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The Influence of Self-management Knowledge and Distress on Diabetes Management Self-efficacy in Type 2 Diabetes Patients

제2형 당뇨병 환자의 자기관리지식, 스트레스가 당뇨관리 자기효능감에 미치는 영향

  • Keum, Hye-Sun (Department of Nursing, Hosan University) ;
  • Suh, Soon-Rim (College of Nursing, Kyungpook National University) ;
  • Han, Seung-woo (Department of Emergency Medical Technology, Kyungil University)
  • Received : 2020.06.09
  • Accepted : 2020.09.04
  • Published : 2020.09.30

Abstract

This study was a descriptive research study performed to identify the degree and correlation of variables and also explain the factors that influence self-efficacy of diabetes management. The participants were 150 diabetes patients who visited a primary medical institution in K city in Korea from September 17, 2015, to October 15, 2015. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients, and multiple regression with SPSS 18.0. Significant differences in age and education were detected in self-efficacy of diabetes management according to general characteristics. The levels of self-management knowledge and diabetes management self-efficacy were shown to be positively correlated. The levels of diabetes management self-efficacy and distress as well as levels of self-management knowledge and distress were shown to be negatively correlated. The significant factors influencing diabetes management self-efficacy were distress and self-management knowledge. The results suggest that appropriate diabetes management self-efficacy programs should be provided in order to improve self-management knowledge and decrease distress in type 2 diabetes patients. This study provides basic data to promote the effective education and development of arbitration in order to enhance self-efficacy of diabetes management.

본 연구는 제2형 당뇨병 환자의 자기관리지식, 스트레스, 당뇨관리 자기효능감의 정도와 상관관계를 파악하고, 당뇨관리 자기효능감의 영향을 미치는 요인을 설명하는 서술적 조사연구이다. 본 연구의 참가자는 2015년 9월 17일부터 10월 15일까지 국내 K시 소재 1차 의료기관을 방문한 당뇨병 환자 150명으로 구성되었다. 데이터는 기술 통계량, t-검정, 분산 분석, Pearson 상관 계수 및 SPSS 18.0의 다중 회귀 분석을 사용하여 분석되었다. 일반적 특성에 따른 당뇨관리 자기효능감에서는 연령과 교육에서 유의한 차이가 나타났다. 자기관리지식과 당뇨관리 자기효능감은 양의 상관관계가 있는 것으로 나타났다. 당뇨관리 자기효능감과 스트레스, 자기관리지식과 스트레스는 음의 상관관계가 있는 것으로 나타났다. 당뇨관리 자기효능감에 영향을 미치는 중요한 요인은 스트레스와 자기관리지식이었다. 본 연구결과 자기관리지식을 향상시키고 제2형 당뇨병 환자의 스트레스를 줄이기 위한 적절한 당뇨관리 자기효능감 프로그램이 제공되어야 한다는 것을 시사한다. 이를 통해 당뇨관리 자기효능감 증진을 위한 효과적인 교육과 중재 개발의 기초자료를 제공하기 위함이다.

