Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Convergence Study on Diabetes Self-Management Knowledge, Social Support, Educational Needs of the diabetes in rural elderly

농촌 지역 노인 당뇨병 환자의 자기관리 지식, 사회적 지지, 교육요구도에 관한 융합연구

  • Received : 2017.01.17
  • Accepted : 2017.03.20
  • Published : 2017.03.28
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Abstract

The purpose of this study was to identify convergence factors related to DSMK, social support, and educational needs on the diabetes in rural elderly. The subjects were 115 elderly patients who were registered in diabetes control center, taking medication more than 6 months in U city. The survey period was from August 24 to October 31, 2016. The results showed that DSMK showed significant differences in gender, education level, duration of diabetes, experience of diabetes education, experience of family participation in diabetes education, and perceived health status(p<.05). The degree of social support was found to be significant differences in marital status, diabetes education experience, diabetes education needs, gender, duration of diabetes, and perception of diabetes self-management difficulty(p<.05). There were significant positive correlations between DSMK and social support, social support and educational needs(p<.05). Based on these results, we hope to develop a convergent self - management program based on the needs of the elderly patients.

본 연구는 농촌 지역 노인 당뇨병 환자의 자기관리 지식, 사회적 지지, 교육요구도의 융합적인 요인을 파악하여 노인 당뇨병 자기관리를 위한 중재방안을 모색하기 위한 서술적 조사연구이다. 연구대상은 U시 소재 군, 읍면, 보건소 및 보건지소에 당뇨병 관리 대상자로 등록되어 약물 치료 기간 6개월을 경과한 만 65세 이상 노인 115명을 대상으로 조사기간은 2016년 8월 24일부터 10월 31일까지였다. 연구결과 당뇨병 자기관리 지식은 성별, 교육수준, 당뇨병 유병기간, 당뇨교육 경험, 가족의 당뇨교육 참여 경험, 지각된 건강상태에 유의한 차이가 있었고(p<.05), 사회적 지지는 결혼 상태, 당뇨교육 경험, 당뇨 교육요구도는 성별, 당뇨병 유병기간, 당뇨병 자기관리 어려움의 인식정도에서 유의한 차이가 있는 것으로 나타났다(p<.05). 당뇨병 자기관리 지식과 사회적 지지, 사회적 지지와 교육요구도는 유의한 정(+)의 상관관계(p<.05)가 있는 것으로 나타났다. 본 연구결과를 바탕으로 노인 당뇨병 환자의 요구가 반영된 융합적인 자기관리 프로그램이 개발되기를 기대해 본다.

