Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Influential Factors on Fatigue in Patients with Type 2 Diabetes Mellitus

제 2형 당뇨병 환자의 피로와 영향요인

  • Seo, Yeong-Mi (Department of Nursing, Gyeongnam National University of Science and Technology) ;
  • Choi, Won-Hee (Department of Nursing, Kyungsung University) ;
  • Hahm, Jong-Ryeal (Department of Internal Medicine, Institute of Health Science, Gyeongsang National University School of Medicine)
  • 서영미 (경남과학기술대학교 간호학과) ;
  • 최원희 (경성대학교 간호학과) ;
  • 함종렬 (경상대학교 의학전문대학원)
  • Received : 2014.08.11
  • Accepted : 2014.09.11
  • Published : 2014.09.30
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Abstract

This descriptive study was performed to identify the factors that influence fatigue in patients with type 2 diabetes mellitus. A total of 117 subjects were recruited from a university hospital in J city. For data collection, a questionnaire survey was performed between May 1 and June 28 2013. Data were analyzed by descriptive statistics, t-test, one way ANOVA, Pearson Correlation, and multiple regression analysis using the SPSS WIN 15.0 package. The mean fatigue scores of the subjects was 2.80. Depression, age, and time since the diagnosis were the variables influencing fatigue. The total explanatory power of these factors on fatigue was 40%. In conclusion, it is essential to develop a fatigue control nursing program considering depression, age and time since the diagnosis for patients with type 2 Diabetes mellitus.

본 연구는 제 2형 당뇨병 환자의 피로정도와 피로에 영향을 미치는 요인을 확인하기 위하여 시도된 서술적 조사연구이다. 연구는 117명의 제 2형 당뇨환자를 대상으로 하였으며 자료는 2013년 5월1일에서 6월 30일까지 J시에 위치한 일대학병원에서 면대면 설문지법으로 수집하였다. 수집된 자료는 SPSS WIN 15.0 program을 이용하여 기술통계, t-test, one way ANOVA, Pearson Correlation, 다중회귀분석 등으로 분석하였다. 연구 결과, 대상자의 피로는 2.80점이었다. 피로에 영향을 미치는 요인들은 우울, 나이, 질병이환기간으로 확인되었고 이들 변수는 피로에 대해 40%의 설명력을 보였다. 따라서 건강전문가들은 제 2형 당뇨환자의 건강관리를 위하여 피로감소 간호중재개발이 필요하며 이러한 간호중재의 보다 나은 효과를 위하여 나이, 질병이환기간을 고려하고 대상자의 우울 감소프로그램을 제공할 필요가 있다.

