Perspectives in Nursing Science

  • 제14권1호
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  • Pages.21-31
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  • 2017
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  • 2288-2898(pISSN)
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  • 2288-7687(eISSN)
서울대학교 간호과학연구소 (The Research Institute of Nursing Science Seoul National University)
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당뇨 환아의 극복력, 가족지지와 질병적응의 관련성

The Relationships among Resilience, Family Support, and Diabetes Adaptation in Children with Diabetes Mellitus

  • 김용미 (삼성서울병원) ;
  • 방경숙 (서울대학교 간호대학.간호과학연구소)
  • Kim, Yongmi (Samsung Medical Center) ;
  • Bang, Kyung-Sook (College of Nursing.Research Institute of Nursing Science, Seoul National University)
  • 투고 : 2017.03.24
  • 심사 : 2017.04.17
  • 발행 : 2017.04.30
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초록

Purpose: This study was conducted to identify the disease adaptation and related factors for the pediatric patients with diabetes mellitus. Methods: Participants in this study were 75 diabetic children or adolescent whose age were 10 to 18 years old visited the out-patient clinic in one general hospital located in Seoul. Data were collected using self-report questionnaires. Research tools measuring resilience, family support, psychological adaptation, Hemoglobin A1c (HbA1c) protein were used. Results: Resilience showed significant differences according to the age, gender, academic achievement, and hospitalization experience of the children. Family support was significantly different according to the age, religion, academic achievement, fathers' education level, and hospitalization experience of the children. Psychological adaptation to diabetes showed significant differences according to academic achievement. HbA1c was shown to be significant difference according to fathers' education level and hospitalization experience of the children. Positive correlations were identified among resilience, family support, and psychosocial adaptation, while negative correlations were found between HbA1c and all others including resilience, family support, and psychosocial adaptation. Conclusion: This study suggests that the educational programs as nursing intervention needs to be developed to enhance the resilience and family support for the pediatric diabetic patients.

