DOI QR코드

DOI QR Code

기능성 게임을 접목한 모바일 헬스케어 앱이 당뇨환자의 자가간호수행에 미치는 효과

Effect of a Mobile Application Incorporating a Serious Game on the Self-care Behavior of Patient with Diabetes

  • 투고 : 2022.02.14
  • 심사 : 2022.03.20
  • 발행 : 2022.03.28

초록

본 연구는 지역사회 당뇨병 환자를 대상으로 자가간호에 대한 기능성 게임을 접목한 모바일 헬스케어 앱('롤리폴리 160')의 효과를 검증하고자 시도하였다. 개발된 '롤리폴리 160'의 품질을 자체 평가한 후, G광역시 병의원과 보건소에서 당뇨 진료를 받은 120명의 당뇨환자를 모집하였다. 동구에 거주하는 60명의 당뇨환자를 실험군으로 배치하여 '롤리폴리 160'을 12주 동안 하루 5-10 분, 일주일에 5번 이상 사용하도록 하였고. 서구에 거주하는 60명 대조군은 실험전 집단강의를 받고, 12주 동안 스스로 당뇨관리를 하도록 하였다. 두 군 모두에게 실험 전후 자가간호 수행을 측정하였다. 수집 된 데이터는 빈도분석, 기술통계, t-test, 교차분석하였다. 연구결과 실험군의 약물요법, 발관리, 운동요법, 식이요법 자가간호 점수가 사전보다 사후에 통계적으로 유의미하게 증가하였다. 반면, 대조군의 식이요법 자가간호 점수는 사전보다 사후에 통계적으로 유의미하게 감소한 것으로 나타났다. 따라서 향후 '롤리폴리 160'는 당뇨환자의 자가간호를 위한 간호중재 프로그램으로 활용될 수 있을 것이다.

This study attempted to investigate the effect of 'RolyPoly 160' on the self-care of diabetes in the community. The experimental group was 60 diabetes living in estern region, G-Metropolitan City, and 'RolyPoly 160' was used more than 5 times a week within 5-10 minutes for 12 weeks. The control group was a resident in the western region, and once received a group lecture in the beginning of the experiment, The study period was from July 1 to September 20, 2019. Self-care tests were conducted before and after the study. The collected data was analyzed with frequency analysis, descriptive statistics, independent sample t-test and cross-tabulation analysis. In the experimental group, drug therapy, foot care, exercise therapy, and diet self-care were statistically significantly increased than before the experiment. Therefore 'RolyPoly 160' can be used as a nursing intervention program to help diabetic patients perform self-care in the future.

키워드

과제정보

The study was supported by a grant from Chosun Nursing College(Grant no. 2019-07).

