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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Relationships between Self-care Knowledge and Compliance of Ischemic Stroke Patients with Diabetics

당뇨병을 가진 허혈성 뇌졸중 환자의 자가간호 지식과 이행 간의 관계

  • Received : 2015.03.25
  • Accepted : 2015.11.06
  • Published : 2015.11.30
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Abstract

The purpose of this study was to investigate relationships between self-care knowledge and compliance of ischemic stroke patients with diabetic. The participants were 117 ischemic stroke patients with diabetics who were outpatients at the P university hospital. Data were collected from July 1 to August 31, 2013. Data were analyzed using SPSS 18.0., specifically descriptive statistics, t-test, ANOVA, and Pearson's correlation analysis. Total mean score and correct answer ratio of self-care knowledge were 14.69 points, 63.9%. Total mean score and compliance ratio of self-care compliance were 2.24 points, 44.8%. The correlation coefficient between self-care knowledge and compliance was a significant positive correlation (r=.54, p<.001). Among sub-elements, diet(r=.24, p=.011), medication(r=.43, p<.001), living habits(r=.19, p=.042) and cautions and warnings(r=.45, p<.001) were significant positive correlations. Based on the results of this study, we need to develop integrated nursing intervention education programs for self-care knowledge and compliance promotion of ischemic stroke patients with diabetic.

본 연구의 목적은 당뇨병을 가진 허혈성 뇌졸중 환자의 자가간호 지식 및 자가간호 이행과 이들의 상관관계를 파악하기 위한 것이다. 대상자는 대학병원 외래에 통원중인 당뇨병을 가진 허혈성 뇌졸중 환자 117명이었다. 자료수집 기간은 2013년 7월 1일부터 8월 31일까지이다. 수집된 자료는 SPSS 18.0.프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson 상관관계분석이 이루어졌다. 자가간호 지식의 평균점수 14.69점이고, 정답률은 63.9%, 이행의 평균점수는 2.24점이고, 이행률은 44.8%이었다. 당뇨병을 가진 뇌졸중 환자의 자가간호 지식과 이행은 유의한 양의 상관관계였다(r=.54, p<.001). 하위영역 중식이(r=.24, p=.011), 약물(r=.43, p<.001), 생활습관(r=.19, p=.042), 주의사항(r=.45, p<.001)의 항목에서 지식과 이행이 양의 상관관계가 나타났다. 본 연구결과를 토대로, 당뇨병을 가진 허혈성 뇌졸중 환자의 자가간호 지식과 이행을 촉진시키기 위해 통합된 간호중재교육프로그램이 개발이 되어야 할 필요가 있다.

