디지털융복합연구 (Journal of Digital Convergence)

  • 제18권10호
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  • Pages.371-379
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  • 2020
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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사업장의 당뇨 환자를 위한 모바일 중재프로그램 적용 효과

Effects of Mobile Health Intervention for Employees with Diabetes in Workplace

  • 서범준 (한양대학교 임상간호대학원)
  • Seo, Bum-Jeun (Graduate School of Clinical Nursing, HanYang University)
  • 투고 : 2020.09.29
  • 심사 : 2020.10.20
  • 발행 : 2020.10.28
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초록

본 연구의 목적은 당뇨로 진단받은 임직원 대상으로 모바일을 통한 중재프로그램의 효과를 확인하기 위함이다. A직장의 임직원중 공복혈당 (Fasting Blood Glucose≥100mg/dL)에 해당하는 101명을 대상으로 부속의원에서 간호사가 혈액, 혈압 그리고 체질량지수를 측정하였다. 참여자에게 매일 혈당을 스스로 체크하도록 교육하고 12주간 혈당, 식이 그리고 운동에 대한 문자메시지를 제공하였다. 참여자의 일반적 특성은 기술통계로, 참여전과 참여 후는 paired t-test를 이용하여 혈당, 체질량지수 그리고 혈압을 확인하였다. 그 결과 공복시 혈당의 평균값이(129.38±1.95에서 123.63±1.82) 감소하였다(P<0.001). 체질량지수(26.20±0.29에서 25.81±0.28, P<0.000)와 이완기 혈압(124.60±1.03에서 122.56±1.05, P<0.032), 그리고 수축기 혈압(79.86±0.83에서 78.06±0.79, P<0.017)이 감소하였고 이는 통계적으로도 유의하였다. 당뇨를 가진 임직원에게 모바일을 활용하여 약물복용, 운동 그리고 식이에 대해 중재하는 프로그램을 개발하는데 기초자료로 활용되어지기를 기대한다.

This study aims to evaluate the effect of mobile health intervention for employees with diabetes. The study subjects were 101 employees having fasting blood glucose over 100 mg/dL. The study participants were educated to check their blood sugar before meals every day, and received text messages to help improve general lifestyle habits for blood sugar, diet, and exercise for 12 weeks. There was a sufficient difference in blood sugar, body mass index and blood pressure before and after the intervention. As a result, fasting blood glucose(129.38±1.95 to 123.63±1.82) decreased(P<0.001). Body mass index(26.20±0.29 to 25.81±0.28, P<0.000), diastolic blood pressure(124.60±1.03 to 122.56±1.05, P<0.032), and systolic blood pressure(79.86±0.83 to 78.06±0.79, P<0.017) decreased, which were also statistically significant. It is expected that this study will be used as basic data to develop a self care program by using mobile and apply it to employees with diabetes.