Keywords

References

  1. International Diabetes Federation, IDF Diabetes Atlas, 6th ed, Available From: http://www.idf.org/diabetesatlas/introduction (accessed Aug., 2014).
  2. Korea Centers for Disease Control and Prevention, Guideline for the Evaluation of the Fifth Korea National Health & Nutrition Examination Survey, Korea Centers for Disease Control Prevention, Osong, Korea, 2012.
  3. Korean Diabetes Association, Diabetes fact sheet in Korea 2012, Seoul: Korea Diabetes Association/Korea Centers for Disease Control and Prevention, 2012.
  4. American Diabetes Association, Standard of medical care in diabetes-2006. Diabetes Care 29:S28, 2006.
  5. Fritschi C, Quinn L, "Fatigue in patients with diabetes: a review", Journal of Psychosomatic Research, Vol. 69, No. 1, pp. 33-41, 2010. DOI: 10.1016/j.jpsychores.2010.01.021 DOI: http://dx.doi.org/10.1016/j.jpsychores.2010.01.021
  6. Raimann JG, Kruse A, Thijssen S, Kuntsevich V, Diaz-Buxo JA, Levin NW, Kotanko P, "Fatigue in hemodialysis patients with and without diabetes: results from a randomized controlled trial of two glucose-containing dialysates", Diabetes Care, Vol. 33, No. 9, pp. e121, 2010. DOI: 10.2337/dc10-1043 DOI: http://dx.doi.org/10.2337/dc10-1043
  7. Drivsholm T, de Fine Olivarius N, Nielsen AB, Siersma V, "Symptoms, signs and complications in newly diagnosed type 2 diabetic patients, and their relationship to glycemia, blood pressure and weight", Diabetologia, Vol. 48, No. 2, pp. 210-214, 2005. DOI: http://dx.doi.org/10.1007/s00125-004-1625-y
  8. Singh R, Kluding PM, "Fatigue and related factors in people with type 2 diabetes", The Diabetes Educator, Vol. 39, No. 3, pp. 320-326, 2013. DOI: http://dx.doi.org/10.1177/0145721713479144
  9. Rothschild CL, "Emotional distress as a key construct in the personal model of diabetes management: associations of fatigue, diabetes-specific distress, and depressive symptomatology with quality of life in type 2 diabetes mellitus", Unpublished Doctoral dissertation, University of Louisville, U.S.A., 2010.
  10. Rubin RR, Peyrot M, "Psychological issues and treatments for people with diabetes", Journal of Clinical Psychology, Vol. 57, No. 4, pp. 457-478, 2001. DOI: http://dx.doi.org/10.1002/jclp.1041
  11. Wenzel J, Utz SW, Steeves R, Hinton I, Jones RA, "Plenty of Sickness, Descriptions by African Americans Living in Rural Areas With Type 2 Diabetes", The Diabetes Educator, Vol. 31, No. 1, pp. 98-107, 2005. DOI: http://dx.doi.org/10.1177/0145721704273242
  12. Weijman I, Ros WJ, Rutten GE, Schaufeli WB, Schabracq MJ, Winnubst JA, "Fatigue in employees with diabetes: its relation with work characteristics and diabetes related burden", Occupational and Environmental Medicine, Vol. 60, No. 1, pp. 93-98, 2003. DOI: http://dx.doi.org/10.1136/oem.60.suppl_1.i93
  13. Lasselin J, Layé S, Barreau JB, Rivet A, Dulucq MJ, Gin H, Capuron L, "Fatigue and cognitive symptoms in patients with diabetes: relationship with disease phenotype and insulin treatment", Psychoneuroendocrinology, Vol. 37, No. 9, pp. 1468-1478, 2012. DOI: http://dx.doi.org/10.1016/j.psyneuen.2012.01.016
  14. Fritschi C, Quinn L, Hacker ED, Penckofer SM, Wang E, Foreman M, Ferrans CE, "Fatigue in women with type 2 diabetes", Diabetes educator, Vol. 38, No. 5, pp. 662-672, 2012. DOI: http://dx.doi.org/10.1177/0145721712450925
  15. Cuellar MG, Ratcliffe SJ, "A comparison of glycemic control, sleep, fatigue, and depression in type 2 diabetes with and without restless legs syndrome", Journal of clinical sleep medicine, Vol. 4, No. 1, pp. 50-56, 2008.
  16. Polonsky WH, Lees J, Fisher L, Mullan J, Earles J, Jackso RA, et al., "Assessing psychosocial distress in diabetes: Development of the diabetes distress scale", Diabetes care, Vol. 28, No. 3, pp. 626-631, 2005. DOI: http://dx.doi.org/10.2337/diacare.28.3.626
  17. E. J. Choi, "Factors related to glycemic control in patients with type 2 diabetes mellitus", Unpublished Doctoral dissertation, University of Yonsei, Seoul, 2007.
  18. Radoff LS, "The CES-D scale: a self-report depression scale for research in general population", Applied psychological measurement, Vol. 1, pp. 385-401, 1977. DOI: http://dx.doi.org/10.1177/014662167700100306
  19. K. K. Chon, S. C. Choi, B. C. Yang, "Integrated adaptation of CES-D in Korea", Korea journal of health psychology, Vol. 6, No. 1, pp. 59-76, 2001.
  20. Smets EMA, Garssen B, Bonke B, De Haes JCJM, "The multidimensional fatigue inventory (MFI) psychometric qualities of an instrument to assess fatigue", Journal of Psychosomatic Research, Vol. 39, No. 3, pp. 315-325, 1995. DOI: http://dx.doi.org/10.1016/0022-3999(94)00125-O
  21. Lin JM, Brimmer D, Maloney E, Nyarko E, BeLue R, Reeves W, "Further validation of the Multidimensional Fatigue Inventory in a US adult population sample", Population Health Metrics, Vol. 7, pp. 18, 2009. DOI: http://dx.doi.org/10.1186/1478-7954-7-18
  22. Weijman I, Ros WJ, Rutten GE, Schaufeli WB., Schabracq MJ, Winnubst JA, "Frequency and perceived burden of diabetes self-management activities in employees with insulin-treated diabetes: relationships with health outcomes", Diabetes Research and Clinical Practice, Vol. 68, No. 1, pp. 56-64, 2005. DOI: http://dx.doi.org/10.1016/j.diabres.2004.08.004
  23. Meeuwesen L, Bensing J, Brink-Muinen A, "Communicating fatigue in general practice and the role of gender", Patient Education and Counseling, Vol. 48, No. 3, pp. 233-242, 2002. DOI: http://dx.doi.org/10.1016/S0738-3991(02)00176-3
  24. Winter-Stone KM, Bennett JA, Nail L, Schwartz A, "Strength, physical activity, and age predict fatigue in older breast cancer survivors", Oncology Nursing Forumm, Vol. 35, No. 5, pp. 815-821, 2008. DOI: http://dx.doi.org/10.1188/08.ONF.815-821
  25. Mens-Verhulst J van, Bensing JM, "Sex differences in persistent fatigue", Women and Health, Vol. 26, No. 3, pp. 51-70, 1998. DOI: http://dx.doi.org/10.1300/J013v26n03_04
  26. Casalenouvo GA, "Fatigue in diabetes mellitus: testing a middle range theory well-being derived from Neuma's theory of optimal client system stability and the Newman systems model", Unpublished Doctoral dissertation, Yhe University of Tennessee, Knoxville, 2002.