대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

제2형 당뇨병 환자의 우울에 따른 자가간호 이행, 대사조절 및 심혈관계 위험지표

Self Care Activity, Metabolic Control, and Cardiovascular Risk Factors in accordance with the Levels of Depression of Clients with Type 2 Diabetes Mellitus

  • 이해정 (부산대학교 의과대학 간호학과) ;
  • 박경연 (부산대학교 의과대학 간호학과) ;
  • 박형숙 (부산대학교 의과대학 간호학과)
  • Lee Hae-Jung (Department of Nursing, College of Medicine, Pusan National University) ;
  • Park Kyung-Yeon (Department of Nursing, College of Medicine, Pusan National University) ;
  • Park Hyeong-Sook (Department of Nursing, College of Medicine, Pusan National University)
  • 발행 : 2005.04.01
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초록

Purpose: The purpose of this study was to explore the levels of depression experienced by clients (N=152) with Type 2 Diabetes Mellitus(DM), and to compare the levels of self care activity, metabolic control and cardiovascular risk factors between depressed and non-depressed clients. Method: Participants aged 50 and above were conveniently recruited in B city. The levels of depression, self-care activity, metabolic control of glucose and lipids, and cardiovascular risk factors of the participants were measured by using questionnaires and blood tests from November, 2003 to June, 2004. Data was analyzed with descriptive statistics, Pearson correlation, Spearman rho and t-test using the SPSS WIN 10.0 program. Result: The prevalence of depression(CES-D=16) among the participants was $44.1\%$. The levels of self-care activities(p=.012), glucose(p=.019), total cholesterol(p=.022), LDL(.007) and cardiovascular risk factors(p=.012) were significantly higher in the depressed group than those in the non-depressed group. Conclusion: Based on the findings, we concluded that many DM patients experience depression and the depression of type 2 DM clients is significantly related with self care activities, diabetic control, and cardiovascular complications. However, this study did not address causality among these variables. Therefore, further research, such as a longitudinal cohort study, is needed to identify causality among these variables.

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