참고문헌

  1. P. William H., E. Jay, S. Susan, P. Donna J., M Mary & C. Reed. (2003). Integrating medical management with diabetes self-management training: a randomized control trial of the diabetes outpatient intensive treatment program. Diabetes Care, 26(11), 3048-3053. DOI : 10.2337/diacare.26.11.3048
  2. S. Y. Park & P. J. Oh. (2014). Factors influencing diabetes educational needs in patients with diabetes Mellitus. Journal of Academia-Industrial Cooperation Society, 15(7), 4301-4309. DOI : 10.5762/KAIS.2014.15.7.4301.
  3. E. J. Kim, J. S. Hyun, J. E. Choi & J. S. Seo. (2019). Effects of an diabetic-education program on knowledge and self-care in patients with type 2 diabetes in hospitalization. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 9(4), 479-487. DOI : 10.35873/ajmahs.
  4. C. G. Kim & C. H. Chung. (2002). Effects of telephone consulting program on self-efficacy and self-care in NIDDM patients. Journal of Korean Academy of Adult Nursing, 14(2), 306-314.
  5. S. Y. Jung. (2016). Development and evaluation of web-based diabetes self-management program for young adults with type 2 diabetes. [dissertation]. Seoul: Korea University.
  6. E. J. Jeon & H. A. Park. (2018). Development and effectiveness evaluation of diabetes self-management mobile application based on IMB model. Healthcare Informatics Research, 24(2), 125-138. DOI : 10.4258/hir.2018.24.2.125
  7. E. S. Choi & Y. Y. Eun. (2019). The effects of diabetes management using mobile application on physiological indicators and self-care behaviors of type 2 diabetes mellitus patients. Journal of the Korean Society for Wellness, 14(3), 401-411. DOI : 10.21097/ksw.2019.08.14.3.401
  8. H. M. Guo, H. K. Chang & C. Y. Lin. (2015). Impact of mobile diabetes self-care system on patients' knowledge, behavior and efficacy. Computers in Industry, 69(5), 22-29. DOI : 10.1016/j.compind.2014.11.001
  9. K. Mihiretu M. & P. Claudia R. (2019). Popular diabetes Apps and the impact of diabetes App use on self-care behavior: a survey among the digital community of persons with diabetes on social media. Frontiers in Endocrinology, 10(3), 1-14. DOI : 10.3389/fendo.2019.00135
  10. E. S. Choi & Y. E. Yi. (2019). The effects of diabetes management using mobile application on physiological indicators and self-care behaviors of type 2 diabetes mellitus patients. Journal of Wellness, 14(3), 401-411. DOI : 10.21097/ksw.2019.08.14.3.401
  11. H. U. Kim, E. J. Kim & K. E. Kim. (2015). The effects of diabetes management programs using mobile app: a systematic review and a meta-analysis, Journal of the Korea Contents, 15(1), 300-307. DOI : 10.5392/JKCA.2015.15.01.300
  12. M. Kirwan, C. Vandelanotte, A. Fenning & M. J. Duncan. (2013). Diabetes self-management smartphone application for adults with type 1 diabetes: randomized controlled trial, Journal Medical Internet Reserch, 15(11), e235. DOI : 10.2196/jmir.2588
  13. M. D. Adu, U. H. Malabu, A. E. O. Malau-Aduli & B, S. Malau-Aduli. (2018). The development of my care hub mobile-phone app to support self-management in australians with type 1 or type 2 diabetes. Scientific reports, 10(1), e7. DOI : 10.1038/s41598-0198-56411-0
  14. J. Hartz, L. Yingling, T. M. Powell-Wiley. (2016). Use of mobile health technology in the prevention and management of diabetes mellitus. Current Cardiology Reports, 18(12), 111-130. DOI : 10.1007/s11886-016-0796-8
  15. S. B. Chopoghlo, A. Hosseinkhani, L. Khedmat, M. Zaki-Nejad & M. Puryaghoob. (2021). The self-efficacy improvement in adolescent girls with type 1 diabetes mellitus with self-care education through mobile-based social networking. Intenational Journal of Diabetes in Developing Countries, 2(10), e10. DOI : 10.1007/s13410-021-00929-5
  16. Ministry of Science and ICT & National Information society Agency. (2020). 2020 The Survey on smart phone overdependence. https://www.nia.or.kr
  17. Y. J. Kim. (2016). The effects of diet education contents for the customized serious game development in type II diabetes. Journal of Korea Game Society, 16(4), 87-96. DOI : 10.7583/JKGS.2016.16.4.87
  18. H. Y. Lee & W. H. Lee. (2012). A case study on media facade applying a game. Journal of the Korean Society for Computer Game, 25(1), 107-115. https://doi.org/10.22819/KSCG.2012.25.4.012
  19. T. Woo & J. Yeom. (2012). A study on medical serious game: classification & possibility. Journal of Korea Game Society, 12(2), 91-99. DOI : 10.7583/JKGS.2012.12.2.091
  20. C. Gaudet-Blavignac & A. Geissbuhler. (2012). Serious games in health care: a survey. IMIA Yearbook of Medical Informatics, 7(1), 30-33. DOI : 10.1055/s-0038-1639427
  21. C. Jan, SV. Laura, JP. Rikke & L. Henning. (2016). The effect of game-based interventions in rehabilitation of diabetics: a systematic review and meta-analysis. Telemedicine and e-Health, 22(10), 789-797. DOI : 10.1089/tmj.2015.0165
  22. F. Yoshimi, G. Caryl L., J. Kevin L. & V. Eric. (2015). A novel diabetes prevention intervention using a mobile app: a randomized controlled trial with overweight adults at risk. American Journal of Preventice Medicine, 49(2), 223-237. DOI: 10.1016/j.amepre.2015.01.003
  23. H. Christoph, I. Denis, K. Christopher, K. Karsten, W. Steffen P. & S. T. Amo. (2019). Effectiveness of a behavior change technique-based smartphone game to improve intrinsic motivation and physical activity adherence in patients with type 2 diabetes: randomized controlled trial. JMIR Serious Games, 7(1), e11444. DOI : 10.2196/11444
  24. K. B. Price, G. David R., M. Graham. T., O. Jay. D., K. Katherins. E. & C. Paul. R. (2017). A team-based online game improves blood glucose control in veterans with type 2 diabetes: a randomized controlled trial. Diabetes Care, 40(9), 1218-1225. DOI : 10.2337/dc17-0310
  25. A. Demah, BA. Zahra M, A. Zainab F, A. Norah A, A. Turki M. (2020). Gamification for diabetes type 1 management: a review of the features of free apps in google play and app stores. Journal of Multidisciplinary Healthcare. 13, 425-432. DOI : 10.2147/JMDH.S249664
  26. H. Christoph, M. Olivia, A. Muriel, K. Christopher, K. Karsten, I. Denis, W. Steffen P. & S. T. Amo. (2019). Novel smartphone game improves physical activity behavior in type 2 diabetes. American Journal of Preventive Medicine, 57(1), 41-50. DOI : 10.1016/j.amepre.2019.02.017
  27. Y. J. Kim. (2018). A follow-up study of the effects of mobile serious game application on diabetes. Journal of Korea Game Society, 18(4), 43-52. DOI : 10.7583/ JKGS.2018.18.4.43
  28. T. H. Ahn, Y. J. Kim & S. U. Wie. (2017). The effect of game-based serious contents on self-efficacy and cognitive function in elderly diabetes. Journal of Korea Game Society, 17(4), 149-159. DOI : 10.7583/JKGS.2017.17.4.149
  29. J. S. Lee. (2009). A study on prioritizing the supply quality of educational on-line game. Journal of the Korean Society for Computer Game, 6(17), 47-56.
  30. E. O. Choi. (1999). Effects of empowerment education program for the type 2 diabetics on the empowerment, self-care behavior and the glycemic control. [dissertation]. Seoul: Seoul National University.
  31. J. M. Choe. (2010). Smart phone based personalized menu management system for diabetes patient. Journal of the Korea Contents Association, 10(12), 1-9. DOI : 10.5392/ JKCA.2010.10.12