Knowledge, Self Efficacy and Self Care Behavior Regarding Foot Care among Elderly Diabetes Mellitus Patients

노인 당뇨병 환자가 지각한 발 관리의 지식, 자기효능감 및 자가간호 행위와의 관계

  • Received : 2009.06.29
  • Accepted : 2009.08.18
  • Published : 2009.08.31

Abstract

Purpose: This study was to identify the relationship between knowledge, self efficacy, and self care behavior regarding foot care among elderly diabetes mellitus (DM) patients. Methods: The subjects consisted of 146 elderly with DM. The data collected from February to October 2008 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The mean scores of knowledge ($13.21{\pm}1.99$), self efficacy ($2.23{\pm}0.54$), and self care behavior ($2.29{\pm}0.51$) regarding foot care were moderate. The level of knowledge was significantly different according to education about DM (p = .012) and drinking (p = .007). Self efficacy was significantly different according to gender (p = .019), educational level (p = .014), spouse (p = .048), disease period (p = .000), admission of DM (p = .000), complication of DM (p = .001), education of DM (p = .023). Self care behavior was significantly different according to educational state (p = .003), disease period (p = .039), and other disease (p = .000). Significant correlations were found between knowledge and self care behavior (p = .001), self efficacy and self care behavior (p = .000), knowledge and self efficacy(p=.012). Knowledge and self efficacy were a predictor of self care behavior (18.2%). Conclusion: These findings indicate that perceived knowledge and self efficacy may be necessities to improve self care behavior regarding foot care among elderly DM patients. The above mentioned results will be reflected in developing patient educational programs.

