한국보건간호학회지 (Journal of Korean Public Health Nursing)

  • 제31권1호
  • /
  • Pages.71-83
  • /
  • 2017
  • /
  • 1226-0290(pISSN)
  • /
  • 2234-2869(eISSN)
한국보건간호학회 (Korean Society of public Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

1형 당뇨인 자기주도 캠프가 1형 당뇨병 대상자의 우울, 불안, 자아존중감 및 당뇨관리 자아효능감에 미치는 영향

Effect of a Self Lead Camp for Type 1 Diabetes on Depression, Anxiety, Self-respect and Self-efficacy with Type 1 Diabetes

  • 진철 (바다의 별 전문상담센터) ;
  • 김미영 (을지대학교 간호대학)
  • 투고 : 2016.11.11
  • 심사 : 2017.04.13
  • 발행 : 2017.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: It is thought to be crucial to guide diabetic children and adolescents through their adolescent period psychologically and emotionally. Therefore, we investigated what positive roles a type 1 diabetic camp program would play on subjects in terms of depression, anxiety, self-esteem and self-efficacy. Methods: This study evaluated 38 diabetic children and adolescents with type 1 diabetes who attended summer camp. Subjects were analyzed using a one-group pretest-posttest quasi-experimental research design. Results: There was a significant decrease in depression (t=3.55, p=.001) and anxiety (t=3.09, p=.004) after attending camp, as well as a significant improvement in self-efficacy (t=-3.64, p=.001). However, there was no significant change in self-esteem (t=0.14, p=.891). Conclusion: The results of this study indicate that type 1 diabetic camps are an effective intervention program to promote psychological and emotional stability among diabetic children; therefore, it is recommended that various diabetes programs related to camps be developed.