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References

  1. J. G. Lee, "Status a ge-related changes in risk factor effects on the incidence of thromboembolic and hemorrhagic stroke", Jounal of Clinical Epidemiology, 56, 5, pp.479-486, 2003. DOI: http://dx.doi.org/10.1016/S0895-4356(02)00611-X
  2. Y. H. Jung, "Analysis of polychronic diseases of the elderly: focusing on the use of outpatient clinic. Healt h.Welfare Issue & Focus report", Korea Institute for Health and Social Affairs, Report No.196(2013-26), Jun, 2013.
  3. Clinical Research Center for Stroke. "Clinical practice guidelines for stroke". pp. 1-345, Clinical Research Center for Stroke, 2015.
  4. S. A. Duraski, "Stroke prevention education in the H ispanic community", Rehabilitation Nurses, 31, 1, pp.5-9, 2006. DOI: http://dx.doi.org/10.1002/j.2048-7940.2006.tb00003.x
  5. Y. S. Park, "Management of the patients with diabetes mellitus and macro and microvascular complication", Korean MedicalAss ociation, 48, 8, pp.721-734, 2005. DOI: http://dx.doi.org/10.5124/jkma.2005.48.8.721
  6. J. H. Kim, D. J. Shin, H. M. Park, K. H. Park, Y. H. Seong, T. Y. Kim, S. H. Kim, E. K. Lim, Y. B. Lee. "Relations to plasma fibrinogen concentration and subtype, prognostic influence in patients with acute ischemic stroke", Korean Journal of Cerebrovascular Surgery, 9, 4, pp.259-264, 2007.
  7. T. A. Baird, M. W. Parsons, P. A. Barber, K. S. Butcher, P. M. Deamond, B. M. Tress, P. G. Colman, G. Jerums, B. R. Chambers, S. M. Davis. "The influence of diabetes mellitus and hyperglycemia on stroke incidence and outcome diabetes mellitus", Journal of Clinical Neuroscience, 9, 6, pp.618-626, 2002. DOI: http://dx.doi.org/10.1054/jocn.2002.1081
  8. S. G. Kim, D. S. Choi. "The present state of diabetes mellitus in Korea", Hanyang Medical Reviews, 29, 2, pp.122-129, 2009.
  9. Ministry of Health & Welfare, "Regional vascular center operating instructions", Reference Information [Internet]. Seoul (Korea): Ministry of Health & Welfare, 2012 [cited 2012 Feb 22], Available From: http://www.129.go.kr/info/info04_view.jsp?n=43.(accessed June 14, 2014).
  10. Ministry of Health & Welfare, "Major chronic disease management business information", Reference Information [Internet]. Seoul (Korea): Ministry of Health & Welfare, 2010 [cited 2012 Feb 22], Available From: http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=267062&page=1. (accessed May 17, 2014).
  11. Y. H. Jung, S. J. Go, E. J. Kim. "A study on the effective chronic disease management. Research report", Seoul: Korea Institute for Health and Social Affairs, Report No.2013-31-19, Nov, 2013.
  12. K. H. Yu, H. J. Bae, S. U. Kwon, D. W.Kang, K. S. Hong, Y. S. Lee, J. H. Rha, J. S. Koo, J. S. Kim, J. H. Kim, J. H. Lee, S. J. Cho, S. H. Hwang, S. Jung , M. K. Han, K H. Cho, B. C. Kim, D. J. Shin, D. I. Chang, J. H. Park, E. G. Kim, D. S. Jung, M. Y. Ahn, D. H. Lee, K. W. Park, Y. J. Kim, K. Y. Lee, J. H. Heo, S. H. Kim, K. H. Lee. "Analysis of 10,811 cases with acute ischemic stroke from Korean stroke registry: hospital-based multicenter prospective registration study", Journal of Korean Neurological Association, 24, 6, pp. 535-54, 2006.
  13. I. S. Koh, H. C. Kim, S. B. Kwon, S. H. Whang, K. H Kwon, S. M. Kim, H. K. Song, B. C. Lee. "The compliance of stroke patients for secondary prevention : In Seoul & Kyunggi province", Journal of Korean Neurological Association, 17, 4, pp.472-477, 1999.
  14. R. D. Abott, J. D. Curb, B. L. Rodriguez, K. H. Masaki, J. S. Popper, G. W. Ross, H. Petrovitch. "Age-related changes in risk factor effects on the incidence of thromboembolic and hemorrhagic stroke", Jounal of Clinical Epidemiology, 56, 5, pp.479-486, 2003 DOI: http://dx.doi.org/10.1016/S0895-4356(02)00611-X
  15. C. Salisbury, L. Johnson, S. Purdy, J. M. Valderas, A. A. Montgomery, "Epidemiology and impact of multimorbidity in primary care: a retrospective cohort study", British Journal of General Practice, 61, 582 pp.12-21, 2011. DOI: http://dx.doi.org/10.3399/bjgp11X548929
  16. S. H. Yoo, D. W. Kang, S. E, Gwan, J. S. Kim, "The secondary prevention of stroke: attitude of patients admitted to a tertiary hospital" Jounal of Korean Stroke Society, 7, 1, pp.78-86, 2005.
  17. S. Zhu, "Recurrent vascular events in lacunar stroke patients with metabolic syndrome and/or diabetes", Neurology, 2015, Available From: http://www.neurology.org/content/85/11/935.long. (accessed October 1, 2015).
  18. J. H. Noh, Y. H. Shin. "Probability of stroke, knowledge of stroke, and health-promoting lifestyle in stroke risk groups", The Korean Journal of Fundamentals of Nursing, 21, 2, pp.174-182, 2014. DOI: http://dx.doi.org/10.7739/jkafn.2014.21.2.174
  19. D. E. Orem, "Nursing:Concepts of practice. 4thed", p.101-120, Mosby-Year Book. Inc, 1991.
  20. K. I. Cho, D. Y. Jung. "The relationships between knowledge of diabetes, barrier and compliance with sick role behavior of diabetic patients", Nursing Science, pp.13-26, 2010.
  21. K. L. Koenig, E. M. Whyte, M. C. Munin, L. O. Donnell, E. R. Skidmore, L. E. Penrod, E. J. Lenze. "Stroke-related knowledge and health behavior among post stroke patients in rehabilitation", Archives of Physical Medicine and Rehabilitation, 88, pp.1214-1216, 2007. DOI: http://dx.doi.org/10.1016/j.apmr.2007.05.024
  22. E. J. Kim, "The Effect of Telephone Counseling after Discharge for Secondary Stroke Preventionin Patients with Ischemic Stroke", [master's thesis], Seoul: Ewha Womans University, 2011.
  23. S. H. Moon, Y. H. Lee, O. K. Ham, S. H. Kim, "The effect of the experience of diabetes education on knowledge, self-care behavior and glycosylated hemoglobin in type 2 diabetic patients", The Journal of Korean academic society of nursing education, 20, 1, pp.81-92, 2014. https://doi.org/10.5977/jkasne.2014.20.1.81
  24. D. Conen, C. M. Albert. "Alcohol consumption and risk of atrial fibrillation", Journal of the American College of Cardiology, 57, 25, pp.25-45, 2011. DOI: http://dx.doi.org/10.1016/j.jacc.2011.02.034
  25. H. R. Lee. "Health knowledge of stroke, health promoting behavior and health risk indicatiors of stroke patients in a university hospital", Poster session presented at: The symposium of the Korean Society of Nursing Science, Oct, 2010.
  26. M. S. Lee, "Relating Factors and Health Promoting Behaviors of Stroke Patients", [master'sthesis], Pusan: Catholic University, 2004.
  27. G. A. Choi, S. M. Jang, H. W. Nam. "Current status of self-management and barriers in elderly diabetic patient", Korean Diabetes Journal, 32, pp.280-289, 2008. DOI: http://dx.doi.org/10.4093/kdj.2008.32.3.280
  28. Korean Diabetes Association, "Diabetes and the role of the family", Reference Information [Internet]. Seoul (Korea): Korean Diabetes Association, 2015[cited 2014 Jan 10], Available From:http://www.diabetes.or.kr/general/society/sub01.php. (accessed July., 14, 2015)
  29. E. A. Koh, "Health literacy, diabetic knowledge, and diabetic self-care among foreign diabetic patients at a hospital in South Korea" [master'sthesis], Seoul: Ewha Womans University, 2015.
  30. Y. H. Oh, "The Health Status of Older Koreans and Policy Considerations", Korea Institute for Health and Social Affairs, 223, pp.29-39, May, 2015.