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당뇨 환아의 극복력, 가족지지와 질병적응의 관련성

The Relationships among Resilience, Family Support, and Diabetes Adaptation in Children with Diabetes Mellitus

  • 김용미 (삼성서울병원) ;
  • 방경숙 (서울대학교 간호대학.간호과학연구소)
  • Kim, Yongmi (Samsung Medical Center) ;
  • Bang, Kyung-Sook (College of Nursing.Research Institute of Nursing Science, Seoul National University)
  • 투고 : 2017.03.24
  • 심사 : 2017.04.17
  • 발행 : 2017.04.30

초록

Purpose: This study was conducted to identify the disease adaptation and related factors for the pediatric patients with diabetes mellitus. Methods: Participants in this study were 75 diabetic children or adolescent whose age were 10 to 18 years old visited the out-patient clinic in one general hospital located in Seoul. Data were collected using self-report questionnaires. Research tools measuring resilience, family support, psychological adaptation, Hemoglobin A1c (HbA1c) protein were used. Results: Resilience showed significant differences according to the age, gender, academic achievement, and hospitalization experience of the children. Family support was significantly different according to the age, religion, academic achievement, fathers' education level, and hospitalization experience of the children. Psychological adaptation to diabetes showed significant differences according to academic achievement. HbA1c was shown to be significant difference according to fathers' education level and hospitalization experience of the children. Positive correlations were identified among resilience, family support, and psychosocial adaptation, while negative correlations were found between HbA1c and all others including resilience, family support, and psychosocial adaptation. Conclusion: This study suggests that the educational programs as nursing intervention needs to be developed to enhance the resilience and family support for the pediatric diabetic patients.

키워드

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피인용 문헌

  1. Association of Resilience and Depression with Self-care Competence in Adult Patients with Diabetes Mellitus vol.30, pp.5, 2017, https://doi.org/10.7475/kjan.2018.30.5.555
  2. 말초동맥질환자의 건강 관련 삶의 질에 영향을 미치는 요인 vol.30, pp.3, 2018, https://doi.org/10.7475/kjan.2018.30.3.266
  3. Impact of resilience on the health‐related quality of life of adolescents with a chronic health problem: A structural equation approach vol.75, pp.4, 2019, https://doi.org/10.1111/jan.13888
  4. 제1형 당뇨병 청소년의 자기관리 영향요인: 정보-동기-행동기술 모델을 기반으로 vol.25, pp.2, 2017, https://doi.org/10.4094/chnr.2019.25.2.234