한국산업보건학회지 (Journal of Korean Society of Occupational and Environmental Hygiene)

  • 제27권4호
  • /
  • Pages.380-389
  • /
  • 2017
  • /
  • 2384-132X(pISSN)
  • /
  • 2289-0564(eISSN)
한국산업보건학회 (Korean Industrial Hygiene Association)
권호 표지
DOI QR코드

DOI QR Code

교육 및 상담 중재에 따른 제2형 당뇨병 근로자의 당화혈색소 변화

Changes in HbA1c According to Education & Consultation Intervention of Type 2 Diabetes Workers

  • 이영숙 (대구한의대학교 보건대학원) ;
  • 피영규 (대구한의대학교 보건학부) ;
  • 이사우 (대구한의대학교 간호학과)
  • 투고 : 2017.12.03
  • 심사 : 2017.12.23
  • 발행 : 2017.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: The purpose of this study was to investigate changes in HbA1c through an education and consultation intervention with diabetic workers. Methods: The participants were 65 workers with Type 2 diabetes. The data were collected from May to October 2014 using questionnaires. The intervention program included six monthly sessions on exercise, dietary habits, stress management, and diabetes knowledge. Changes in HbA1c were evaluated. The data were analyzed using descriptive statistics and paired t-tests with SPSS WIN23.0. Results: The mean of HbA1c was 7.67% before intervention and 7.28% after intervention, and this difference was statistically significant (P<0.01).The mean level of HbA1c was significantly different depending on job position, working hours, work duration, and smoking habit. Conclusion: In conclusion, these findings support the usefulness of intervention programs in reducing HbA1c. Therefore, appropriate intervention programs involving exercise, dietary habits, stress management and diabetes knowledge should be developed and provided to diabetic workers.

