The Effects of a Diabetic Educational Program for Coping with Problem Situation on Self-efficacy, Self care behaviors, Coping and Glycemic Control in Type 2 Diabetic Patients

문제상황대처 교육 프로그램이 제2형 당뇨병 환자의 자기효능, 자기간호행위, 문제상황대처 행위 및 당조절에 미치는 효과

  • Ko Choun Hee (Department of Nursing, Gyeongsang National University) ;
  • Gu Mee Ock (Department of Nursing, Gyeongsang National University)
  • Published : 2004.12.01

Abstract

Purpose: This study was conducted to develop and to test the effects of an educational program for coping with problem situations as a nursing intervention in the diabetic patient. Method: A non-equivalent control group pretest-posttest design was used in this study. Data were collected from January to March, 2002. The subjects of the study consisted of 31 diabetic patients(experimental group : 17 patients, control group : 14 patients). The intervention of an educational program for coping with problem situations was applied to the experimental group for 4weeks(total 8 hours). Data were collected before the educational program, immediately after and 1 months later and were analyzed with repeated measures ANOVA, t-test, and paired t-test. Result: 1. There was a significant difference in self efficacy between the experimental and control groups (F=13.793, p=0.001). 2. There was a significant difference in self care behavior between the experimental and control groups (F=4.583, p=0.041). 3. There was a significant difference in coping behavior of the problem situation between the experimental and control groups (F=62.018, p=0.000). There was a significant difference according to experimental stages(F=4.546, p=0.015) and interaction between education and experimental stages(F=12.039, p=0.000). 4. There was a significant difference in glycemic control between the experimental and control groups (t=-3.112, p=0.004). Conclusion: These results support that a diabetic educational program for coping with problem situations is effective in promoting and maintaining self efficacy, self care behavior, problem coping behaviors and in improving glycemic control. Thus this program can be recommended as an effective nursing intervention of in-depth education for diabetic patient.

Keywords

References

  1. Anderson, B. J., Wolf, F. M., Burkhart, M. T., Cornell, R. G., & Bacon, G. E. (1989). Effect of Peer-Group Intervention on Metabolic control of Adolescents with IDDM. Diabetes Care, 12(3), 179-183
  2. Baik, K. S. (2001). The Effect of a Diabetic Education Program on Self-Care Behavior and Glucose Metabolism in Type 2 Diabetic Patients. J Korean Com Nurs, 12(2), 390-396
  3. Bandura, A. (1977). Social Learning Theory. Englewood Cliffs
  4. Choi, E. O. (1999). Effects of Empowerment Education Program for the Type 2 Diabetics on the Empowerment, Self-Care Behavior and the Glycemic Control. Unpublished doctoral dissertation, Seoul National University, Seoul
  5. Chon, J. H., Jung, S. B., & Son, H. S. (1999). Self-Care Related Factors in Patients with Diabetes. J Korean Diabetes Association, 23(2), 193-205
  6. Cook, S., Aikens, J. E., Berry, C. A., & McNabb, W. L. (2001). Development of the Diabetes Problem-Solving Measure for Adolescents. Diabetes Educator, 27(6), 865-873
  7. Crabtree, M. L. (1986). Self efficacy and Social support as Predictors of Diabetic self care. Unpublished doctoral dissertation, University of California, San Francisco
  8. Gu, M. O. (1994). A Study of the Relationship among Self Efficacy, Self Regulation, Situational Barriers and Self Care Behavior in Patients with Diabetes Mellitus. J Korean Acad Nurs, 24(4), 635-651
  9. Gu, M. O. (1996). The Effect of a Self Regulation Education Program for the Promotion & Maintenance of Self Care Behavior in the Chronically III Patients -For Diabetic Patients -. J Korean Acad Nurs, 26(2), 413-427
  10. Hwang, A. R., & Kim, C. J. (2000). The Development of Exercise Therapy Protocol Applied to an Efficacy Expectation Promoting Program in Type 2 Diabetes Mellitus Patients. J Korean Fund Nurs, 7(3), 366-378
  11. Kim, C. J. (1996). The Effects of Exercise Therapy Applied in an Efficacy Expectation Promoting Program on Self-Efficacy and Metabolism in NIDDM. Unpublished master's thesis. Yonsei University, Seoul
  12. Korea Diabetes Association (1995, 2000). Diabetes Mellitus. Seoul: Korea Medical Pub.
  13. Korea Diabetes Association (2003). Standards of Medical Care for Patients with Diabetes Mellitus. Diabetes Mon, 4(3), 91-103
  14. Lazarus, R. S., & Folkmann, S. C. (1984). A Stress appraisal and Coping. New York : Springer Pub. Co.
  15. Lee, J. S., No, S. O., Sin, D. S., Kim, M. H., & Jeong, Y. M. (2000). The Experience of Life with Diabetes. J Korean Acad Nurs, 30(5), 1219-1229
  16. Lee, S. H. (2002). Effect of Self-Efficacy Promoting Program on Self-Care Behaviors and Metabolic Control in Patients with NIDDM. Unpublished doctoral dissertation, Chonnam National University, Gwangju
  17. Ministry of Health and Welfare (2002). An Annual Report of Statistics
  18. Orem, D. E. (1985). Nursing : Concepts of Practice(3rd ed.). McGraw-Hill Book
  19. Park, G. S., & Lee, S. Y. (2003). Compliance and Need Assessment for Diet Therapy among Diabetics and Their Caregivers. Korean J Community Nutrition, 8(1), 91-101
  20. Park, H. S., Lee, Y. M., Choi, Y. O., Bai, Y. S., Na, J. H., & Kim, M. S. (2001). Effect of Diabetes Education Program on Glucose Metabolism and Lipid Metabolism, Self-Efficacy in NIDDM Patients. J Korea Rehabil Nurs. 4(2), 165-178
  21. Rosenstock, I. M. (1985). Understanding and Enhancing Patient compliance with Diabetic Regimen. Diabetes Care, 8(6), 610-616
  22. Song, M. S., Gu, M. O., Ryu, S. A., & Kim, M. S. (2002). Effect of a Self-Care Program Promoting Self-Efficacy for Community Elders with Diabetes. J Korean Geronto Nur Soc, 4(1), 27-37
  23. Thomas, A. M., Peterson, L., & Goldstein, D. (1997). Problem Solving and Diabetes Regimen Adherence by Children and Adolescents with IDDM in Social Pressure Situation. J Ped Psychol, 22(4), 541-561
  24. Yoo, J, H. (2000). A Study on the Relationship Self Care Behavioral Compliance and Perceived Self Efficacy in Type 2 Diabetic Patient. J Korean Fund Nurs, 7(3), 453-465