키워드

참고문헌

  1. Diabetes.or.kr [Internet] Seoul: Korea Diabetes Association; Diabetes fact sheet in Korea; 2012 [cited 2012 Dec 3]. Available from: http://www.diabetes.or.kr/general/index.html
  2. Yeoum WS. The changing tendency of types of diabetes mellitus in children and adolescents [dissertation]. Seoul: Yonsei University; 2007.
  3. Kim DH. Development of an instrument to measure resilience in children with chronic illness [dissertation]. Seoul: Yonsei University; 2003.
  4. Sim HO. A study of the correlation between self-esteem and self-care in the school age child and adolescents [dissertation]. Seoul: Yonsei University; 1993.
  5. Tusaie K, Dyer J. Resilience: a historical review of the construct. Holist Nurs Pract. 2004;18(1):3-8. https://doi.org/10.1097/00004650-200401000-00002
  6. Hong SK. Concept development of resilience: focusing on cancer patients. J Korean Acad Soc Nurs Educ. 2009;15(1):109-19. https://doi.org/10.5977/jkasne.2009.15.1.109
  7. Reynolds KA, Helgeson VS. Children with diabetes compared to peers: depressed? distressed?: a meta-analytic review. Ann Behav Med. 2011;42(1):29-41. https://doi.org/10.1007/s12160-011-9262-4
  8. Kwon EK. A study on the impact of stress and self-concept on self-care among adolescents with juvenile diabetes [dissertation]. Seoul: Ewha Womans University; 2003.
  9. Rhee CW. Family factors affecting children's chronic illness management. Journal of the Korean Society of Child Welfare. 2004;18:217-42.
  10. Atwool N. Attachment and resilience: implications for children in care. Child Care in Practice. 2006;12(4):315-30. https://doi.org/10.1080/13575270600863226
  11. Whittemore R, Jaser S, Guo J, Grey M. A conceptual model of childhood adaptation to type 1 diabetes. Nurs Outlook. 2010; 58(5):242-51. https://doi.org/10.1016/j.outlook.2010.05.001
  12. Kim DH, Yoo IY. Relationship between depression and resilience among children with nephrotic syndrome. J Korean Acad Nurs. 2004;34(3):534-40. https://doi.org/10.4040/jkan.2004.34.3.534
  13. Jeon NY. Adjustment of teenagers with cancer: a path analysis of related variables [dissertation]. Seoul: Yonsei University; 2001.
  14. Sim MK, Shin YH, Kim TI. Resilience, coping and adjustment to illness in children with chronic illness. Child Health Nurs Res. 2006;12(2):151-59.
  15. Kim YJ. A study on the relation between family support and self-care behavior of type II diabetics [dissertation]. Seoul: Kyung Hee University; 2000.
  16. Park KS, Moon JS, Park SN. Self-care, family support and depression in elderly patients with diabetes mellitus. J Korean Acad Fundam Nurs. 2009;16(3):345-52.
  17. Choi YO. Correlationships between family support, selfcare behaviors and quality of life in middle aged adults with diabetes mellitus [dissertation]. Seoul: Ewha Womans University; 2002.
  18. Cobb S. Social Support as a moderate of life stress. Psychosom Med. 1976;38(5):300-14. https://doi.org/10.1097/00006842-197609000-00003
  19. Park OJ. The effect of social support on compliance with sickrole behavior in diabetic patients [dissertation]. Seoul: Yonsei University; 1985.
  20. Oh JA. Disease adaptation and self-esteem of hospitalized schooler. Nursing Science. 2003;15(1):22-30.
  21. Challen AH, Davies AG, Williams RJ, Haslum MN, Baum JD. Measuring psychosocial adaptation to diabetes in adolescence. Diabet Med. 1988;5(8):739-46. https://doi.org/10.1111/j.1464-5491.1988.tb01100.x
  22. Daviss WB, Coon H, Whitehead P, Ryan K, Burkley M, McMahon W. Predicting diabetic control from competence, adherence, adjustment, and psychopathology. J Am Acad Child Adolesc Psychiatry. 1995;34(12):1629-36. https://doi.org/10.1097/00004583-199512000-00013
  23. Song SM. The effects of eclectic filial therapy for children with insulin-dependent diabetes mellitus: psychosocial adjustment, treatment adherence, and metabolic control [dissertation]. Seoul: Chung-Ang University; 2010.
  24. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.
  25. Amc.seoul.kr [Internet]. Seoul: Asan Medical Center; Childhood diabetes education, overview of diabetes care; 2015 [cited 2015 Dec 3]. Available from: http://peddm.amc.seoul.kr/asan/depts/peddm/K/content. do?menuId=2379
  26. Baek KW. A study about resilience in children with chronic illness and family resilience [dissertation]. Seoul: Chung-Ang University; 2005.
  27. Choi YH. Effects of camping programs on self-efficacy and sick-role behavioral compliance in juvenile diabetes mellitus patient. Korean Journal of Health Education and Promotion. 1997;14(2):59-68.
  28. Cheung R, Cureton VY, Canham DL. Quality of life in adolescents with type 1 diabetes who participate in diabetes camp. J Sch Nurs. 2006;22(1):53-8. https://doi.org/10.1177/10598405060220010901
  29. Lim SC. The effects of adolescent's perception with type 1 diabetes of main caregiver's communication on self-care: mediating effect of main caregiver's support [dissertation]. Seoul: Soongsil University; 2010.
  30. Vinson JA. Children with asthma: initial development of the child resilience model. Pediatr Nurs. 2002;28(2):149-58.

피인용 문헌

  1. Association of Resilience and Depression with Self-care Competence in Adult Patients with Diabetes Mellitus vol.30, pp.5, 2017, https://doi.org/10.7475/kjan.2018.30.5.555
  2. 말초동맥질환자의 건강 관련 삶의 질에 영향을 미치는 요인 vol.30, pp.3, 2018, https://doi.org/10.7475/kjan.2018.30.3.266
  3. Impact of resilience on the health‐related quality of life of adolescents with a chronic health problem: A structural equation approach vol.75, pp.4, 2019, https://doi.org/10.1111/jan.13888
  4. 제1형 당뇨병 청소년의 자기관리 영향요인: 정보-동기-행동기술 모델을 기반으로 vol.25, pp.2, 2017, https://doi.org/10.4094/chnr.2019.25.2.234