키워드

참고문헌

  1. WHO (World Health Organization). (2020). Global Action Plan for the Prevention and Control of NCDs 2013-2020 https://www.who.int/nmh/events/ncd_action_plan/en/
  2. IDF (International Diabetes Federation). (2017). IDF Diabetes, Atlas 8th Edition 2017. https://www.idf.org/e-library/epidemiology-research/diabetes-atlas.html
  3. OECD, Health at a Glance. (2017). OECD Indicators, OECD Publishing, Paris[Chapter 6. Quality And Outcomes Of Care / Daibetes care]. http://dx.doi.org/10.1787/health_glance-2017-en
  4. Korea Health Statistics 2016, Korea National Health and Nutrition Examination Survey, [Internet]. http://knhanes.cdc.go.kr/
  5. OECD, Health at a Glance. (2017). OECD Indicators, OECD Publishing, Paris[Chapter 3. Health Status / Diabetes prevalence]. http://dx.doi.org/10.1787/health_glance-2017-en
  6. S. Kwon & H. Park. (2019). Association among Lifestyle Factors, Obesity, C-peptide Secretion, Metabolic Syndrome, and Cardiovascular Risk in Adults with Newly Diagnosed Type 2 Diabetes Mellitus: A Case Study. Journal of Health Informatics and Statistics, 44(2), 125-133. DOI : 10.21032/jhis.2019.44.2.125
  7. C. Kim, S. H. Lee & S. K. Cha. (2017). Influencing Factors on Cardio-cerebrovascular Disease Risk Factors in Young Men: Focusing on Obesity Indices. Journal of Korean Biological Nursing Science, 19(1), 1-10. DOI : 10.7586/jkbns.2017.19.1.1
  8. Korean Diabetes Association. (2019). Treatment Guideline for Diabetes 6th ed. https://www.diabetes.or.kr/newsletter/2019/file/mail_190520_file1.pdf
  9. P. Tuso. (2014). Prediabetes and lifestyle modification: time to prevent a preventable disease. The Permanente Journal, 18(3), 88-93. DOI : 10.7812/TPP/14-002
  10. S. Hamine, E. Gerth-Guyette, D. Faulx, B. B. Green & A. S. Ginsburg. (2015). Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review. Journal of medical International research, 17(2), e52. DOI : 10.2196/jmir.3951
  11. J. Y. Kim. (2019). Characteristics of the Diabetic Life Cycle. The Journal of Korean Diabetes, 20(1), 53-56. https://doi.org/10.4093/jkd.2019.20.1.53
  12. K. M. Jung, S. J. Lee, E. S. Park, Y. J. Park, S. G. Kim & D. S. Choi. (2015). Self-Care and Related Factors in Young and Middle Adulthood Patients with Type 2 Diabetes. Journal of Korean Diabetes, 16(1), 65-77. DOI : 10.4093/jkd.2015.16.1.65
  13. B. H. Noh, M. J. Lee, S. G. Kwon & B. K. Kim. (2020). The Effect of Healthcare Service of Employees at a Workplace Using Mobile. Medico-legal Update, 20(1), 2277-2282. DOI : 10.37506/v20/i1/2020/mlu/194646
  14. K. S. Chang, K. Lee & H. S. Limi. (2006). Glycemic Control and Health Behaviors through Diabetes Mellitus Education in a Clinic. Diabetes and Metabolism Journal, 30(1), 73-81.
  15. C. C. Quinn, S. S. Clough, J. M. Minor, D. Lender, M. C. Okafor & A. Gruber-Baldini. (2008). WellDoc mobile diabetes management randomized controlled trial: change in clinical and behavioral outcomes and patient and physician satisfaction. Diabetes Technology and Therapeutics, 10(3), 160-168. DOI : 10.1089/dia.2008.0283
  16. M. J. Lee & H. K. Kang. (2017). Effects of Mobile based-Healthcare Service using Human Coaching to the Self-care of Diabetes. Journal of Convergence for Information Technology, 7(4), 83-89. https://doi.org/10.22156/CS4SMB.2017.7.4.083
  17. K. S. Chang, K. Lee & H. S. Limi. (2006). Glycemic Control and Health Behaviors through Diabetes Mellitus Education in a Clinic. Diabetes and Metabolism Journal, 30(1), 73-81.
  18. Y. Y. Song, K. S. Lee, H. Y. Cho & B, Lee, (2014). Client-Centered Self Management Program for Chronic Disease Patients: Focusing on Hypertension, Diabetes Mellitus. Korean Journal of Health Education and Promotion, 31(4), 93-106. DOI : 10.14367/kjhep.2014.31.4.93
  19. S, J. Chang. S. Y. Choi SY, S. A. Kim & M. S. Song. (2014). Intervention strategies based on information-motivation-behavioral skills model for health behavior change: A systematic review. Asian Nursing Research, 8(3), 172-181. DOI : 10.1016/j.anr.2014.08.002
  20. S. A. Min, M. J. Lee & M. J. Im. (2018). Effects of the Result of In-Company Medical Checkup and Diet and Exercise Monitoring using a Mobile Application on Changes in Employees' Body Composition. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 8(5), 559-568. DOI : 10.21742/AJMAHS.2018.05.38
  21. S. J. Oh. (2014). Design of Sensor-based Healthy Diet App for Smartphones. Journal of the Institute of Internet. Broadcasting and Communication, 14(4), 141-147. DOI : 10.7236/JIIBC.2014.14.4.141
  22. B. R. Wang, J. Y. Park & I. Y. Choi. (2011). Influencing Factors for the Adoption of Smartphone Healthcare Application. Journal of the Korea Contents Association, 11(10), 396-404. DOI : 10.5392/JKCA.2011.11.10.396
  23. M. J. Lee, H. K. Kang & B. J. SEO. (2016). Correlation between Outpatient's Medical Adherence and National Insurance Type in the Type 2 Diabetes Mellitus. Journal of Convergence for Information Technology, 8(4), 9-14. https://doi.org/10.22156/CS4SMB.2018.8.4.009
  24. C. G. Parkin, A. Buskirk & D. A. Axel-Schweitzer. (2012). M. Results that matter: structured vs. unstructured self-monitoring of blood glucose in type 2 diabetes. Diabetes Res Clin Pract, 97, 6-15. DOI : 10.1016/j.diabres.2012.03.002
  25. Ordinance of the Ministry of Health and Welfare in Korea. (2020). $\S$32 (Special Exception to Establishment of Auxiliary Medical Institutions). http://www.law.go.kr/lsSc.do?menuId=1&subMenuId=23&query=%EC%9D%98%EB%A3%8C%EB%B2%95%20%EC%8B%9C%ED%96%89%EA%B7%9C%EC%B9%99#undefined
  26. J. H. No. (2004). Symposium for activating nutrition education program for health promotion of workers. J Korean Diet Assoc, 10(1), 69-76.
  27. I. Suh, B. J. Shaten, J. A. Cutler & L. H. Kuller. (1992). Alcohol use and mortal\-ity from coronary heart disease: the role of high-density lipoprotein cholesterol. The Multiple Risk Factor Intervention Trial Research Group. Ann Intern Med, 116(11), 881-887. https://doi.org/10.7326/0003-4819-116-11-881
  28. J. H. Kim. K. M. Lee, H. Y. Kim, C. H. Song & S. P. Jung. (2000). The effects of cigarette smoking on abdominal fatness. J Korean Acad Fam Med, 21(9), 1172-1179.
  29. T. J. Moore, N. Alsabeeh, C. M. Apovian, M. C. Murphy, G. A. Coffman, D. C. Dugan, M. Jenkins & H. Cabral. (2008). Weight, blood pressure, and dietary benefits after 12 months of a Web-based Nutrition Education Program (DASH for health): longitudinal observational study. J Med Internet Res 10(4), e52. https://doi.org/10.2196/jmir.1114
  30. H. E. Kim, E. J. Kim & G. E. Kim, (2015). The Effects of Diabetes Management Programs using Mobile App: A Systematic Review and a Meta-Analysis. Journal Of Contents, 15(1), 300-307.