Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Elderly Diabetes Mellitus Patients' Self-care Behavior and Health Conservation on Cardiovascular Risk Factors

  • Sung, Kiwol (College of Nursing, Catholic University of Daegu)
  • Received : 2015.03.17
  • Accepted : 2015.06.24
  • Published : 2015.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was performed in order to identify the relationships among self-care behavior, health conservation, and cardiovascular risk factors and to examine the influence of self-care behavior and health conservation on cardiovascular risk factors among Korean elders with diabetes mellitus. Methods: The participants were 105 elders with diabetes mellitus using senior welfare centers and elderly leisure houses in Daegu. Data were collected through interviews during the period from April to May in 2014. Self-care behavior was measured with Kim's (1997) Self-care Behavior Scale, health conservation with Sung's (2005) Health Conservation Scale, and cardiovascular risk factors with the Arizona Heart Institute Cardiovascular Risk Factor Questionnaire. Collected data were analyzed through one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 19.0 program. Results: A negative correlation was found between self-care behavior and cardiovascular risk factors, and between health conservation and cardiovascular risk factors. Self-care behavior explained 6% and health conservation did 49% of variance in elderly diabetes mellitus patients' cardiovascular risk. Conclusion: The results indicate that, in order to reduce cardiovascular risk factors among Korean elders with diabetes mellitus, we need nursing interventions for increasing health conservation and self-care behavior.

