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A Study on the Performance and Utilization of Results of Self-monitoring of Blood Glucose in Type Ⅱ Diabetes

일 병원 제2형 당뇨병환자의 자가혈당검사 수행 및 활용 실태

  • Received : 2010.06.10
  • Accepted : 2010.12.14
  • Published : 2010.12.31

Abstract

Purpose: This study was conducted to investigate performance of self-monitoring of blood glucose and the utilization of results for people with type II diabetes. Method: Data was collected from 177 patients with type II diabetes using a questionnaire from August to September, 2009. Result: Most participants performed self-monitoring of blood glucose in the correct way while some misused the lancet or test strips. In the utilization of results for self-monitoring blood glucose data, 62% of participants always recorded the data, 46% always understood the cause for hyperglycemia or hypoglycemia, 25% changed their diet, 23% regulated their exercise-amount, and 11% of participants adjusted the drug dosage. There were significant differences in the performance of self-monitoring of blood glucose and the utilization of results according to the characteristics in the self-monitoring subjects such as awareness of HbA1c, target fasting glucose level, target fasting glucose level 2 hours after meal etc. Conclusion: Systemic self-monitoring of blood glucose education which includes the utilization of self-monitoring of blood glucose needs to be developed for type II diabetic patients.

Keywords

References

  1. 곽은영, 전현숙, 국영희, 추성애, 이선정, 김잔디, 남궁상, 주현미, 정진희, 강지희 (1999). 당뇨병환자의 자기조절행위 실태조사: 자가혈당검사를 실시하는 환자를 대상으로. 임상간호연구, 5(1), 45-58.
  2. 구미옥, 유주화, 엄동춘 (1994). 자가혈당검사를 수행하는 당뇨병 환자의 자기조절행위에 관한 조사연구. 당뇨병, 18(3), 235-241.
  3. 김지현, 장상아 (2009). 당뇨병 교육이 환자의 혈당 조절과 자가 관리에 미치는 영향. 당뇨병, 33(6), 518-525. https://doi.org/10.4093/kdj.2009.33.6.518
  4. 김희승 (2003). 휴대폰 문자메시지 교육이 제2형 당뇨병환자의 공복혈당과 자가관리에 미치는 효과. 대한기초간호자연과학회지, 5(2), 13-19.
  5. 대한당뇨병교육간호사회 (2008, 2월). IDF Guideline에 근거한 당뇨병 교육 체크리스트. 대한당뇨병교육간호사회 제 11차 학술대회 및 제 8차 정기총회, 서울.
  6. 대한당뇨병학회 (2007). Diabetes in Korea 2007. 서울: 황금어장
  7. 박영진, 서수미, 한성호 (2008). 당뇨병 환자의 자가 주사 및 자가혈당측정과 관련된 공포와 혈당조절 및 당뇨병 자가관리상태. 가정의학회지, 29(10), 768-780.
  8. 송민선, 송기호, 고승현, 안유배, 김준성, 신진희, 조양경, 윤건호, 차봉연, 손호영, 이동한 (2005). 체계적인 당뇨병 교육이 당화혈색소가 높은 제2형 당뇨병환자에게 미치는 장기효과. 당뇨병, 29(2), 140-150.
  9. 안성홍, 신호균, 홍관수, 차봉연, 이광우, 손호영 (1988). 자가혈당조절법 시행자의 시행양상 및 인식도에 대한 고찰. 당뇨병, 12(2), 226.
  10. 이영란, 강미애, 김파근 (2008). 당뇨입원교육프로그램이 제2형 당뇨병 환자의 지식, 자기효능감, 자가관리 및 당 조절에 미치는 효과. 한국간호교육학회지, 14(1), 12-19.
  11. 이혜진, 한경아, 민경완, 김응진 (2005). 18년간 종합병원 당뇨병환자의 경향 분석. 당뇨병, 29(3), 239-246.
  12. 이창관 (2000). 제2형 당뇨병환자의 자가혈당검사 수행실태조사연구. 연세대학교 대학원 석사학위논문, 서울.
  13. American Diabetics Association (2010). Standards of medical care in diabetes. Diabetes Care, 33(supple 1), S11-S61. https://doi.org/10.2337/dc10-S011
  14. Austin, M. M., Haas, L. Johnson, T., Parkin, C. L., Spollett, G., & Volpone, M. T. (2006). Self-monitoring of blood glucose: befits and utilization. Diabetes Educ, 32, 835-847. https://doi.org/10.1177/0145721706295873
