DOI QR코드

DOI QR Code

맞춤형 당뇨교육이 인슐린요법을 하는 제2형 당뇨환자의 혈당조절과 자가간호에 미치는 효과

The Effects of Tailored Diabetes Education on Blood Glucose Control and Self-Care

  • 발행 : 2009.10.30

초록

Purpose: The purpose of this study was to test the effects of tailored diabetic education on blood glucose control and self-care for patients with type 2 diabetes on insulin therapy. Methods: The participants were 60 patients (experimental group: 30, control group: 30) with type 2 diabetes on insulin therapy. The patients were being seen at a university hospital in Seoul, Korea. Group diabetic education and tailored diabetic education were given to the experiment group while group diabetic education only was given to the control group. Data were collected before and three months after the education. $X^2$ test, t-test, and ANCOVA were used to analyze the data. Results: No significant differences in postprandial (PP2hrs) glucose and HbA1c levels were found between the two groups. Participants in the experiment group showed statistically significant differences in the area of self-glucose test, management of insulin injection, and life style change compared to those in the control group. Conclusion: The results indicate that tailored education for patients with diabetes on insulin therapy improve self-glucose test, management of insulin injection, and life style. Therefore it is suggested that tailored education can be applied in diabetic education to improve self-care.

키워드

참고문헌

  1. Black, J. M., & Hawks, J. H. (2005). Medical-surgical nursing: Clinical management for positive outcomes (7th ed.). St. Louis, MO: Elservier Saunders
  2. Chae, Y. H., & Son, S. K. (2000). Effects of individual nursing education on self-efficacy and sick-roll behavior in diabetes patients. The Journal of Korean Academic Society of Nursing Education, 6, 103-114
  3. Choe, M. A., & Kim, K. W. (2002). English-Korean Mosby's medical, nursing & allied health dictionary (6th ed.). Seoul: Hyunmoonsa
  4. International Diabetes Federation. (2005). Global guideline for Type 2 diabetes. Belgium: Paperland Printers Publishing
  5. Jun, J. Y. (1996). A study on the experience of self-care in diabetic patients with complication. Journal of Korean Academy of Adult Nursing, 8, 244-263
  6. 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, 306-314
  7. Kim, H. J., Kim, H. S., & Ahn, S. H. (2006). Effects of diabetic education fortified with individual practice on plasm glucose, selfcare, and self reported physical symptom in type 2 diabetic patients. Journal of Korean Academy of Adult Nursing, 18, 194-201
  8. Kim, H. S. (2005a). Effects of web-based diabetic education in obese diabetic patients. Journal of Korean Academy of Nursing, 35, 924-930
  9. Kim, H. S. (2005b). Effects of internet diabetic education on blood glucose in hyperglycemic patients. Journal of Korean Academy of Adult Nursing, 17, 444-451
  10. Ko, C. H., & Gu, M. O. (2004). The effects of a diabetic educational program for coping with problem situation on self-efficacy, self care behaviors, coping and glycemic control in type 2 diabetic patients. Journal of Korean Academy of Nursing, 34, 1205-1214
  11. Korean Association of Diabetic Nurse Educators. (2002). Diabetic patient guidebook. Seoul: Author
  12. Korean Association of Diabetic Nurse Educators. (2008, February). The future of diabetic education. Paper presented at the meeting of the Korean Association of Diabetic Nurse Educators, Seoul, Korea
  13. Korean Diabetes Association. (2007). Treatment Guideline for Diabetes. Seoul: MMK Communications
  14. Korean Diabetes Association, Health Insurance Review & Assesment Service (2007). Diabetes in Korea 2007. Seoul: SIKR Publishing
  15. Lee, E. O., Lim, N. Y., & Park, H. A. (1998). Nursing medical research and statistical analysis (3rd ed.). Seoul: Soomoonsa
  16. Lee, H. J., Park, K. T., Park, H. S., & Kim, I. J. (2005). The effects of problem solving nursing counseling and intensified walking exercise on diabetic self care, coping strategies, and glycemic control among clients with DM type II. Journal of Korean Academy of Nursing, 35, 1314-1324
  17. Lee, J. S., Ro, S. O., Shin, D. S., Kim, M. H., & Jung, Y. M. (2000). The experience of life in with diabetics. Journal of Korean Academy of Nursing, 30, 1219-1229
  18. Lewis, S. M., Heitkemper, M. M., Dirksen, S. R., O’brien, P. G., Giddens, J. F., & Bucher, L. (2004). Medical-surgical nursing:Assessment and management of clinical problems (6th ed.). St. Louis, MO: Mosby
  19. Lim, S., Kim, D. J., Jeong, I. K., Son, H. S., Chung, C. H., Koh, G., et al. (2009). A nationwide survey about the current status of glycemic control and complication in diabetic patients in 2006-The committee of the Korean diabetes association on the epidemiology of diabetes mellitus-. Korean Diabetes Journal, 33, 48-57 https://doi.org/10.4093/kdj.2009.33.1.48
  20. Park, J. H., Kim, K. W., Kang, E. J., Kim, T. Y., Lee, S. R., Bae, S. C., et al. (2004). Evaluation of glycemic control in type 2 diabetic patients have been treated in general hospital. Journal of Korean Diabetes Association, 28, 208-218
  21. Park, K. Y., Park, H. S., & Seo, J. M. (2007). The effects of a cognitive behavioral stress management program on diabetic selfcare and glycemic control with diabetes mellitus type II. Journal of Korean Academy of Adult Nursing, 19, 683-693
  22. Polonsky, W. H., Earles, J., Smith, S., Pease, D. J., Macmillan, M., Christensen, R., et al. (2003). Integrating medical management with diabetes self-management training: A randomized control trial of the diabetes outpatient intensive treatment program. Diabetes Care, 26, 3048-3053 https://doi.org/10.2337/diacare.26.11.3048
  23. Yoo, J. S., Kim, E. J., & Lee, S. J. (2006). The effects of a comprehensive life style modification program on glycemic control and stress response in type 2 diabetes. Journal of Korean Academy of Nursing, 36, 751-760
  24. Yoo, J. W., & Suh, M. J. (2003). Analysis of insulin injection focused self-care and related factors in diabetes. Journal of Korean Diabetes Association, 27, 153-164

피인용 문헌

  1. Investigation of Effect on Glycosylated Hemoglobin, Blood Pressure, and Body Mass Index of Diabetes Intensive Education Program in Patients With Type 2 Diabetes Mellitus vol.5, pp.4, 2009, https://doi.org/10.1177/1557988310394340
  2. 제 2형 당뇨병 환자를 위한 포괄적 자기효능증진 자가관리 프로그램 개발 vol.19, pp.1, 2009, https://doi.org/10.7739/jkafn.2012.19.1.074
  3. 암환자를 위한 개별교육과 집단교육프로그램이 암환자의 대처양상과 자가 간호행위에 미치는 효과 vol.20, pp.1, 2009, https://doi.org/10.14370/jewnr.2014.20.1.1
  4. 당뇨병성 족부 궤양을 가진 환자의 자가 관리 프로그램 적용 효과 vol.18, pp.2, 2009, https://doi.org/10.7586/jkbns.2016.18.2.78
  5. Self-Management Nursing Intervention for Controlling Glucose among Diabetes: A Systematic Review and Meta-Analysis vol.18, pp.23, 2009, https://doi.org/10.3390/ijerph182312750