DOI QR코드

DOI QR Code

제2형 당뇨병 환자의 자가간호행위, 임파워먼트 및 사회적 지지가 당화혈색소에 미치는 영향

The Influence of Self-care Behaviors, Empowerment and Social Support on Glycosylated Hemoglobin in Patients with Type 2 Diabetes

  • 투고 : 2017.04.23
  • 심사 : 2017.06.17
  • 발행 : 2017.06.30

초록

Purpose: The purpose of the study was to analyze the effects of self-care behavior, empowerment, and social support on glycosylated hemoglobin in patients with type 2 diabetes. Methods: The data were collected during the period of July 1 to July 31, 2016. In total, 172 participants were recruited from outpatients who had been diagnosed with type 2 diabetes at a health care center, a health promotion center at National Health Insurance Corporation, and a tertiary hospital. Statistical data were analyzed with SPSS 20.0 using frequency analysis, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and hierarchical regression analysis. Results: The study results showed that self-care behavior (${\beta}=-.34$, p<.001), empowerment (${\beta}=-.34$, p<.001), and social support (${\beta}=-.20$, p=.018) were found to be influential factors affecting glycosylated hemoglobin, with an overall descriptive power of 69%. Conclusion: Self-care behavior, empowerment, and social support are considered to be important factors in blood glucose management for the patients with type 2 diabetes. Therefore, self-caring blood glucose programs and internal synchronizing education through social support and empowerment need to be improved.