  15. Cameron, C., Coyle, D., Ur, E., & Klarenbach, S. (2010). Cost-effectiveness of self-monitoring of blood glucose in patients with type 2 diabetes mellitus managed without insulin. CMAJ, 182(1), 28-34. https://doi.org/10.1503/cmaj.090765
  16. Choi, Y. J., Kim, H. C., Kim, H. M., Park, S. W., Kim, J., & Kim, D. J. (2009). Prevalence and management of diabetes in Korean adults; Korea national health and nutrition examination surveys 1998-2005. Diabetes Care, 32(1), 2016-2020. https://doi.org/10.2337/dc08-2228
  17. Clar C., Barnard K., Cummins E., Royle P., Waugh N., & Aberdeen health technology assessment group. (2010). Self-monitoring of blood glucose in type 2 diabetes: systemic review. Health Technol Assess, 14(12), 1-140.
  18. Edelman, S. V. (1998). Importance of glucose control. Med Clin North Am, 82(4), 665-672. https://doi.org/10.1016/S0025-7125(05)70019-5
  19. Gallichan, M. (1997). Self monitoring of glucose by people with diabetes: evidence based practice. Br Med J, 314(7085), 964-967. https://doi.org/10.1136/bmj.314.7085.964
  20. International Diabetes Federation (2005). Global guideline for type 2 diabetes. Retrieved June 20, from the international diabetes federation Web site: http://www.idf.org/webdata/ docs/IDF%20GGT2D.pdf
  21. Kirk, J. K., & Stegner, J. (2010). Self-monitoring of blood glucose: Practical aspects. J Diabetes Sci Technol, 4(2), 435-439. https://doi.org/10.1177/193229681000400225
  22. Kristensen, G. Nerhus, K., Thue, G. & Sandberg, S. (2004). Standardized evaluation of instruments for self-monitoring of blood glucose by patients and a technologist. Clin Chem, 50(6), 1068. https://doi.org/10.1373/clinchem.2004.031575
  23. Mbaezue, N., Mayberry, R., Gazmararian, J., Quarshie, A., Ivonye, C., & Heisler, M. (2010). The impact of health literacy on self-monitoring of blood glucose in patients with diabetes receiving care in an inner-city hospital. J Natl Med Assoc, 102(1), 5-9. https://doi.org/10.1016/S0027-9684(15)30469-7
  24. Nielsen, J. K., & Christiansen, J. S. (2008). Self-monitoring of blood glucose: Epidemiological and practical aspects. Diabetes Technol Ther, 10(supple. 1), S35-S42.
  25. Sarol, J. N., Nicodemus, N. A., Jr, Tan, K. M., & Grava, M. B. (2005). Self-monitoring of blood glucose as part of a multicomponent therapy among non-insulin requiring type 2 diabetes patients: A meta-analysis 1966-2004. Curr Med Res Opin, 21, 173-184. https://doi.org/10.1185/030079904X20286
  26. Spollett, G. R. (2010). Self-monitoring of blood glucose: An underutilized tool. Clin Diabetes, 28(3), 127-129. https://doi.org/10.2337/diaclin.28.3.127
  27. The Diabetes Control and Complications Trial Research Group (1993). The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med, 329(14), 977-986. https://doi.org/10.1056/NEJM199309303291401
  28. Wild, S., Roglic, G., Green, A., Sicree, R., & King, H. (2004). Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care, 27(5), 1047-1053. https://doi.org/10.2337/diacare.27.5.1047

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