Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지
DOI QR코드

DOI QR Code

Comparative Study on Self-Care Behavior, Diabetes-related Stress, and Stress Coping among Good, Inadequate, and Poor Glycemic Control Groups

혈당 조절 양호, 불충분, 불량 군 간의 자가간호행위, 당뇨관련 스트레스, 스트레스 대처의 비교

  • Kang, Hye-Yeon (Department of Nursing, Daedong College) ;
  • Gu, Mee-Ock (Gerontological Health Research Center, Institute of Health Sciences, Gyeongsang National University)
  • 강혜연 (대동대학교 간호과) ;
  • 구미옥 (경상대학교 간호대학, 경상대학교 건강과학연구원 노인건강연구센터)
  • Received : 2012.02.28
  • Accepted : 2012.05.27
  • Published : 2012.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to compare self-care behavior, diabetes-related stress and stress coping style among 3 blood glucose control groups (good, inadequate, and poor blood glucose control groups). Methods: Participants were 102 type 2 diabetic patients (good group: 41, inadequate group: 31, poor group: 30). Data were collected from Feb 19 to Mar 24, 2010 and were analyzed using Chi-square, Fisher's exact test and ANCOVA with SPSS/WIN 12.0. Results: Using ANCOVA with frequency of admission, and illness duration as covariates, significant differences were found among the 3 groups in self-care behavior (total score) and the exercise subscale. Using ANCOVA significant differences were found among 3 groups in diabetes-related stress (total score), emotional burden subscale and regimen distress subscale. Using ANCOVA no difference in stress coping was found among the 3 groups, but there was a significant difference in the problem-oriented coping subscale. Conclusions: Self-care behavior, diabetes-related stress, and stress coping style are factors influencing blood glucose control. The results of this study suggest that for improving blood glucose control, self care education program focused on diet and exercise in addition to stress management program for promoting problem oriented coping capability are recommended.

Keywords

References

  1. American Diabetes Association. (2010). Standards of medical care in diabetes. Diabetes Care, 33(Suppl 1), S11-S31. https://doi.org/10.2337/dc10-S011
  2. Choi, E. J. (2007). Factors related to glycemic control in patients with type 2 diabetes mellitus. Unpublished master's thesis, Yonsei University, Seoul.
  3. Choi, J. E. (2001). The relation between the coping of stress and the blood sugar level of a diabetic. Unpublished master's thesis, Ewha Womans University, Seoul.
  4. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  5. Fisher, L., Mullan, J. T., Arean, P., Glasgow, R. E., Hessler, D., & Masharani, U. (2010). Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses. Diabetes Care, 33, 23-28. https://doi.org/10.2337/dc09-1238
  6. Gu, M. O. (1994). A study of the relationship among self efficacy, self regulation, situational barriers and self care behavior in patients with diabetes mellitus. Journal of Korean Academy of Nursing, 24, 635-651.
  7. Hartemann-Heurtier, A., Sultan, S., Sachon, C., Bosquet, F., & Grimaldi, A. (2001). How type 1 diabetes patients with good or poor glycemic control cope with diabetes-related stress. Diabetes Metabolism, 27, 553-559.
  8. Health Insurance Review & Assessment Service. (2007). National Health Insurance Corporation Release Copy. Seoul: Author.
  9. Jalowiec, A., Murphy, S. P., & Powers, M. J. (1984). Psychometric assessment of the Jalowiec Coping Scale. Nursing Research, 33, 157-161.
  10. Jeong, G. H. (2007). Impact of stress coping style and diabetes-related support on self-management among people with diabetes. Unpublished master's thesis, Soongsil University, Seoul.
  11. Korean Diabetes Association. (2011). Diabetes (4th ed.). Seoul: Korea Medical Book Publisher.
  12. Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer.
  13. Lee, Y. L., Kang, M. A., & Kim, P. G. (2008). The effects of an admission-education program on knowledge, self-efficacy, self-care and glucose control in type 2 diabetes patient. Journal of Korean Academic Society of Nursing Education, 14, 12-19. https://doi.org/10.5977/JKASNE.2008.14.1.012
  14. Nakahara, R., Yoshiuchi, K., Kumano, H., Hara, Y., Suematsu, H., & Kuboki, T. (2006). Prospective study on influence of psychosocial factors on glycemic control in Japanese patients with type 2 diabetes. Psychosomatics, 47, 240-246. https://doi.org/10.1176/appi.psy.47.3.240
  15. Orem, D. E. (1989). Self care deficit theory of nursing. In M. R. Alligood, & A. M. Tomey (Eds.) (2nd Ed), Nursing theorists and their work.. St. Louis: C. V. Mosby.
  16. Park, H. S., & Park, K. Y. (2008). Effects of cognitive behavioral stress management program on perceived stress, coping strategies, and stress response in people with diabetes mellitus type 2. Journal of Korean Academy of Fundamentals of Nursing, 15, 291-300.
  17. Park, J. Y., & Kim, K. K. (1999). Stressors coping methods by family members of psychiatric patients. Inje Medical Journal, 20, 537-552.
  18. Park, S. J., Woo, M. H., & Choue, R. (2008). Dietary quality and self-management status according to the glycemic control in the elderly with type 2 diabetes. The Korean Journal of Food and Nutrition, 21, 530-535.
  19. Park, S. W., Kim, D. J., Min, K. W., Baik, S. H., Choi, K. M., Park, I. B., et al. (2007). Current status of diabetes management in Korea using national health insurance database. The Journal of Korean Diabetes Association, 31, 362-367. https://doi.org/10.4093/jkda.2007.31.4.362
  20. Peyrot, M. F., & McMurry, J. F. (1992). Stress buffering and glycemic control: The role of coping style. Diabetes Care, 15, 842-846. https://doi.org/10.2337/diacare.15.7.842
  21. Polonsky, W. H., Lees, J., Fisher, L., Mullan, J., Earles, J., Dudl, R. J., et al. (2005). Assessing psychosocial distress in diabetes. Diabetes Care, 28, 626-631. https://doi.org/10.2337/diacare.28.3.626
  22. Statistics Korea. (2009). Cause of death statistical year book, 2008. Seoul: Author.
  23. Suwattee, P., Lynch, J. C., & Pendergrass, M. L. (2003). Quality of care for diabetic patients in a large urban public hospital. Diabetes Care, 26, 563-568. https://doi.org/10.2337/diacare.26.3.563
  24. The Diabetes Control and Complications Trial (DCCT) Research Group. (1993). The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The New England Journal of Medicine, 329, 977-986. https://doi.org/10.1056/NEJM199309303291401
  25. UK Prospective Diabetes Study (UKPDS) Group. (1998). Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet, 352, 837-853. https://doi.org/10.1016/S0140-6736(98)07019-6
  26. Yoo, J. H. (2000). A study on the relationship of self care behavioral compliance and perceived self-efficacy in type II diabetic patient. Journal of Korean Academy of Fundamentals of Nursing, 7, 453-465.
  27. 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. https://doi.org/10.4040/jkan.2006.36.5.751