Keywords

References

  1. World Health Organization. Diabetes [Internet]. Geneva: World Health Organization. 2013 [cited 2014 January 15]. Available from: www.who.int/mediacentre/en/
  2. Statistics Korea. 2012 Korea health statistics [Internet]. Seoul: Ministry of Health and Welfare & Korea Centers for Disease Control &Prevention. 2013 [cited 2014 January 20]. Available from: http://www.index.go.kr/egams/stts/jsp/ potal/stts/PO_STTS_IdxMain.jsp?idx_cd=1438&bbs=INDX_001
  3. Boo SJ. Glucose, blood pressure, and lipid control in Korean adults with diagnosed diabetes. Korean Journal of Adult Nursing. 2012;24(4):406-416. http://dx.doi.org/ 10.7475/kjan.2012.24.4.406
  4. The American Heart Association. Cardiovascular disease & diabetes [Internet]. Dallas: The American Heart Association. 2012 [cited 2014 January 20]. Available from: http://www.heart.org/HEARTORG/Conditions/Diabetes/WhyDiabetesMatters/%20 Cardiovascular-Disease-Diabetes_UCM_313865_Article.jsp
  5. Kim EY, Hwang SY. Predicting factors of smoking and emotional stress among male patients with acute coronary syndrome. The Journal of Korean Academic Society of Adult Nursing, 2011;23(1):100-109.
  6. Choiniere R, Lafontaine P, Edwards AC. Distribution of cardiovascular disease risk factors by socioeconomic status among Canadian adults. Canadian Medical Association Journal. 2000; 162(9):S13-24.
  7. Lee HJ, Park KY. Predictors of cardiovascular risk factors among type 2 diabetic patients. The Journal of Korean Academic Society of Adult Nursing. 2006;18(3):426-435.
  8. Nam SM, Ha EH, Suh YJ, Park HS, Chang MH, Seo JH, et al. Effect of obesity and blood lipid profiles on hyperlipidemia in adults aged over 40 years. Journal of Korean Society for the Study of Obesity. 2008;17(1):20-28.
  9. Seo JB, Jung WY. The importance of treatment of low HDL cholesterolemia in cardiovascular disease. Korean Journal of Lipidology. 2008;18(2):270-276.
  10. Kim JS. Effects of the weight control program on body composition, blood lipids, insulin sensitivity and IGF-1 in obese juveniles. Journal of Sport and Leisure Studies. 2010;40:719-730.
  11. Yu SY, Hong HS, Lee HS, Choi YJ, Huh KB, Kim WY. The association of insulin resistance with cardiovascular disease risk and dietary factors in Korean type 2 DM patients. The Korean Journal of Nutrition. 2007;40(1):31-40.
  12. Azadbakht L, Fard NRP, Karimi M, Baghaei MH, Surkan PJ, Rahimi M, et al. Effects of the Dietary Approaches to Stop Hypertension (DASH) eating plan on cardiovascular risks among type 2 diabetic patients: A randomized crossover clinical trial. Diabetes Care. 2011;34(1):55-57. http://dx.doi.org/10.2337/dc10-0676
  13. Sung KW, Lee JH. The effects of regular walking exercise on metabolic syndrome, cardiovascular risk factors, and depressive symptoms in the elderly with diabetic mellitus. Journal of Korean Academy of Community Health Nursing. 2010;21 (4):409-418. https://doi.org/10.12799/jkachn.2010.21.4.409
  14. Sung DJ, So WY, Park HM, Cha KS. Exercise and hypertension: Review of nitric oxide production and vasodilation by exercise. The Korean Society of Living Environmental System. 2010;17(2):181-190.
  15. Joo KC, Lee HJ. The relationship between regular exercise and both Framingham risk score and determinant of metabolic syndrome in middle-aged men. Exercise Science. 2006; 15(3):181-191.
  16. Jeoung BJ, Hong YJ, Sin C, Lim EJ. Physical activity, body mass index and risk factors for coronary heart disease in middle and old-aged Korean. The Journal of Korean Society of Aerobic Exercise. 2005;9(1):37-44.
  17. Bjorvatn B, Sagen IM, oyane N, Waage S, Fetneit A, Pallesen S, et al. The association between sleep duration, body mass index and metabolic measures in the Hordaland health study. Journal of Sleep Research. 2007;16(1):66-76. https://doi.org/10.1111/j.1365-2869.2007.00569.x
  18. Kim CG. Effect of health behavior and obesity indices on blood pressure in 20s man. Journal of Korea Contents Association. 2011;11(8):231-238. https://doi.org/10.5392/JKCA.2011.11.8.231
  19. Chow CK, Jolly S, Rao-Melacini P, Fox KA, Anand SS, Yusuf S. Association of diet, exercise, and smoking modification with risk of early cardiovascular events after acute coronary syndromes. Circulation. 2010;121(6):750-758. http://dx.doi.org/10.1161/CIRCULATIONAHA.109.891523
  20. Lee HJ, Kim MS. The relationship of diet, physical activities, self-efficacy, and self-care with cardiovascular risk factors among clients with type II diabetes. Korean Journal of Adult Nursing. 2007;19(2):283-294.
  21. Lee HJ, Park KY. Predictors of cardiovascular risk factors among type 2 diabetic patients. Korean Journal of Adult Nursing. 2006;18(3):426-435.
  22. Kang KJ, Yu SJ, Seo HM, Yu M, Park MS, Jang HC. Factors influencing self-management behavior for patients with type 2 diabetes: Comparison of difference between the elderly and adults. Society of Biological Nursing Science. 2012;14(2): 112-121. http://dx.doi.org/10.7586/jkbns.2012.14.2.112
  23. Lee SJ. Analysis of awareness and control rate of hypertension, diabetes mellitus and hypercholesterolemia in Korean adult patients: 2007-2010 Korea national health and nutrition examination survey [master's thesis]. [Seoul]: Seoul National University: 2012. 36 p.
  24. Choi GA, Jang SM, Nam HW. Current status of self-management and barriers in elderly diabetic patient. Diabetes and Metabolism Journal. 2008;(32):280-289. http:// dx.doi.org/10.4093/kdj.2008.32.3.280
  25. Sung KW. Scale development on health conservation of the institutionalized elderly. Journal of Korean Academic of Nursing. 2005;35(1):113-124. https://doi.org/10.4040/jkan.2005.35.1.113
  26. Lim SC. Intervention strategies for older adults with diabetes. The Journal of Korean Diabetes. 2012;13(1):52-55. http://dx.doi.org/10.4093/jkd.2012.13.1.52
  27. Krus DJ, Diethrich EB. Validity of the Arizona Heart Institute Cardiovascular Risk Factor Questionnaire. Educational and Psychological Measurement. 1982;42(4):1189-1196. http://dx.doi.org/10.1177/001316448204200427
  28. Kim YO. A hypothesized model for self-care behavior in diabetic patients: Based on stress-coping model [dissertation]. [Seoul]: Yonsei University; 1997. 170 p.
  29. D'Agodtino RB, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care: The Framingham heart study. Circulation. 2008;117(6):743-753. http://dx.doi.org/10.1161/CIRCULATIONAHA.107.699579
  30. Ko MJ, Han JT. The relative risk of major risk factors of ischemic heart disease. Journal of the Korean Data & Information Science Society. 2010;21(2):201-209.

Cited by

  1. Exploring the adaptive experiences of children with parents of myocardial infarction: A Qualitative Study vol.9, pp.7, 2017, https://doi.org/10.19082/4906