기본간호학회지 (Journal of Korean Academy of Fundamentals of Nursing)

  • 제23권3호
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  • Pages.300-309
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  • 2016
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  • 1225-9012(pISSN)
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  • 2287-1802(eISSN)
기본간호학회 (Korean Academy of Fundamentals of Nursing)
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제2형 당뇨병 환자의 당뇨병성망막증 정도에 영향을 미치는 요인

Factors Influencing the Level of Diabetic Retinopathy in Patients with Type 2 Diabetes Mellitus

  • 장은애 (원주세브란스기독병원) ;
  • 신윤희 (연세대학교 원주의과대학 간호학과)
  • Chang, Eun Ae (Wonju Severance Christian Hospital) ;
  • Shin, Yun Hee (Department of Nursing, Wonju College of Medicine, Yonsei Univesity)
  • 투고 : 2016.07.07
  • 심사 : 2016.08.22
  • 발행 : 2016.08.31
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초록

Purpose: This study was a descriptive survey research to identify whether characteristics of patients with type 2 diabetes mellitus, their knowledge about diabetes, and self-care behavior impacted on the level of diabetic retinopathy. Methods: Participants were 133 patients who had type 2 diabetes mellitus and were being seen at a hospital in Korea. The scale for knowledge about diabetes had 24 items, the scale for self-care behavior, 20 items, and the level of diabetic retinopathy was classified according to the international clinical diabetic retinopathy severity measurement standards. Results: The influence of the independent variables on the level of diabetic retinopathy showed that age, job, time since onset of Diabetes Mellitus, regular ophthalmologic examinations, and systolic blood pressure were identified as factors affecting the level of diabetic retinopathy. The explanation power of this regression model was 23.0% and it was statistically significant (F=5.42, p<.001). Conclusion: Early education about occurrence of diabetes related diseases, specifically diabetic retinopathy should be provided for patients from younger ages. Moreover, for disease management, social support is needed from co-workers and friends. Efforts to encouraged prevention and delay of diabetic retinopathy should include control of blood sugar and blood pressure.

