DOI QR코드

DOI QR Code

당뇨병 환자의 헬스 리터러시 수준과 자기 간호행위가 삶의 질에 미치는 영향

The Effects of the Level of Health Literacy and Self-care Activities on Quality of Life of Patients with Diabetes in Korea

  • 투고 : 2020.02.02
  • 심사 : 2020.05.23
  • 발행 : 2020.06.30

초록

Purpose: The purpose of this study was to identify levels of health literacy and examine the effects of health literacy and self-care activities on quality of life of patients with type 2 diabetes. Methods: A cross sectional design was used. Questionnaires were administered via the Gallup to 500 Korean patients with diabetes in Seoul and Gyeonggi areas. The data were analyzed using descriptive statistics, independent t tests, one way ANOVA, and hierarchical regression. Results: Of 500 patients, 12.4% (n=62) indicated 'inadequate' health literacy, and 43.8% (n=219) reported 'marginal' or 'adequate' health literacy. Levels of health literacy significantly differed by demographic characteristics, self-care activities, and quality of life. The factors that had a significant effect on quality of life included inadequate health literacy (B=3.63, p=.042) and marginal health literacy (B=3.84, p=.002); however, no significant relationship was found for self-care activities (B=0.01, p=.827). Conclusion: The results of this study demonstrate a need for further research with large samples using Korean Health Literacy Scale for Diabetes Mellitus to establish the relationships between health literacy, diabetes self-care activities, and quality of life.