키워드

참고문헌

  1. Ahola, A. & Groop, P. H. (2013). Barriers to self‐management of diabetes. Diabetic Medicine, 30(4), 413-420. https://doi.org/10.1111/dme.12105
  2. American Diabetes Association. (2001). Standards of medical care for patients with diabetes mellitus. Puerto Rico Health Sciences Journal, 20(2), 175-188.
  3. Anderson, B. J., Auslander, W. F., Jung, K. C., Miller, J. P., & Santiago, J. V. (1981). Family characteristics of diabetic adolescents: relationship to metabolic control. Diabetes Care, 4, 586-594. https://doi.org/10.2337/diacare.4.6.586
  4. Battle, J. (1978). Relationship between self-esteem and depression. Psychological Reports, 42(3), 745-746. http://dx.doi.org/10.2466/pr0.1978.42.3.745
  5. Boo, S., Ahn, Y., Lee, J., Kang, N., Kang, H., & Sohn, M. (2016). Diabetes-specific quality of life of korean children and adolescents with Type 1 Diabetes. International Journal of Nursing Knowledge, 27(2), 62-69. http://dx.doi.10.1111/2047- 3095.12075
  6. Cho, S. & Lee, Y. (1990). Development of the Korean form of the Kovacs' children's depression inventory. Journal of the Korean Neuropsychiatric Association, 29(4), 943-956.
  7. Chung, M. J. & Yuh, J. I. (2009). Effects of individual and social factors on children's affective problems and self-worth. The Journal of Korean Association of Child Studies, 30(3), 71-83.
  8. Coopersmith, S. (1967). The antecedents of self-esteem. San Francisco : W. H. Freeman
  9. Couch, R., Jetha, M., Dryden, D. M., Hooton, N., Liang, Y., Durec, T., et al. (2008). Diabetes Education for Children With Type 1 Diabetes Mellitus and Their Families. Evidence Report/Technology Assessment No. 166. (Prepared by the University of Alberta/Capital Health Evidence-based Practice Center under Contract No. 290-02-0023.) AHRQ Publication No. 08-E011. Rockville, MD: Agency for Healthcare Research and Quality.
  10. Iannotti, R. J., Schneider, S., Nansel, T. R., Haynie, D. L., Plotnick, L. P., Clark, L. M., et al. (2006). Self-efficacy, outcome expectations, and diabetes self-management in adolescents with type 1 diabetes. Journal of Developmental & Behavioral Pediatrics, 27(2), 98-105. http://dx.doi.org/0196-206X/06/2702-0098 https://doi.org/10.1097/00004703-200604000-00003
  11. Jean C. (2016). Control the fluctuating blood glucose level. Seoul: RH Korea.
  12. Johnson S. B. (1980) Psychosocial factors in juvenile diabetes: a review. Journal of Behavioral Medicine, 3(1), 95-116. https://doi.org/10.1007/BF00844916
  13. Jun, K. H. (1999). (The) Effects of self-concept enhancement program on elementary school children's self-esteem and learning. Unpublished master's thesis, Korea National University of Education, Seoul.
  14. Kang, N., Ahn, Y., Lee, J. E., & Sohn, M. (2014). Effect of self-care education at a diabetes camp on diabetes management behaviors, knowledge and self-efficacy in children with type 1 diabetes. Child Health Nursing Research, 20(3), 168-175. http://dx.doi.org/10.4094/chnr.2014.20.3.168
  15. Kelly, R. B., Zyzanski, S. J., & Alemagno, S. A. (1991). Prediction of motivation and behavior change following health promotion: role of health beliefs, social support, and self-efficacy. Social Science & Medicine, 32(3), 311-320. http://dx.doi.org/10.1016/0277-9536(91)90109-P
  16. Korean Diabetes Association. (2009). Diabetes camp guide book. Retrieved October. 1, 2016, from http://www.diabetes.or.kr/general/pds/file/camp_guide.pdf
  17. Kovacs, M. (1992). Children's depression inventory: North Tonawanda, New York: Multi-Health System.
  18. Kovacs, M., Feinberg, T. L., Paulauskas, S., Finkelstein, R., Pollock, M., & Crouse-Novak, M. (1985). Initial coping responses and psychosocial characteristics of children with insulin-dependent diabetes mellitus. Journal of Pediatrics, 106, 827-834. https://doi.org/10.1016/S0022-3476(85)80368-1
  19. Lee, E. Y. (2003). Interpersonal stress, anxiety, and somatic complaints in children. Unpublished master's thesis, Sookmyung Women's University, Seoul, Korea.
  20. Lee, J. & Chung, H. (2010). Cognitive Triad : relationship with depression and anxiety in children. Cognitive Behavior Therapy in Korea, 9(2), 49-63.
  21. Lim, G. S. (2003). (The) Implementation effects of the psychological education program on self-esteem and others-acceptance in elementary school children. Unpublished master's thesis, University of Daegu National Education, Daegu, Korea.
  22. Lloyd, C. E., Dyer, P. H., Lancashire, R. J., Harris, T., Daniels, J. E., & Barnett, A. H. (1999). Association between stress and glycemic control in adults with type 1 (insulin-dependent) diabetes. Diabetes Care, 22(8), 1278-1283. http://dx.doi.org/10.2337/diacare.22.8.1278
  23. Mancuso, M. & Caruso-Nicoletti, M. (2003). Summer camps and quality of life in children and adolescents with type 1 diabetes. Acta Biomedica-Ateneo Parmense, 74(Suppl 1), 35-37.
  24. Mickley, K. L., Burkhart, P. V., & Sigler, A. N. (2013). Promoting normal development and self-efficacy in school-age children managing chronic conditions. Nursing Clinics of North America, 48(2), 319-328. http://dx.doi.org/10.1016/j.cnur.2013.01.009
  25. Miller, T. A. & DiMatteo, M. R. (2013). Importance of family/social support and impact on adherence to diabetic therapy. Diabetes, Metabolic Syndrome and Obesity Targets and Therapy, 6(6), 421-426. http://dx.doi.org/10.2147/DMSO.S36368
  26. Rhee, B. D., Koh, K. S., & Lee, H. K. (1995). Epidemiologic characteristics of type 1 diabetes in aged 30 years or under in Korea, 1994. Korean Diabetes Association, 19(suppl 1), 43.
  27. Shin, C. H. (2008). Epidemiologic characteristics of type 1 diabetes in children aged 14 years or under in Korea, 1985-2000. Korean Journal of Pediatrics, 51(6), 569-575. http://dx.doi.org/10.3345/kjp.2008.51.6.569
  28. Spielberger, C. D. (1973). State-Trait Anxiety Inventory for Children (STAIC): Preliminary Manual, Tennessee: Consulting Psychologists.
  29. Vasa, R. A., Carlino, A. R., & Pine, D. S. (2006). Pharmacotherapy of depressed children and adolescents: current issues and potential directions. Biological Psychiatry, 59(11), 1021-1028. http://dx.doi.org/10.1016/j.biopsych.2005.10.010
  30. World Health Organization. (2016, April). Framework on integrated, people-centred health services. Sixty-ninth world health assembly, Provisional agenda item 16.1.
  31. Yang Y. H. (1995). The relationship with caregiving context and caregiving stress and social support for wives caregivers of chronic ill patients. Journal of Korean Academy of Adult Nursing, 7(1), 85-105.
  32. Yoo, J. W., Han, K. J., Choe, M., & An, H. Y. (1997). Effect of diabetic camp program on the depression, self-efficacy and self-esteem in diabetic children and adolescent. Korean Journal of Child Health Nursing, 3(1), 19-29.
  33. Winkelstein, M. L. (1989). Fostering positive self-concept in the school-age child. Pediatric Nursing, 15(3), 229-233.