대한지역사회영양학회지 (Korean Journal of Community Nutrition)

대한지역사회영양학회 (The Korean Society of Community Nutrition)
권호 표지

당뇨환자의 혈당관리 태도에 대한 요인분석(I) - 혈당관리 요소와 식생활 태도를 중심으로 -

A Factor Analysis Study on Blood Glucose Control in Diabetics Mellitus Patients(1) -Focus on Blood Glucose Control and Lifestyle Factors-

  • 전정은 (경원대학교 생활과학대학 식품영양학과) ;
  • 이영미 (경원대학교 생활과학대학 식품영양학과) ;
  • 오유진 (경원대학교 생활과학대학 식품영양학과)
  • Jun, Jung-Eun (Department of Food and Nutrition, Kyungwon University) ;
  • Lee, Young-Mee (Department of Food and Nutrition, Kyungwon University) ;
  • Oh, Yu-Jin (Department of Food and Nutrition, Kyungwon University)
  • 발행 : 2009.04.30
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초록

Dietary therapy is a basic and emphasized treatment for diabetes. Several clinical studies have shown that diet can play a major role in preventing and managing diabetes. The purposes of this study were to evaluate the dietary behavior and to find solutions to barriers of diabetes mellitus patients. From February to July in 2007, questionnaires were distributed to one hundred and ten patients who were diagnosed DM by physicians and excluded first coming out-patients. One hundred and three data were used for statistical analysis using SPSS/Win 12.0. The main results of this study included the following: To measure dietary behaviors and barriers, a five point scale was used with the following labels: 'strongly yes', 'yes', 'fair', 'no', 'strongly no'. Thirteen dietary behaviors related to diabetes were grouped into the following 4 factors using factor analysis; 'taste control factor', 'blood glucose influence factor', 'practice volition factor', and 'exercise factor'. The mean scores of 4 factors were 3.88, 3.48, 3.55, 3.21, respectively. The 'taste control behaviors' score of subjects who had practiced diet therapy(4.00) was higher than those who had not practiced diet therapy(P<0.05). The 'blood glucose influence behaviors' score of subjects who had nutrition education(3.59) was higher than those who had no nutrition education(P<0.05) and subjects who had practiced diet therapy showed higher score(3.59) than those who had not practiced diet therapy(P<0.05). 'Exercise behaviors score' of subjects who were over 60(3.59) was the lowest(P<0.05). Subjects who had nutrition education showed higher 'exercise behaviors' scores(3.38) than those who had no nutrition education(P<0.05). Subjects who had practiced diet therapy showed higher 'practice volition behaviors' scores(3.72) than those who had not practiced diet therapy(P<0.001). Subjects who were over weight showed the highest 'practice volition behaviors' scores(3.78) concerning BMI(P<0.05). In conclusion, this study expected that Nutrition educators(Dietitian) applied to patient effective nutrition education and counseling through evaluation of Dietary behaviors and barriers considered management types and ecological factors of diabetes patients. Also diabetic patients were easy to change dietary habits because they formed behaviors through education and counsel and there were positive effects in their blood glucose control through removing barriers related to dietary therapy.