Keywords

References

  1. B. Y. kim, J. C. Won, J. H. Lee, H. S. Kim, J. H. Park, K. H. Ha, K. C. Won, D. J. Kim, K. S. Park, "Diabetes Fact Sheet in Korea, 2018: An appraisal of current status", Diabetes Metabolism Journal, vol. 43, no. 4, pp. 487-494, 2019. DOI: https://doi.org/10.4093/dmj.2019.0067
  2. J. Y. Hong, J. A. Park, "Effect of health status and health behavior on the diabetes mellitus prevalence of Korean adults", The Korea Contents Society, vol. 14, no. 10, pp. 198-209, 2014. DOI: https://doi.org/10.5392/JKCA.2014.14.10.198
  3. M. S. Song, Y. I. Cho, "A study of depression, anxiety, stress response and self-care by Gender in diabetic patients", Korean Academic Society of Rehabilitation Nursing, vol. 9, no. 2, pp. 145-152, 2006.
  4. H. Y. Kim, H. S. Kim, "Factors Affecting the Control of HbA1c in Type 2 Diabetic Patients", Journal of Convergence for Information Technology, vol. 8, no. 6, pp. 75-84, 2018. DOI: https://doi.org/10.22156/CS4SMB.2018.8.6.075
  5. J. Y. Park, I. S. Ko, "Development of a comprehensive self-management program promoting self efficacy for type 2 diabetic patients", Journal of Korean Academy of Fundamentals of Nursing, vol. 19, no. 1, pp. 74-86, 2012. DOI: https://doi.org/10.7739/jkafn.2012.19.1.074
  6. S. Y. Choi, M. S. Song, "Behavior change theories in diabetes self-management: A conceptual review", Perspectives in Nursing Science, vol. 7, no. 1, pp. 1-9, 2010.
  7. M. Siebolds, O. Gaedeke, U. Schwedes, SMBG Study Group, "Self-monitoring of blood glucose psychological aspects relevant to changes in HbA1c in type 2 diabetic patients treated with diet or diet plus oral antidiabetic medication", Patient education and counseling, vol. 62, no. 1, pp. 104-110, 2006. DOI: http://doi.org/10.1016/j.pec.2005.06.013
  8. H. S. Keum, S. R. Suh, "HbA1c, Self-efficacy and self-care activities depending on the disease duration of Type 2 diabetes mellitus patients", The Korea Contents Society, vol. 14, no. 12, pp. 303-312, 2014. DOI: https://doi.org/10.5392/JKCA.2014.14.12.303
  9. H. J. Lee, M. S. Kim, "The relationship of diet, physical activities, self-efficacy, and self-care with cardiovascular risk factors among clients with type II diabetes", The Journal of Korean Academic Society of Adult Nursing, vol. 19, no. 2, pp. 283-294, 2007.
  10. S. H. Moon, Y. W. 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, vol. 20, no. 1, pp. 81-92, 2014. DOI: https://doi.org/10.5977/jkasne.2014.20.1.81
  11. M. S. Song, S. A. Kim, S. Y. Choi, K. S. Seo, S. J. Lee, E. H. Kim, "Development and validation of the diabetes self-management knowledge scale for older adults (DSMK-O)", The Korean Gerontological Society, vol. 33, no. 3, pp. 537-550, 2013.
  12. S. S. Bea, "The influence on health-related quality of life in diabetes mellitus patients over 50 years old by stress recognition, depression, and suicidal thinking", Korea Society of Health Service Management, vol. 9, no. 2, pp. 57-68, 2015. DOI: https://doi.org/10.12811/kshsm.2015.9.2.057
  13. D. H. Yang, "The guide line for the stress management of the diabetes", Korean Clinical Diabetes, vol. 11, no. 3, pp. 215-220, 2010. https://doi.org/10.4093/kcd.2010.11.3.215
  14. N. Y. Yang, "Knowledge, self efficacy and self care behavior regarding foot care among elderly diabetes mellitus patients", The Journal of Korean Academic Society of Adult Nursing, vol. 21, no. 4, pp. 413-422, 2009.
  15. G. Kim, R. Shim, K. L. Ford, T. A. Bake, "The relation between diabetes self-efficacy and psychological distress among older adults: Do racial and ethnic differences exist", Journal of Aging and Health, vol. 27, no. 2, pp. 320-333, 2015. DOI: https://doi.org/10.1177/0898264314549662