Keywords

References

  1. H. W. Shin, Efficient Management of Health Insurance Expenditures on the Elderly. Korea: Korea Institute for Health and Social Affairs Publishing, 2013. 단행본
  2. C. M. Renders, G. D. Valk, S. J. Griffin, E. H. Wagner, J. T. Van, W. J. Assendelft, "Interventions to Improve the Management of Diabetes in Primary Care, Outpatient, and Community settings: a Systematic Review", Diabetes Care, Vol. 24, No. 10, pp. 1821-1833, 2001. 논문지 https://doi.org/10.2337/diacare.24.10.1821
  3. http://www..index.go.kr/potal/main/EachDtlPageDet ail.do?idx_cd=1438. Korea National Statistical Office, 2014. 인터넷 주소
  4. Centers for Disease Control & Prevention, 2016 Guidelines for the Management of Hypertension Diabetes Registry, Centers for Disease Control & Prevention Publishing, 2016. 단행본
  5. M. S. Shim, M. S. Lee, N. R. Oh, K. H. Kang, "A Study on Duty Awareness of Public Health-Center Workers", Journal of The Korea Convergence Society, Vol. 1, No. 1, pp. 83-91. 2010. 논문지
  6. E. A. Hwang, "An Acceptance Expanding way of Medical Consumer of Chronic Disease Management System at Clinic Level" Policy Trends of Comsumer, Vol. 32, No. 1, pp. 1-26, 2012. 논문지
  7. M. S. Song, M. R. Lee, B. M. Shim, "Barriers to and Facilitators of Self-Management adherence in Korean Older Adult with Type 2 Diabetes" International Journal of Older People Nursing, Vol. 5, No. 1, pp. 211-218, 2009. 논문지
  8. American Association of Diabetes Educators, AADE Publishing, 2010. 단행본
  9. L. Haas, M. Maryniuk, J. Beck, C. E. Cox, P. Duker, L. Edwards, E. Fisher, L. Hanson, D. Kent, L. Kolb, S. McLaughlin, E. Orzeck, J. D. Piette, A. S. Rhinehart, R. Rothman, S. Sklaroff, D. Tomky, G. Youssef, "National Standards for Diabetes Self-Management Education and Support", The Diabetes Educator, Vol. 38, No. 1, pp. 619-629, 2012. 논문지 https://doi.org/10.1177/0145721712455997
  10. G. S. Lee, Development and Evaluation of Patient Centered Self Management Program for Hypertension, Diabetes and Dyslipidemia, Korea Health Promotion Foundation Publishing, 2014. 단행본
  11. K. Plack, S. Herpertz, F. Petrak, "Behavioral Medicine Interventions in Diabetes", Current Opinion in Psychiatry, Vol. 23, No. 2, pp. 131-138, 2010. 논문지 https://doi.org/10.1097/YCO.0b013e3283366555
  12. M. S. Song, "Diabetes Self-Management Education in the Community", Journal of Korean Diabetes, Vol. 15, No. 2, pp. 98-103, 2014. 논문지 https://doi.org/10.4093/jkd.2014.15.2.98
  13. J. Kim, Comparison of Diabetic Care of Residents Living in Urban and Rural Area, Chungnam National University, Mater's thesis, 2008. 학위논문
  14. M. S. Song, S. A. Kim, S. Y. Choi, K. S. Seo, S. J. Lee, E. H. Kim, "Development and Validation of the Diabetes Self-Management Knowledge Scale for Older Adults(DSMK-O)", Journal of the Korean Gerontological Society, Vol. 33, No. 3, pp. 537-550, 2013. 논문지
  15. K. S. Seo, M. S. Song, "Relationships of Motivational Factors and Diabetes Self-Management Behavior in Community Dwelling Older Adults", Journal of Muscle and Joint Health, Vol. 19, No. 3, pp. 308-318, 2012. 논문지 https://doi.org/10.5953/JMJH.2012.19.3.308
  16. G. D. Zimet, N. W. Dahlem, S. G. Zimet. G. K. Farley, "The Multidimensional Scale of Perceived Social Support", Journal of Personality Assessment, Vol. 52, No. 1, pp. 30-41, 1988. 논문지 https://doi.org/10.1207/s15327752jpa5201_2
  17. S. Y, Park, A Study on the Correlation between Diabetes Patients' Knowledge, Self-Care Behavior and the Educational Demand, Shamyook University, Mater's thesis, 2012. 학위논문
  18. S. J. Lee, The Developments and Evaluations of a Health Literacy Considered Diabetes Self-Management Program for Older Adults, Seoul University, Ph. Dissertation, 2016. 학위논문
  19. H. R. Lee, "A Survey on Knowledge of Diabetes and Self-Care Behavior of Rural Patients with Diabetes Mellitus", Journal of Korean Academy of Rural Health Nursing, Vol. 8, No. 1, pp. 13-24, 2013. 논문지
  20. K. I. Choi, D. Y. Jung, "The Relationships between Knowledge of Diabetes, Barrier and Compliance with Sick Role Behavior of Diabetic Patients", Journal of Nursing Science, Vol. 22, No. 2, pp. 13-26, 2010. 논문지
  21. H. J. Hwang, M. S. Lee, J. Y. Hong, "Related Factors with Depression in the Rural People", Journal of The Korea Convergence Society, Vol. 2, No. 1, pp. 21-29, 2011. 논문지
  22. D. H. Park, E. H. Jang, "Convergence Factors Related Glycemic Control in Works with Diabetes Mellitus : using the Korean National Health and Nutrition Examination Survey, 2009-2013", Journal of The Korea Convergence Society, Vol. 6, N0. 6, pp. 95-103, 2015. 논문지 https://doi.org/10.15207/JKCS.2015.6.6.095
  23. M. S. Song, H. S. Kim, J. A. Oh, "Knowledge and Learning Needs Related to Coronary Artery Disease in Diabetic Patient by Glycemic Control", Journal of Korean Academic Society of Adult Nursing, Vol. 19, No, 5, pp. 27-36, 2007. 논문지