키워드

참고문헌

  1. Ahn SH, Kim JS (2000): The analysis of the correlation of diabetes mellitus incidence and prevalence with body mass index among adults registered in a health promotion center of a university hospital, Korean J Epidemiol 22(2): 159-170
  2. Choe SJ, Park HR, Park DY, Ahn HS (2000): A study on the sociopsychological factors influencing the dietary compliance of diabetics by using focus group interview. Korean J Community Nutr 5(1):23-35
  3. Hong HS, Park JS, Yu HK, Kim WY (2008): The association of plasma HDL-cholesterol level with cardiovascular disease related factors in korean type 2 diabetic patients. Korean Diabetes J32(3):215-223 https://doi.org/10.4093/kdj.2008.32.3.215
  4. Jun JE (2007): A Study on Barriers and Problem Solving Related to Dietary Therapy in Diabetics Mellitus Patients, MS thesis, Kyungwon University
  5. Kim CS, Jeong EK, Park JN, Cho MH, Nam JS, Kim HJ, Kong JH,Park JS, Nam JY, Kim DM, Ahn CW, Cha BS (2005):Prevalence of diabetes mellitus (fasting plasma glucose by the ada criteria) and impaired fasting glucose according to anthropometric characteristics and dietary habits-1998 National Health and Nutrition Survey. J Korean Diabetes Assoc 29(2):1-16
  6. Kim HA (2003): Effectiveness and cost-effectiveness of dietary diagnosis and therapy by clinical dietitian : A systematic review and meta-analysis, Ph.Dissertation, Yonsei University
  7. Kim SW, Moon SJ, Popkin BM (2000): The nutrition transition in south korea. Am J Clinic Nutr 71(1): 44-53
  8. Lee HJ, Han KA, Min KW, Kim EJ (2005): Eighteen-year trends in korean diabetic patients (1981 through 1998). J Korean Diabetes Assoc 29(3): 239-246
  9. Lee HJ, Yoon JS (2005): Analysis of dietary behavior of type 2 diabetic patients visiting public health center. J Korean Diabetes Assoc 11(2):223-232
  10. Lee HJ, Yoon JS (2005): Analysis of dietary behavior of type 2 diabetic patients visiting public health center. J Korean Diabetes Assoc 11(2):223-232
  11. Lee NH, Park YM, Joung HS (2007): A study on diet education of participants in diabetic education at Public Health Center. J Korean Diabetes Assoc 13(1): 84-93
  12. Lee SL, Kim YL, Lee SJ, Cho YK, Choi YK, Chun CH, Chang YK(2004): Effects of diabetes education on diabetic management in non-insulin-dependent diabetics mellitus patients. J Korean Diabetes Assoc 10(3):300-308
  13. Lee YM, Jin KN, Lee DW, Lee HJ, Kim MK, Kim MJ, Chung CH (2002): Effectiveness of dietary education for the diabetes treatment, Korean Clinic Diabetes 3(1): 87-96
  14. Lee YW, Hwang WS, Choe SJ, Lee DH, Kim DH, Lee EH, Hong EG, Noh HL, Chung YS, Lee KW, Kim HM (2003): The effect of intensive education on glycemic control in type 2 diabetic patients, J Korean Soc Endocrinol 18(1): 63-72
  15. Ministry of Health & Welfare (2006): 2006 Health and Nutrition Survey-3rd
  16. National Statistical Office (2007): 2006 Annual Report on the Cause of Death Statistics
  17. Oh JY, Lee HJ, Hong ES, Hong YS, Sung YA, Lee SH (2003): The prevalence and incidence of diabetes in Mokdong, Seoul. Korean Clinic Diabetes 27(1): 73-83
  18. Park JY, Kim YI, Choi CS, Chung YE, Kim SW, Lee MS, Lee KU(1998): Prevalence of diabetes mellitus and impaired glucose tolerance in Korean adult living in Jungup district, South Korea, Abstract of the 11th Asian-Oceania Congress of Endocrinology 70
  19. Park SH (2002), The relationship between used food group intake frequencies and glucose levels in diabetic patients, MS thesis, Dankuk University
  20. Park SW, Chung YS, Yun YS, Cha BS, Song YD, Lee HC, Huh KB(1998): Insulin resistance and related factors in the healthy young men, J Korean Diabetes Assoc 22(4):504-510
  21. Shin CS, Kim HK, Kim WB, Park KS, Kim SY, Cho BY, Lee HK, Koh CS, Kim YI, Shin YS, Paik HY, Oh TK, Park YS (1996):Incidence of diabetes mellitus in yonchon county, Korea, J Korean Diabetes Assoc 20(3): 264-272
  22. Song MS, Song KH, Ko SH, Ahn YB, Kim JS, Shin JH, Cho YK, Yoon KH, Cha BY, Son HY, Lee DH (2005): The long-term effect of a structured diabetes education program for uncontrolled type 2 diabetes mellitus patients-a 4-year follow-up, J Korean Diabetes Assoc 29(2):1-11
  23. Wang KS, Lee SB, Lee HS, Jeon JS, Minn KW, Han KA, Kim EJ(1999): Clinical characteristics of diabetic patients controlled by diet and exercise, J Korean Diabetes Assoc 23(1):98-107
  24. WHO (2003) Technical Report Series 916, Diet, Nutrition and the Prevention of Chronic Disease
  25. Woo YJ, Lee HS, Kim WY (2006): Individual diabetes nutrition education can help management for type 2 diabetes. Korean J Nutr 39(7): 641-648
  26. Yoon KH (1999): clinical characteristics of diabetes mellitus in korea, Food Industry and Nutrition 4(3):73-82
  27. Yu JM (2004): 2004 guideline for diabetes , Korean Clinic Diabetes5(2): 9-21