Cited by

  1. Comparative Study on Self-care Behavior Related Factors for Good, Inadequate and Poor Glycemic Control Groups: Based on Variables from Theory of Planned Behavior, Habit, and Family support* vol.23, pp.3, 2016, https://doi.org/10.7739/jkafn.2016.23.3.245
  2. The Effect of the Experience of Diabetes Education on Knowledge, Self-Care Behavior and Glycosylated Hemoglobin in Type 2 Diabetic Patients vol.20, pp.1, 2014, https://doi.org/10.5977/jkasne.2014.20.1.81
  3. The Relationship between Neuropathic Pain and Glycemic Control, Self Management in Type II Diabetes Mellitus Patients vol.14, pp.4, 2013, https://doi.org/10.5762/KAIS.2013.14.4.1774
  4. Factors Associated with Hemoglobin A1c among Patient Aged 40 years over with Diabetes Mellitus: 2012 Korea Health and Nutrition Examination Survey vol.22, pp.4, 2015, https://doi.org/10.7739/jkafn.2015.22.4.433
  5. Evaluation of factors related to glycaemic control among South Korean patients with type 2 diabetes vol.24, pp.1, 2017, https://doi.org/10.1111/ijn.12616
  6. Diabetes, Returning to Work, and Your Rights for Health vol.19, pp.1, 2018, https://doi.org/10.4093/jkd.2018.19.1.53
  7. 지역사회 당뇨노인의 당뇨 자가관리 지식, 자신감, 행위 및 삶의 질 분석 vol.18, pp.9, 2012, https://doi.org/10.5762/kais.2017.18.9.157
  8. 노인 당뇨환자에서 당뇨 자가관리 지식, 자신감, 행위 및 삶의 질과 당화혈색소 조절의 관련성 vol.18, pp.11, 2012, https://doi.org/10.5762/kais.2017.18.11.357
  9. Factors Influencing Glycemic Control among Type 2 Diabetes Mellitus Patients: The Sixth Korea National Health and Nutrition Examination Survey (2013~2015) vol.31, pp.3, 2012, https://doi.org/10.7475/kjan.2019.31.3.235
  10. 감정상태가 국내 성인당뇨 혈당조절에 미치는 영향에 관한 실증연구 vol.17, pp.10, 2012, https://doi.org/10.14400/jdc.2019.17.10.301
  11. Validity and Reliability of the Korean Version of the Self-Care of Diabetes Inventory (SCODI-K) vol.18, pp.22, 2012, https://doi.org/10.3390/ijerph182212179