• Title/Summary/Keyword: 노인 당뇨

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A study on relationship between HbA1c, WHR, WTR and compliance in elderly diabetes mellitus patients (노인 당뇨병 환자의 당화혈색소, 허리/엉덩이둘레, 허리/허벅지둘레 및 치료지시이행과의 관계)

  • Yoo, Yong Kwon;Song, Min Sun
    • Journal of Home Health Care Nursing
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    • v.22 no.1
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    • pp.14-21
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    • 2015
  • Purpose: The purpose of this study was to identify relationships between HbA1c (Glycosylated Hemoglobin), WHR (Waist hip ratio), WTR (Waist thigh ratio) and compliance in elderly diabetes mellitus patients aged 65 years or over. Method: We conducted a survey and measured HbA1c, WHR, WTR in a total of 180 elderly patients with diabetes from 5 May 2014 to 30 May 2014. The data were analyzed by t-test, ANOVA, and Pearson's Correlation Coefficient using the SPSS program. Results: There were no significant differences in diabetes-related characteristics for HbA1c, WHR and WTR. However, patients with a family history had low compliance scores (p=.004). Furthermore, patients who visited the hospital regularly had higher compliance scores than patients who visited hospital when they were sick (p<.001). Patients with diabetic complications had low treatment compliance scores (p=.001). In addition, WHR and WTR (r=0.47, p<.001). and WHR and compliance (r=0.15, p=.045) showed positive correlation. Conclusion: For elderly diabetes mellitus patients, diabetes-related characteristics and compliance were highly related, so it is necessary to improve compliance for managing diabetes mellitus.

Self-care, Family Support and Depression in Elderly Patients with Diabetes Mellitus (노인 당뇨병 환자의 자가간호, 가족지지, 우울)

  • Park, Kee-Sun;Moon, Jung-Soon;Park, Sun-Nam
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.3
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    • pp.345-352
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    • 2009
  • Purpose: This study was done to investigate the degree of self-care, family support and depression, and relationship among these variables for elder with diabetes mellitus. Method: Participants were 202 diabetic patients, 65 years or over, living in Seoul, Korea. Data were collected using the self-care tool for diabetic patients by Kim (1996), the family support tool for diabetic patients by Park (1984), and Korea's BDI scale by Lee (1995). Results: Of the patients, 43.1% showed HbAlc levels than higher 7%. The highest mean score was for self-care for medication compliance, and the lowest for blood glucose testing compliance. Factors affecting self-care were employment, education, HbAlc level, diabetic self-care education and complications. Factors affecting family support were living with family, diabetic self-care education, hospitalization and complications. Factors affecting depression were gender, living with family and complications. All of these factors were significant. Patients experiencing depression were 16.8% of patients. There was a significant positive correlation between self-care and family support, and significant negative correlations between self-care and depression, and family support and depression. Conclusion: For more effective management of diabetes mellitus in elders, improvement in self-care compliance, and family support are needed.

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Factors Influencing Self-Care Behaviors Related to Insulin Therapy in Elders with Diabetes Mellitus (노인 당뇨병환자의 인슐린요법 관련 자가간호행위에 대한 영향요인)

  • Sohn, Na-Yeong;Yang, Jin-Hyang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.20 no.1
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    • pp.27-36
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    • 2013
  • Purpose: Self-care behavior is a key dimension of healthcare quality among elderlys with diabetes mellitus. The purpose of this study was to identify factors associated with self-care behaviors related to insulin therapy among elders with diabetes mellitus. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 147 older adult patients with diabetes mellitus receiving insulin therapy. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS statistics 19.0 program. Results: Participants' self-care behaviors related to insulin therapy were not adequate. Stepwise multiple regression analysis for self-care behaviors related to insulin therapy revealed that the most powerful predictor was self-efficacy. Self-efficacy, family support and frequency of blood sugar test explained 54.4% of the variance in self-care behaviors related to insulin therapy. Conclusion: The results indicate a need to promote self-efficacy, family support and frequency of blood sugar testing with these participants. In addition, strategies to improve self-care behaviors among elderly patients should be considered by health professionals, family members and the elderly patients themselves.

Effects of the Pair-Work based Health Coaching Program for Elderly Diabetic Patients (노인 당뇨병 환자의 짝 활동 기반 건강코칭 프로그램 효과)

  • Lim, Sun Young;Kim, Nam Hea
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.457-472
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    • 2020
  • Purpose: This study examined how a pair-work based health coaching program for the self-care of elderly diabetic patients effects the patients' diabetes self-management knowledge, perceived social support, diabetes self-efficacy, and diabetes self-management behaviors in patients with diabetes. Method: The participants of this study were 55 elderly diabetic patients aged 65 years or older enrolled at elderly welfare centers in U city;26 patients in the experimental group and 29 in the control group. The program consisted of eight group coaching sessions and four sessions of phone-based individual interviews and coaching, that were implemented once a week for 12 weeks. Results: Compared to the control groups, the experimental group showed significant improvement in self-care knowledge, social support, diabetes self-efficacy, self-management behavior, fasting blood sugar and glycated hemoglobin level. Conclusion: The health coaching program is an effective intervention for the self-management of elderly diabetics.

