대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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심리적 인슐린저항성 개념분석

Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes

  • 투고 : 2015.10.20
  • 심사 : 2016.03.30
  • 발행 : 2016.06.30
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초록

Purpose: The purpose of this study was to define the concept for psychological insulin resistance in the Korean population with diabetes. Methods: The Hybrid model was used to perform the concept analysis of psychological insulin resistance. Results from both the theoretical review with 26 studies and a field study including 19 participants with diabetes were included in final process. Results: The preceding factors of psychological insulin resistance were uncontrolled blood glucose and change in daily life. The concept of psychological insulin resistance was found to have three categories with 8 attributes such as emotional factors (negative feeling), cognitive factors (low awareness and knowledge, low confidence for self-injection) and supportive factors (economic burden, dependency life, embarrassing, feeling about supporters, feeling of trust in, vs mistrust of health care providers). The 8 attributes included 30 indicators. Conclusion: The psychological insulin resistance of population with diabetes in Korea was defined as a complex phenomenon associated with insulin therapy that can be affected by emotional factors, cognitive factors, and supportive relational factors. Based on the results, a tool for measuring psychological insulin resistance of Koreans with diabetes and effective programs for enhancing insulin adherence should be developed in future studies.

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참고문헌

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피인용 문헌

  1. 심리적 인슐린저항성 측정도구 개발 vol.46, pp.6, 2016, https://doi.org/10.4040/jkan.2016.46.6.813
  2. 제2형 당뇨병 환자의 심리적 인슐린저항성 극복을 위한 동기강화상담 분석 vol.9, pp.12, 2018, https://doi.org/10.15207/jkcs.2018.9.12.485
  3. Psychological Insulin Resistance and Low Self-efficacy as Barriers to Diabetes Self-care Management in Patients with Type 2 Diabetes vol.31, pp.1, 2019, https://doi.org/10.7475/kjan.2019.31.1.61
  4. Factors influencing psychological insulin resistance in type 2 diabetes patients vol.25, pp.3, 2019, https://doi.org/10.1111/ijn.12733
  5. Effect of Psychological Insulin Resistance, Diabetes Distress, and Diabetes Self-Efficacy on the Insulin Therapy Adherence of Patients with Type 2 Diabetes: An Analysis Based on the Actor-Partner Inte vol.32, pp.2, 2020, https://doi.org/10.7475/kjan.2020.32.2.167
  6. Psychological Insulin Resistance: Key Factors and Intervention vol.22, pp.3, 2016, https://doi.org/10.4093/jkd.2021.192.196.192