  16. W. H. Polonsky, B. J. Anderson, P. A. Lohrer, G. Welch, A. M. Jacobson, J. E. Aponte, C. E. Schwartz, "Assessment of diabetes-related distress", Diabetes care, vol. 18, no. 6, pp. 54-760, 1995. DOI: https://doi.org/10.2337/diacare.18.6.754
  17. S. F. Wu, Y. C. Huang, M. C. Lee, T. J. Wang, H. H. Tung, M. P. Wu, "Self-efficacy, self-care behavior, anxiety, and depression in Taiwanese with type 2 diabetes: A cross-sectional survey", Nursing and Health Science, vol. 15, no. 2, pp. 213-219, 2013. DOI: https://doi.org/10.1111/nhs.12022
  18. H. Y. Jeon, The Relationships of diabetes knowledge,self-efficacy, health promoting behavior for themiddle aged [master's thesis]. Seoul: Ewha Womans University; 2014.
  19. W. H. Polonsky, L. Fisher, J. Earles, R. J. Dudl, J. Lees, J. Mullan, R. A. Jackson, " Assessing psychosocial distress in diabetes: development of the diabetes distress scale", Diabetes Care, vol. 28, no. 3, pp. 626-631, 2005. DOI: https://doi.org/10.2337/diacare.28.3.626
  20. E. J. Choi, Factors related to glycemic control inpatients with type 2 diabetes [dissertation]. Seoul: Yonsei University; 2007.
  21. M. S. Song, S. A. Kim, S. Y. Choi, K. S. Seo, S. J. Lee, E. H. Kim, "Development and validation of the diabetes management self-efficacy scale for older adults (DMSES-O)", The Journal of Muscle and Joint Health, vol. 21, no. 3, pp. 184-194, 2014. DOI: https://doi.org/10.5953/JMJH.2014.21.3.184
  22. V. McCleary-Jones, "Health literacy and its association with diabetes knowledge, self-efficacy and disease self-management among African Americans with diabetes mellitus", ABNF Journal, vol. 22, no. 2, pp. 25-32, 2011.
  23. E. J. Lim, "The effects of laughter therapy on blood glucose, stress, depression and quality of life in elderly diabetic patients", The Journal of Korean Nursing Research, vol. 4, no. 1, pp. 77-90, 2020. DOI: https://doi.org/10.34089/jknr.2020.4.1.77
  24. N. H. Kim, S. Y. Lim, "Convergence study on diabetes self-management knowledge, social support, educational needs of the diabetes in rural elderly", Journal of the Korea Convergence Society, vol. 8, no. 3, pp. 79-89, 2017. DOI: https://doi.org/10.15207/JKCS.2017.8.3.079
  25. Y. E. Woo, Y. M. Lee, "Health Literacy and Self-care Activities of Older Patients with Type 2 Diabetes: The Mediating Effect of Resilience", Korean Journal of Adult Nursing, vol. 30, no. 4, pp. 376-384, 2018. DOI: https://doi.org/10.7475/kjan.2018.30.4.376
  26. N. Y. Youn, Relation among illness perception, self-efficacy, and self-care for patients with cancer [master's thesis], Seoul: YonSei University; 2019.
  27. E. J. Lee, "Affecting Factors of Physical Activity among Elderly Patients with Type 2 Diabetes", The Korea Society for Fisheries and Marine Sciences Education, vol. 29, no. 5, pp. 1331-1342, 2017. DOI: https://doi.org/10.13000/JFMSE.2017.29.5.1331
  28. E. S. Lee, Influence of self care behavior, self efficacyperceived stress, and social support on subjectivehappiness on patient with diabetes mellitus [master'sthesis], Seoul: Sungshin Women's University; 2017.
  29. Y. K. Jeon, H. J. Kim, Y. M. Yeon, D. J. Yeong, K. Y. Yoon, G. O. Noh, "Effects of a Postnatal Care Program on Self-efficacy, Self-management, and Glycemic Control in Women with Gestational Diabetes Mellitus", Korean J Women Health Nurs, vol. 24 no. 4, pp. 367-378, 2018. DOI: https://doi.org/10.4069/kjwhn.2018.24.4.367
  30. A. Bandura, Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall; 1986.