키워드

참고문헌

  1. International Diabetes Federation, Diabetes Atlas, 8th ed. International Diabetes Federation; 2017 [cited 2019 November 4]. Available from:https://www.diabetesatlas.org/en/resources/?gclid=CjwKCAjw8df2BRA3EiwAvfZWaGt34T3OJMwwfhwff2hLGQ784nKqM3DA5t2vYG2SaXeWd8n1r1pOWhoCiisQAvD_BwE
  2. Korea Centers for Disease Control and Prevention. Korea Health Statistics 2017: Korea National Health and Nutrition Examination Survey (KNHANES VII-2). [Internet]. Seoul: Statistics Korea 2018 [cited 2019 November 3]. Available from:https://knhanes.cdc.go.kr/knhanes/main.do
  3. Institute of Medicine. (2004). Health Literacy: a prescription to end confusion. Washington, DC: National Academies Press;2004.
  4. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: An updated systematic review. Annual Internal Medicine. 2011;155(2):97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005
  5. Dewalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes: A systematic review of the literature, Journal of General Internal Medicine. 2004:19(12):1228-1239. https://doi.org/10.1111/j.1525-1497.2004.40153.x
  6. Kang SJ, Shim KH, Chang SJ, Lee MS. A study on the measuring health literacy in patients with diabetes in Korea. Korean Journal of Education Promotion. 2016;33(5):47-57.
  7. Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, et al. National standards for diabetes self-management education. Diabetes Care. 2011;34(Suppl 1):S89-S96. https://doi.org/10.2337/dc11-S089
  8. Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM. Self-management education for adults with type 2 diabetes a meta-analysis of the effect on glycemic control. Diabetes Care. 2010;25(7):1159-1171. https://dor.org/10.2337/diacare.25.7.1159
  9. Fransen MP, von Wagner C, Essink-Bot ML. Diabetes selfmanagement in patients with low health literacy: Ordering findings from literature in a health literacy framework. Patient Education & Counseling. 2012;88(1):44-53. https://doi.org/10.1016/j.pec.2011.11.015
  10. Kim SH, Lee A. Health-Literacy-Sensitive Diabetes Self-Management Interventions: A systematic review and meta-analysis. Worldviews on Evidence-Based Nursing. 2012;13(4):324-333. https://doi.org/10.1111/wvn.12157
  11. Bailey SC, Brega AG, Crutchfield TM, Elasy T, Herr H, Kaphinqst K, et al. Update on health literacy and diabetes. The Diabetes Educator. 2014;40(5):581-604. https://doi.org/10.1177/0145721714540220
  12. Jing X, Chen J, Dong Y, Han D, Zhao H, Wang X, et al. Related factors of quality of life of type 2 diabetes patients: A systematic review and meta-analysis. Health and Quality of Life Outcomes. 2018;16(1):189. https://doi.org/10.1186/s12955-018-1021-9
  13. Al Sayah F, Majumdar SR, Williams B, Robertson S, Johnson JA. Health literacy and health outcomes in diabetes: A systematic review. Journal of General Internal Medicine. 2013;28(3):444-452. https://doi.org/10.1007/s11606-012-2241-z
  14. Kang SJ, Shim KH, Song BR, Park JE, Chang SJ, Park C, et al. Validation of the health literacy scale for diabetes as a criterion-referenced test with standard setting procedures. Patient Education & Counselling. 2018;101(8):1468-1476. https://doi.org/10.1016/j.pec.2018.03.013
  15. Cizek GJ, Bunch MB. Standard setting: A guide to establishing and evaluating performance standards on tests. Thousand Oaks, Calif: Sage Publications; 2007. 352 p.
  16. Kiechle ES, Bailey SC, Hedlund LA, Viera AJ, Sheridan SL. Different measures, different outcomes? A Systematic review of performance-based versus self-reported measures of health literacy and numeracy. Journal of General Internal Medicine. 2015;30(10):1538-1546. https://doi.org/10.1007/s11606-015-3288-4
  17. Chew LD, Griffin JM, Partin MR, Noorbaloochi S, Grill JP, Snyder A, et al. Validation of screening questions for limited health literacy in a large VA outpatient population. Journal of General Internal Medicine. 2008;23(5):561-566. https://doi.org/10.1007/s11606-008-0520-5
  18. Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943-950. https://doi.org/10.2337/diacare.23.7.943
  19. Choi EJ, Nam M, Kim SH, Park CG, Toobert DJ, Yoo JS, et al. Psychometric properties of a Korean version of the summary of diabetes self-care activities measure. International Journal of Nursing Studies. 2011;48(3):333-337. https://doi.org/10.1016/j.ijnurstu.2010.08.007
  20. Ware JE Jr, Kosinski M, Turner-Bowker DM, Gandek B. How to Score Version 2 of The $SF-12^{(R)}$ Health Survey (With a Supplement Documenting Version 1). Lincoln, R.I.: QualityMetric Incorporated; Boston, Mass: Health Assessment Lab. 2005.
  21. Lee YM, Son YJ, Lee EJ. Health literacy, disease-related knowledge, self-efficacy and self-care behaviors in patients with diabetes mellitus. Journal of Korean Data Analysis Society. 2012;14(6):3087-3101.
  22. Yoon SJ. The relationships of health literacy, medication adherence and self-care Performance of diabetes mellitus patients. Health & Nursing. 2017;29(1):27-38.
  23. Kim SS, Kim SH, Lee SY. Health literacy: Development of a Korean health literacy assessment tool. Korean Journal of Health Education and Promotion. 2005;22(4):215-227.
  24. Kim JE. Measuring the level of health literacy and influence factors: Targeting the visitors of a university hospital's outpatient clinic. Journal of Korean Clinical Nursing Research. 2011;17(1):27-34.
  25. Caruso R, Magon A, Baroni I, Dellafiore F, Arrigoni C, Pittella F, et al. Health literacy in type 2 diabetes patients: A systematic review of systematic reviews. Acta Diabetologica. 2018;55(1):1-12. https://doi.org/10.1007/s00592-017-1071-1
  26. Marciano L, Camerini A, Schulz PJ. The role of health literacy in diabetes knowledge, self-care, and glycemic control: A metaanalysis. Journal of General Internal Medicine. 2019;34(6):1007-1017. https://doi.org/10.1007/s11606-019-04832-y
  27. Lee E, Lee YW, Moon SH. A structural equation model linking health literacy to self-efficacy, self-care activities, and healthrelated quality of life in patients with type 2 diabetes. Asian Nursing Research. 2016;10(1):82-87. https://doi.org/10.1016/j.anr.2016.01.005
  28. Lee EH, Kim CJ, Chae SY, Lee HJ, Kim SH, Kim EJ. Monitoring the use of health-related quality of life measurements in Korean studies of patients with diabetes. Journal of Korean Academy of Nursing. 2011;41(4):558-567. https://doi.org/10.4040/jkan.2011.41.4.558
  29. You EW, Lee YM. Health literacy and self-care activities of older patients with type 2 diabetes: the mediating effect of resilience. Korean Journal of Adults Nursing. 2018;30(4):376-384. https://doi.org/10.7475/kjan.2018.30.4.376
  30. Shin KS, Lee EH. Relationships of health literacy to self-care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator. Journal of Advanced Nursing. 2018;74(10):2363-2372. https://doi.org/10.1111/jan.13738