키워드

참고문헌

  1. American Diabetes Association(ADA). Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes care 1997; 20: 1183-1197 https://doi.org/10.2337/diacare.20.7.1183
  2. Choi KY, Jang SM, Nam HW. Current status of selfmanagement and barriers in elderly diabetic patient background: diabetes has a critical effect on elderly diabetes. J of Kor Diabetes 2008;32(3):280-289 https://doi.org/10.4093/kdj.2008.32.3.280
  3. Delamater AM, Kurtz SM, Bubb J, White NH, Santiago JV. Stress and coping in relation to metabolic control of adolescents with type 1 diabetes. Journal of Dev Behav Pediatr 1987;8:136-140
  4. Gil KS, Jung IS. Knowledge, perceived seriousness and adherence to preventive behaviors on chronic complications of diabetes mellitus. Kor J of Heal Promo 2005;5(2):78-89
  5. Jang KS, Lee K, Lim HS. Glycemic control and health behaviors through diabetes mellitus education in a clinic. Diabetes Metab J 2006;30(1):73-81
  6. Jang SM, Han IY. Psycho-social variables affecting the diabetes self-care of male diabetic patients. Kor J of Heal Promo 2004;4(4):223-232
  7. Jung SM. Effect of diabetes education on knowledge of diabetes and self-care behavior. Graduate school of Chungnam University. Chungchung; Chungnam University Press. 2005. p. 3-15
  8. King DK, Estabrooks PA, Strycker LA, Toobert DJ, Bull SS, Glasgow RE. Outcomes of a multifaceted physical activity regimen as part of a diabetes self-management intervention. Ann of Behavioral Med 2006;31(2): 128-137 https://doi.org/10.1207/s15324796abm3102_4
  9. Kim ES, Lee SJ, Ryu OH, Lee JH, Yoon HS et al. The relationship of family support with blood glucose control in elderly type 2 diabetic patients. Diabetes Metab J 2007;31(5):435-443
  10. Kim HJ, Kim HS, Ahn SH. Effects of diabetic education fortified with individual practice on plasma glucose, self-care, and self reported physical symptom in type 2 diabetic patients. Kor Soc of Adult Nurs 2006;18(2): 194-201
  11. Kim JH, Jang SA. Effect of diabetes education program on glycemic control and self management for patients with type 2 diabetes mellitus. Diabetes Metab J 2009;33(6): 518-525 https://doi.org/10.4093/kdj.2009.33.6.518
  12. Kim SH, Kang ES, Park SY, Lee SJ, Kim MJ et al. The effects of lifestyle modification on the metabolic parameters of type 2 diabetes. Diabetes Metab J 2004; 28(5):1-11
  13. Korean Diabetes Association(KDA). Lead the world free from diabetes. [cited 2015 Dec 5]. Available from: URL:http://www.diabetes.or.kr/general
  14. Korean Diabetes Association(KDA). Treatment guide on diabetes. 5th ed, KDA, 2013. p. 1-3
  15. Korean Diabetes Association(KDA). Report on Korean diabetes. KDA, 2012. p. 3-9
  16. Lee HJ, Park KY, Park HS. The effects of problem solving nursing counseling and intensified walking exercise on diabetic self-care, coping strategies, and glycem. J of Kor Aca of Nur 2005;35(7):1314-1324 https://doi.org/10.4040/jkan.2005.35.7.1314
  17. Lee YL, Kang MY, Kim PK. The effects of an admissioneducation program on knowledge, self-efficacy, selfcare and glucose control in type 2 diabetes patients. The J of Kor Aca Soc of Nur Edu 2008;14(11):12-19 https://doi.org/10.5977/JKASNE.2008.14.1.012
  18. Lim JW, Yoo HJ, Choi KE, Lim SH, Jung YS. et al. The relation of diabetes control to stress amounts associated with life events in diabetics. Diabetes Metab J 2001;25:240-249
  19. Min KW, Ahn KH, Sohn TS, Pakr YM, Hong YS et al. The study of physical activity in the Korean with type 2 diabetes. Diabetes Metab J 2005;29(6):517-525
  20. Ministry of Health & Welfare(MoHW). Statistics of public health. prevalence of chronic diseases, 2012. p. 6-10
  21. Moon SH. The Effect of diabetes education on knowledge, self-care behaviors, and glycosylated hemoglobin in type 2 diabetic patients, Graduate school of Inha University. Inchon; Inha University Press. 2012. p. 8-11
  22. Nelson KM, Reiber G, Boyko EJ. Diet and exercise among adults with type 2 diabetes: Findings from the third national health and nutrition examination survey (NHASES III). Diabetes Care 2002;25(10):1722-1728 https://doi.org/10.2337/diacare.25.10.1722
  23. Park SY, Kim H. A study on dietary compliance and related variables in non insulin dependent diabetes mellitus patients. Korean J Nutrition 1994;27(4):356-367
  24. Park SY. A Study on the correlation between diabetes patients' knowledge, self-care behavior and the educational demand. Graduate school of Samyook University. Seoul; Samyook University Press. 2012. p. 2-9
  25. Peyrot MF, Mcmurry JF. Stress buffering and glycemic control-The role of coping styles, Diabetes Care 1992;15:842-846 https://doi.org/10.2337/diacare.15.7.842
  26. Shin JS, Park CJ. Research into clinical nurses' knowledge, importance and perception of diabetes mellitus. The J of Kor Aca Soc of Nur Edu 2002;8(1):95-107
  27. Song MS, Song KH, Ko SH, Ahn YB, Kim JS et al. The long-term effect of a structured diabetes education program for uncontrolled type 2 diabetes mellitus patients-a 4-year follow-up. Diabetes Metab J 2005; 29(2):140-150
  28. The Diabetes Control and Complications Trial Research Group(DCCT) The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The diabetes control and complications trial research group. N Engl J Med 1993;329:977-986 https://doi.org/10.1056/NEJM199309303291401
  29. The Diabetes Control and Complications Trial Research Group(DCCT) The relationship of glycemic exposure (HbA1c) to the risk of development and progression of retinopathy in the diabetes control and complications trial. Diabetes 1995;44:968-983 https://doi.org/10.2337/diab.44.8.968
  30. UK Prospective Diabetes Study(UKPDS) Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes(UKPDS 33). UK Prospective Diabetes Study(UKPDS) Group. Lancet 1998a;352:837-853 https://doi.org/10.1016/S0140-6736(98)07019-6
  31. UK Prospective Diabetes Study(UKPDS) Group. Effect of intensive blood-glucose control with metformin on complications in over weight patients with type 2 diabetes(UKPDS 34). UK Prospective Diabetes Study (UKPDS) Group. Lancet 1998b;352:854-865 https://doi.org/10.1016/S0140-6736(98)07037-8
  32. World Health Organization. Definition, diagnosis and classification of diabetes mellitus and its complications: report of a WHO consultation: part 1. diagnosis and classification of diabetes mellitus. Geneva, World health Organization, 1999 p. 11-16
  33. World Health Organization(WHO). World Health Report, WHO, 2003. p. 1-4
  34. Yoo HY. Relationship between diet, exercise, stress, and HbA_(1)C among patients with Type 2 diabetes mellitus. Graduate school of Yonsei University. Seoul; Yonsei University Press. 2003. p. 4-7