The Effect of Game-based Serious Contents on Self-Efficacy and Cognitive Function in Elderly Diabetic Patients (게임을 활용한 기능성 콘텐츠가 노인 당뇨환자의 자기효능감, 인지기능에 미치는 영향)

  • Ahn, Tae-Hong;Kim, Yu-Jeong;Wie, Seoung Uk
    • Journal of Korea Game Society
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    • v.17 no.4
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    • pp.149-160
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    • 2017
  • In 2016, we developed serious content for diabetes (Roly Poly 160) for diabetes, and then revised and supplemented them to serious game contents for self-care throughout diabetes, reflecting the needs of diabetes and health educators. We investigated the clinical efficacy. This study was one-group pretest-posttest design, 49 people with diabetes who were admitted to a hospital in the G region were given self-management training through 'Roly Poly 160' for 5 days, from February 27 to April 21, 2017, once a day. As a result of the study, the fasting blood glucose level and the postprandial blood glucose level of the subjects were significantly decreased (p<.000), and the self-efficacy and cognitive function were significantly increased (p<.000).

성인병 뉴스 제314호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.314
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    • pp.1-26
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    • 2007
  • 강원도 횡성군 보건소 염경숙 소장/대대적 국가암관리사업 추진/노인장기요양보험 3차 시범 내달 시행/만성질환 예방의식 고취 총력/65세 이상 노인 30%가 당뇨 환자/성인 3명 중 1명 중증 안구건조증 환자/“감 잘못 먹으면‘위석’생긴다”/방문보건.재가복지통합사업 성과 커/자율방역봉사단 구성 맞춤형 모기방제 실시/보건의료투자 전략, 어떻게 추진되나/고령친화 모델지역 기본 구상/생명표 작성, 국민건강실태 분석/

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Design of HealthCare Service System for Diabetes Patients Using RFID (RFID를 이용한 당뇨병 환자 헬스케어 서비스 시스템 설계)

  • Lee, Young-Soon;Lee, Mal-Rey
    • Proceedings of the Korean Information Science Society Conference
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    • 2006.10a
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    • pp.43-47
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    • 2006
  • 개인의 삶의 질과 관련되어 건강과 가장 밀접한 관계가 있는 헬스케어 서비스 분야에서 유비쿼터스 비즈니스 모델의 개발이 활발히 이루어지고 있다. 최근 서구화된 식생활과 고령화로 암, 당뇨, 고혈압 등 만성 질환과 노인성 질환이 우리나라에서도 증가하고 있다. 단순히 혈액 중의 당이 높은 것만으로는 즉각적인 증상을 보이지 않는다. 하지만 당뇨병으로 인한 심각한 합병증이 발생할 수 있으므로 당뇨병의 치료 및 예방이 중요하다. 따라서 본 논문에서는 유비쿼터스의 핵심 기술 중 하나인 RFID를 이용하여 당뇨병 환자들의 혈당 및 혈압을 모니터링 하고 식사, 운동, 인슐린 등을 조절하는 헬스케어 서비스 시스템을 구현한다

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Life Care I 노안 - 돋보기 없으면 신문도 못 봐요 - 세월과 함께 찾아오는 증상 노안 제대로 알기 -

  • Im, Chae-Yeong
    • The Monthly Diabetes
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    • s.219
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    • pp.28-31
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    • 2008
  • 2007년 한국인의 평균 수명은 78.5세(여성 82세, 남성 75세)로 나타났다. 의학의 발달은 세계적으로 노인인구를 증가시키고 있고 이미 우리나라도 유엔이 분류한 고령화 사회로 진입했다. 단순히 얼마나 오래 살았느냐를 나타내는 지표인 '평균수명'보다 건강하게 얼마나 살았느냐를 나타내는 지표인 '건강수명'이 더 중시되는 시대가 된 것이다. 건강수명 중에서도 '눈의 건강'은 젊게 사는 인생의 중요한 잣대이며 이에 따라 나이가 들면서 생기는 증상 중 하나인 노안에 대한 관심도 높아지게 됐다. 여기서 한 가지 주목할 점은 평균수명이 늘어나도 노안이 찾아 오는 시기는 45세에서 오히려 내려가고 있다는 점이다. 대개 45세 전후가 보편적이나 이전에 비해 30대 후반에 노안이 찾아오는 경우가 늘어나고 있는 것이 현실이다. 노안은 가까운 거리의 물체가 잘 보이지 않는 증상으로 노인들에게 흔히 나타나는 증상 중 하나였으나 최근엔 30대 후반에도 빈번하게 나타나고 있으니 적절한 관리와 주의가 요망된다. 그렇다면 노안의 증상과 치료방법에는 어떠한 것들이 있는지 알아보자.

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