the range of 100 to 125 mg/dL among those without diabetes. Results: About 4.8 million (13.7%) Korean adults (${\geq}30years$ old) had diabetes, and about 8.3 million (24.8%) Korean adults had IFG. However, 29.3% of the subjects with diabetes are not aware of their condition. Of the subjects with diabetes, 48.6% and 54.7% were obese and hypertensive, respectively, and 31.6% had hypercholesterolemia. Although most subjects with diabetes (89.1%) were under medical treatment, and mostly being treated with oral hypoglycemic agents (80.2%), 10.8% have remained untreated. With respect to overall glycemic control, 43.5% reached the target of HbA1c <7%, whereas 23.3% reached the target when the standard was set to HbA1c <6.5%, according to the Korean Diabetes Association guideline. Conclusion: Diabetes is a major public health threat in Korea, but a significant proportion of adults were not controlling their illness. We need comprehensive approaches to overcome the upcoming diabetes-related disease burden in Korea.

Diabetes Fact Sheets in Korea, 2018: An Appraisal of Current Status

  • Kim, Bo-Yeon;Won, Jong Chul;Lee, Jae Hyuk;Kim, Hun-Sung;Park, Jung Hwan;Ha, Kyoung Hwa;Won, Kyu Chang;Kim, Dae Jung;Park, Kyong Soo
    • Diabetes and Metabolism Journal
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    • v.43 no.4
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    • pp.487-494
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    • 2019
  • Background: The objective of this study was to investigate the prevalence, management, and comorbidities of diabetes among Korean adults aged 30 years and older. Methods: This study used 2013 to 2016 data from the Korea National Health and Nutrition Examination Survey, a nationally-representative survey of the Korean population. Diabetes was defined as fasting glucose ≥126 mg/dL, current use of antidiabetic medication, a previous history of diabetes, or glycosylated hemoglobin (HbA1c) ≥6.5%. Results: In 2016, 14.4% (approximately 5.02 million) of Korean adults had diabetes. The prevalence of impaired fasting glucose was 25.3% (8.71 million). From 2013 to 2016, the awareness, control, and treatment rates for diabetes were 62.6%, 56.7%, and 25.1%, respectively. People with diabetes had the following comorbidities: obesity (50.4%), abdominal obesity (47.8%), hypertension (55.3%), and hypercholesterolemia (34.9%). The 25.1%, 68.4%, and 44.2% of people with diabetes achieved HbA1c <6.5%, blood pressure <140/85 mm Hg, and low density lipoprotein cholesterol <100 mg/dL. Only 8.4% of people with diabetes had good control of all three targets. Conclusion: This study confirms that diabetes is as an important public health problem. Efforts should be made to increase awareness, detection, and comprehensive management of diabetes to reduce diabetes-related morbidity and mortality.

The Effect of a Community-Based Selp-Help Management Program for Patients with Diabetes Mellitus (당뇨병 환자를 위한 지역사회 중심 자조관리 프로그램의 효과)

  • Kim, Eun-Young;So, Ae-Young
    • Journal of Korean Academy of Community Health Nursing
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    • v.20 no.3
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    • pp.307-315
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    • 2009
  • Purpose: This study was done to assess the effects of a self-help intervention on clinical, lifestyle and psycho-social outcomes in patients with Type II diabetes. Methods: Eligible adults with Type II diabetes were randomly assigned to either the intervention group receiving the diabetes self-help or the control group receiving usual care. Of the 36 patients who completed the study, 15 were in the intervention group and 21 were in the control group. The self-help group consisted of six weekly sessions covering aspects of diabetes self-care and using continuing education, discussion, and structured social activities. Outcomes included changes in glycemic control, knowledge, self-management behaviors, diabetes-related self-efficacy, and health-related quality of life. Analysis of covariance was used to compare outcomes between the groups, adjusting for baseline measures. Results: After the six week intervention, significant improvements from the baseline were observed in the measurements of self-management behaviors, diabetes-related self-efficacy, and health-related quality of life for the intervention group. Conclusion: The findings provide preliminary evidence that a diabetes self-help group intervention can benefit diabetes patients in self-management behaviors, diabetes-related self-efficacy, and health-related quality of life. However, larger longitudinal studies are needed to determine the most efficacious self-management methods to sustain long-term glycemic control and psychological well-being.

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