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참고문헌

  1. International Diabetes Federation. Global guideline for managing older people with type 2 diabetes [Internet]. Begium: International Diabetes Federation; 2013 [cited 2015 August 10]. Available from: http://www.idf.org/guidelines-older-people-type-2-diabetes.
  2. Ministry of Health and Welfare. Korea health statistics 2012:Korea national health and nutrition examination survey V-3 [Internet]. Sejong: Ministry of Health and Welfare; 2013 [cited 2015 August 10]. Available from: http://stat.mohw.go.kr/front/statData/publicationView.jsp?bbsSeq=13&nttSeq=21193&menuId=47
  3. Statistics Korea. Causes of death statistics in 2013 [Internet]. Seoul: Statistics Korea; 2013 [cited 2015 August 10]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=330181
  4. Korean Diabetes Association. Treatment guideline for diabetes 2013 update. Seoul: Korean Diabetes Association; 2013. p. 1-68.
  5. Hong SM, Park JH, Lim YH, Park YS, Kim DS, Choi WH, et al. Endocrinology-metabolism: The relationship between diabetic retinopathy and macrovascular complication in patients with type 2 diabetes. Korean Journal of Medicine. 2011;81(3):351-358.
  6. Jeon JY, Kim DJ. Need for diabetes prevention study. Journal of Korean Diabetes, 2015;16(3):161-167. http://dx.doi.org/10.4093/jkd.2015.16.3.161
  7. American Diabetes Association. Standards of medical care in diabetes-2014. Diabetes Care. 2014;37(Suppl 1):S14-S80. http://dx.doi.org/10.2337/dc14-S014
  8. Yau JW, Rogers SL, Kawasaki R, Lamoureux EL, Kowalski JW, Bek T, et al. Global prevalence and major risk factors of diabetic retinopathy. Diabetes Care. 2012;35(3):556-564. http://dx.doi.org/10.2337/dc11-1909
  9. Cusi K, Ocampo GL. Unmet needs in Hispanic/Latino patient with type 2 diabetes mellitus. American Journal of Medicine. 2011;124(Suppl 10):S2-S9. http://dx.doi.org/10.1016/j.amjmed.2011.07.017
  10. Hirsch IB, Brownlee M. Beyond hemoglobin A1c-need for additional markets of risk for diabetic microvascular complications. Journal of the American Medical Association. 2010;303(22):2291-2292. http://dx.doi.org/10.1001/jama.2010.785
  11. Kim YJ. Development and progression of diabetic retinopathy and associated risk factors in Koreans with type 2 diabetes:The experience of a tertiary center [master's thesis]. Ulsan:Ulsan University; 2014. p. 1-16.
  12. Bea HC. A case-control study of diabetic retinopathy [dissertation]. Seoul: Kyung Hee University; 2007. p. 1-29.
  13. Jang H, Han JH, Bang JS, Sohn UD. Relationship survey study between diabetic control education and diabetic retinopathy: Data from the Korea national health and nutrition examination survey V. Korean Journal of Clinical Pharmacy. 2014;24(1):33-38.
  14. Byun SH, Ma SH, Jun JK, Jung KW, Park B. Screening for diabetic retinopathy and nephropathy in patients with diabetes: A nationwide survey in Korea. Public Library of Science One. 2013;8(5):e62991. http://dx.doi.org/10.1371/journal.pone.0062991
  15. Kuo, JZ., Guo X, Klein R, Klein BE, Genter P, Roll K, et al. Adiponectin, insulin sensitivity and diabetic retinopathy in Latinos with type 2 diabetes. Journal of Clinical Endocrinology and Metabolism. 2015;100(9):3348-3355. http://dx.doi.org/10.1210/jc.2015-1221
  16. Klein R. The epidemiology of diabetic retinopathy. In: Duh E, editor. Diabetic Retinopathy. Totowa, NJ: Humana Press; 2008. p. 67-107.
  17. Ku BJ. The epidemiology of diabetic retinopathy. Korea Clinical Diabetes. 2009;10(3): 139-141.
  18. Shim WS, Hong SB, Choi YS, Choi YJ, Ahn SH, Min KY, et al. Development of two parallel diabetes knowledge tests. Diabetes and Metabolism Journal. 2006;30(6):476-486. http://dx.doi.org/10.4093/jkda.2006.30.6.476
  19. Moon SH. Lee YH. Ham OK, Kim SH. The effect of the experience of diabetes education on knowledge, self-care behavior and glycosylated hemoglobin in type 2 diabetic patients. Journal of Korean Academic Society of Nursing Education. 2014;20(1):81-92. http://dx.doi.org/10.5977/jkasne.2014.20.1.81
  20. Tahmasebi R, Noroozi A, Tavafian SS. Determinants of self-management among diabetic patients: A path analysis. Asia-Pacific Journal of Public Health. 2015;27(2):524-534. http://dx.doi.org/10.1177/1010539513475652
  21. Kim YO. A hypothesized model for self-care behavior in diabetic patients: Based on stress-coping model [dissertation]. Seoul: Yonsei University; 1997. p. 1-170.
  22. Lee WK. Diabetic retinopathy. Journal of the Korean Medical Association. 2005;48(7):616-627. http://dx.doi.org/10.5124/jkma.2005.48.7.616
  23. Wilkinson CP, Ferris FL, Klein RE, Lee PP, Agardh CD, Davis M, et al. Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology. 2003;110(9):1677-1682. http://dx.doi.org/10.1016/S0161-6420(03)00475-5
  24. Hendrick AM, Gibson MV, Kulshreshtha A. Diabetic retinopathy. Primary Care. 2015;42(3):451-464. http://dx.doi.org/10.1016/j.pop.2015.05.005
  25. Lee J, Park H. Relationships between diabetic knowledge, self-care behaviors and HbA1c in diabetic patients using public hospitals. Journal of Korean Academy of Fundamentals of Nursing, 2014;21(3);243-252. http://dx.doi.org/10.7739/jkafn.2014.21.3.243
  26. Gao J, Wang J, Zheng P, Haardorfer R, Kegler MC, Zhu Y, et al. Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes. BioMed Central Family Practice. 2013;14:66. http://dx.doi.org/10.1186/1471-2296-14-66
  27. Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HA. 10-year follow-up of intensive glucose control in type 2 diabetes. New England Journal of Medicine. 2008;359(15):1577-1589. http://dx.doi.org/10.1056/NEJMoa0806470
  28. Gye HJ, Song SJ. New modalities for the diagnosis and treatment of diabetic retinopathy. Korean Journal of Medicine. 2015;89(3):271-276. http://dx.doi.org/10.3904/kjm.2015.89.3.271
  29. Silva PS, Cavallerano JD, Sun JK, Aiello LM, Aiello LP. Effect of systemic medication on onset and progression of diabetic retinopathy. Nature Reviews Endocrinology. 2010; 6(9): 494-508. http://dx.doi.org/10.1038/nrendo.2010.122
  30. Lee YR, Kang MA, Kim PG. The effects of an admission-education program on knowledge, self-efficacy, self-care and glucose control in type 2 diabetes patients. Journal of Korean Academic Society of Nursing Education. 2008;14(1):12-19. http://dx.doi.org/10.5977/JKASNE.2008.14.1.012