Keywords

References

  1. American Diabetes Association (2006). Standard of medical care in diabetes. Diabetes Care, 29(4), 828.
  2. Bandura, A. (1986). Social foundation of thought and action; A social cognitive theory. Englewood Cliffs, New Jersey: Prentice-Hall.
  3. Cho, Y. I. (2004). A structural model for health promotion behaviors and the quality of life of patients with type 2 diabetes mellitus. Unpublished master's thesis, Kyung Hee University, Seoul.
  4. Choi, G. A., Jang, S. M., & Nam, H. W. (2007). Current status of self-management and barries in elderly diabetic patient. Korean Diabetes Journal, 32(3), 280-289. https://doi.org/10.4093/kdj.2008.32.3.280
  5. Chung, C. H., Kim, D. J., Kim, J. Y., Kim, H. Y., Kim, H. Y., Min, K. W., Park, S. W., Park, J. H., Baik, S. H., Son, H. S., Ahn, C. W., Oh, J. Y., Lee, S. H., Lee, J. Y., Choi, K. M., Choi, I. J., & Park, I. B. (2006). Current status of diabetic foot in Korean patients using national health insurance database. Korean Diabetes Journal, 3(5), 372-376.
  6. Cooper, H. C., Booth, K., & Gill, G. (2003). Patients' perspectives on diabetes health care education. Health Education Research Theory & Practice, 18(2), 191-206. https://doi.org/10.1093/her/18.2.191
  7. Delamater, A. M. (2006). Improving patient adherence. Clinical Diabetes, 24(2), 71-77. https://doi.org/10.2337/diaclin.24.2.71
  8. Gill, G. S. (2004). Study on the knowledge, perceived seriousness and adherence to preventive behavior on chronic complication of diabetes mellitus. Unpublished master's thesis, Pusan National University, Busan.
  9. Gu, M. O. (1992). A structural model for self care behavior and metabolic control in diabetic patient. Unpublished doctorial dissertation, Seoul National University, Seoul.
  10. Jang, S. H. (2008). The relationships among self-care behavior, hemoglobin A1C and blood lipids of elderly diabetes mellitus patients. Nursing Science, 19(2), 10-20.
  11. Kim, C. G., & Chung, C. H. (2002). Effects of Telephone Consulting Program on self-efficacy and self-care in NIDDM Patients. Journal of Korean Academy of Adult Nursing, 14(2), 306-314.
  12. Kim, H. J., & Ahn, C. W. (2007). Elderly diabetes mellitus. Korean Clinical Diabetes Journal, 8(1), 6-7.
  13. Kim, J. H. (2006). Guidelines for education of diabetes in the elderly. Journal Korean Diabetes Association, 30(2), 297-301.
  14. Kim, J. Y., Lee, K. T., Young, K. W., & Hwang, S. K. (2007). A clinical study on the diabetic foot wound. Korean Diabetes Journal, 31(1), 89-95. https://doi.org/10.4093/jkda.2007.31.1.89
  15. Kim, M. A., & Kim, E. Y. (1996). The relationship between perceived family support and self-care agency in adults with diabetes. Journal of Korean Academy of Adult Nursing, 8(2), 227-243.
  16. Kim, S. G. (2008). Factors influencing adherence to preventive behavior on chronic complications of diabetes mellitus. Korean Diabetes Journal, 32(1), 77-82. https://doi.org/10.4093/kdj.2008.32.1.77
  17. Kim, Y. J. (2002). The relationship among diabetes knowledge, self-care behavior and metabolic control in non insulin dependent diabetes mellitus. Unpublished master's thesis, Soonchunhyang University, Chungnam
  18. Koh, N. K. (2002). Foot care and related factors in patients with type 2 diabetics. Unpublished master's thesis, Seoul National University, Seoul.
  19. Koh, N. K., & Song, M. S, (2006). Foot ulcer risk, foot care knowledge and foot care practice in patients with type 2 diabetics. Journal of Korean Academy of Adult Nursing, 18(1), 81-91.
  20. Lee, H. J., & Park, K. Y. (2005). Body weight, cardiovascular risk factors, and self-efficacy of diabetic control among obese type II diabetic patients. Journal of Korean Academy Nursing, 35(5), 787-797. https://doi.org/10.4040/jkan.2005.35.5.787
  21. Lee, H. J., Park, K. Y., & Park, H. S. (2005). Self care activity, metabolic control, and cardiovascular risk factors in accordance with the levels of depression of clients with type 2 diabetic mellitus. Journal of Korean Academy Nursing, 35(2), 283-291. https://doi.org/10.4040/jkan.2005.35.2.283
  22. Lee, N. H. (2005). Self-efficacy and self-care behavior in elderly patients with diabetes mellitus. Unpublished master's thesis, Kwandong University, Kangwon.
  23. Lee, T. J. (2007). Development of educational program for the early breast cancer examination. Unpublished master's thesis, Eulji University, Daejon.
  24. Lee, Y. H. (2004). A study on the related factors and the change after foot-reflexo-massage education program for diabetic patients. Journal of Korean Academy of Adult Nursing, 16(2), 222-232.
  25. Nwasuruba, C. M., Khan, M., & Egede, L. E. (2007). Racial/ethnic differences in multiple self-care behaviors in adults with diabetes. Journal of General Internal Medicine, 22(1), 115-220. https://doi.org/10.1007/s11606-007-0120-9
  26. Park, M. Y. (2008). The study related to perceived stress, stress coping method, self-care behavior and hemoglobin A1C of elderly diabetic mellitus. Unpublished master's thesis, Chung-Ang University, Seoul.
  27. Pyrot, M., & Rubin, R. (2007). Behavioral and psychosocial interventions in diabetes: A conceptual review. Diabetes Care, 30(10), 2433-2440. https://doi.org/10.2337/dc07-1222
  28. Ryu, E. K. (2004). A study on the relationships between perceived family support, self-efficacy, and sick-role behavior in elderly diabetes mellitus patients. Unpublished master's thesis, Kongju National University, Gongju.
  29. Singh, N., Amstrong, D. G., & Lipsky, B. A. (2005). Preventing for ulcers in patients with diabetes. Journal of the American Medical Association, 293(2), 217-228. https://doi.org/10.1001/jama.293.2.217
  30. Song, M. S., & Kim, H. S. (2008). Effects of diabetes education and telephone counseling on depression in patients with diabetes. Journal of Korean Academy of Adult Nursing, 20(3), 481-488.