키워드

참고문헌

  1. Minister of Health and Welfare. Korea national health and nutrition examination survey [Internet]. Seoul: Minister of Health and Welfare. 2014 [cited 2016 August 31]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do
  2. Statistics Korea. Cause of death statistics of Korea [Internet]. Seoul: Statistics Korea. 2014 [cited 2016 August 31]. Available from: http://kostat.go.kr/portal/index/statistics.action
  3. Park LB, Baik SH. Epidemiologic characteristics of diabetes mellitus in Korea: Current status of diabetic patients using Korean health insurance database. Korean Diabetes Journal. 2009; 33(5):357-362. https://doi.org/10.4093/kdj.2009.33.5.357
  4. Korea National Diabetes Program. Clinical practice guideline for the prevention and management of diabetes in Korea. Seoul: Medbook; 2015. 389 p.
  5. American Diabetes Association. Standards of medical care in diabetes -2011. Diabetes Care. 2011;34(Supplement 1):S11-S61. https://doi.org/10.2337/dc11-S011
  6. 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. https://doi.org/10.5977/JKASNE.2008.14.1.012
  7. Kim SH, Kang HS. The relationship between depression, selfcare activity and HbA1c in clients with type 2 diabetes mellitus. Journal of Korean Academy of Fundamentals of Nursing. 2008;15(2):178-185.
  8. Park JY. A study on self management, HbA1c, and perceived health status for the type II diabetes patients. Journal of Korean Biological Nursing Science. 2010;12(2):106-113.
  9. Gu MO. A structural model for self care behavior and metabolic control in diabetic patient [dissertation]. [Seoul]: Seoul National University; 1992. 135 p.
  10. Choi EO. Development of empowerment program for the diabetes patients and the experiences of diabetes patient's empowerment process. The Journal of Korean Community Nursing. 2001;12(2):317-328.
  11. Tsay SL, Hung LO. Empowerment of patients with end-stage renal disease-a randomized controlled trial. International Journal of Nursing Studies. 2004;41(1):59-65. https://doi.org/10.1016/S0020-7489(03)000 95-6
  12. Park IH. Effects of empowerment education program for the patients having rheumatoid arthritis on empowerment, health status and self-care activities [dissertation]. [Seoul]: Chung-Ang University; 2001. 130 p.
  13. Langford CPH, Bowsher J, Maloney JP, Lillis PP. Social support: A conceptual analysis. Journal of Advanced Nursing. 1997;25(1):95-100. https://doi.org/10.1046/j.1365-2648.1997.1997025095.x
  14. Kang YJ. The association between social support and impaired fasting glucose, and type 2 diabetes [dissertation]. [Yongin]: Dankook University; 2015. 82 p.
  15. Choi Y. Correlationships between family support, self-care behaviors and quality of life in middle aged adults with diabetes mellitus [master's thesis]. [Seoul]: Ewha Womans University; 2002. 71 p.
  16. Kim YJ. Correlation between family support and self-care behavior in patients with type 2 diabetes [master's thesis]. [Seoul]: Kyunghee University; 2000. 58 p.
  17. Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943-950. https://doi.org/10.2337/diacare.23.7.943
  18. Chang SJ, Song MS. The validity and reliability of a Korean version of the summary of diabetes self-care activities questionnaire for older patients with type 2 Diabetes. Journal of Korean Academy of Adult Nursing. 2009;21(2):235-244.
  19. Keum HS, Suh SR. HbA1c, self-efficacy and self-care activities depending on the disease duration of type 2 diabetes mellitus patients. Journal of the Korea Contents Association. 2014;14 (12):303-312. https://doi.org/10.5392/JKCA.2014.14.12.303
  20. Anderson RM, Fitzgerald JT, Gruppen LD, Funnell MM, Oh MS. The diabetes empowerment scale-short form (DES-SF). Diabetes Care. 2003;26(5):1641-1642. https://doi.org/10.2337/diacare.26.5.1641-a
  21. Song MS. Construction of a functional status prediction model for the elderly [dissertation]. [Seoul]: Seoul National University; 1991. 141 p.
  22. Singh R, Press M. Can we predict future improvement in glycaemic control? Diabetic Medicine. 2008;25(2):170-173. https://doi.org/10.1111/ j.1464-5491.2007.02309.x
  23. Yu HY. Correlation between eating habits, exercise habits, stress, and glycosylated hemoglobin in patients with type 2 diabetes [master's thesis]. [Seoul]: Yonsei University; 2003. 69 p.
  24. De Groot M, Anderson R, Freedland KE, Clouse RE, Lustman PJ. Association of depression and diabetes complications: A meta-analysis. Psychosomatic Medicine. 2001;63(4):619-630. https://doi.org/10.1097/00006842-200107000-00015
  25. Scheel MJ, Rieckmann T. An empirically derived description of self-efficacy and empowerment for parents of children identified as psychologically disordered. American Journal of Family Therapy. 1998;26(1):15-27. https://doi.org/10.1080/01926189808251083
  26. Park CR, Song MS, Cho BL, Lim JY, Song W, Chang HK, et al. Effects of a multi-disciplinary approached, empowerment theory based self- management intervention in older adults with chronic illness. Journal of Korean Academy of Nursing. 2015;45(2):192-201. https://doi.org/10.4040/jkan.2015.45.2.192
  27. Yeom JH. Depression, illness perception, and social support of older adults before discharge from a general hospital [master's thesis]. [Seoul]: Hanyang University; 2016. 80 p.
  28. Cho WJ, Choi MN, Kim SS, Cho EH. Effect of social support and depression on self-care of older adults receiving percutaneous coronary intervention. The Journal of Korean Gerontological Nursing. 2010;12(2):119-130.
  29. Lee JK. Self-management and its predictors for patients with poorly controlled type 2 diabetes. The Korean Academic Society of Adult Nursing. 2009;21(5):447-457.
  30. Schiotz ML, Bogelund M, Almdal T, Jensen BB, Willaing I. Social support and self management behaviour among patients with type 2 diabetes. Diabetic Medicine. 2012;29(5):654-661. https://doi.org/10.1111/j.1464-5491.2011.03485.x

피인용 문헌

  1. 당뇨병 환자의 교육 경험에 따른 건강행태, 당뇨병 관리, 건강관련 삶의 질 비교 vol.43, pp.2, 2018, https://doi.org/10.5393/jamch.2018.43.2.085
  2. Relationships of health literacy to self‐care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator vol.74, pp.10, 2017, https://doi.org/10.1111/jan.13738
  3. 국내 만성질환자 임파워먼트 관련요인 고찰에 대한 융합연구 vol.11, pp.8, 2017, https://doi.org/10.15207/jkcs.2020.11.8.381
  4. 만성적인 신체질환을 가진 환자에게 적용된 임파워먼트 중재 연구 고찰 - 국내를 중심으로 vol.21, pp.8, 2017, https://doi.org/10.5762/kais.2020.21.8.455
  5. 고혈압 환자의 사회적 지지와 자가간호행위와의 관계 vol.15, pp.2, 2020, https://doi.org/10.22715/jkarhn.2020.15.2.49
  6. The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes vol.32, pp.1, 2017, https://doi.org/10.12799/jkachn.2021.32.1.86