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Impact of Nurses's Communication style and Health Literacy on Self-care Behaviors that Elderly diabetic patients Acknowledge in comprehensive nursing-care Service wards

간호·간병통합서비스 병동 노인 당뇨병 환자가 지각한 간호사의 의사소통 유형과 건강정보이해능력이 자가간호행위에 미치는 영향

  • 임은영 (이화여자대학교 부속 목동병원) ;
  • 신주현 (이화여자대학교 간호대학) ;
  • 이예나 (이화여자대학교 부속 목동병원)
  • Received : 2021.02.26
  • Accepted : 2021.04.07
  • Published : 2021.05.31

Abstract

The purpose of this study was to identify nurses' communication style and the extent of their health literacy and to discern the impact of nurses' communication and health literacy on self-care behaviors, as perceived by elderly diabetic patients in comprehensive nursing-care service wards. This study provides basic data for establishing an efficient nursing-care service-system environment through high-quality self-management. The measurement and improvement of an accurate health literacy level of elderly diabetic patients is an important intervention method to increase the self-care behavior of patients. Therefore, by developing a distinguished nursing intervention plan, early treatment of diabetic patients and quality of care may be possible.

본 연구는 간호·간병통합서비스 병동에 입원한 노인 당뇨병 환자가 지각하는 간호사의 의사소통 유형, 건강정보이해능력, 자가간호행위의 정도를 알아보고, 자가간호행위에 미치는 요인을 파악하여 노인 당뇨병 환자의 질 높은 자가관리를 통한 효율적인 간호·간병통합서비스 제도 환경을 조성하는데 기초 자료를 제공하고자 시도되었다. 연구 결과 간호·간병통합서비스 병동에 입원한 노인 당뇨병 환자들의 자가간호행위 능력을 향상시켜 당뇨병으로부터의 조기회복을 도모하기 위해서 정보 제공적 의사소통 유형적 요소와 건강정보이해능력을 향상시킬 수 있는 간호중재를 개발해야 할 필요성이 있음을 밝혀내었다.

Keywords

References

  1. D.S. Son, H.J. Kim, "Factors Associated with the Utilization of Comprehensive Nursing Services in Hospitals among Elderly Inpatients after Surgery." Journal of Korean Gerontological Nursing Vol. 22, No. 4, pp. 358-370. 2020. https://doi.org/10.17079/jkgn.2020.22.4.358
  2. H. J. Choi, "The analysis of trends in domestic nursing research on Comprehensive nursing care service", Journal of Korean Academy of Nursing Administration, Vol. 25, No. 5, pp. 510-525, 2019. https://doi.org/10.11111/jkana.2019.25.5.510
  3. J. H. Kim, S. G. Kim, E. T. Park, S. Y. Jeong, E. H. Lee, "Policy Issues and New Direction for Comprehensive Nursing Service in the National Health Insurance", The Journal of Korean Academy of Nursing Administration, Vol. 23, No. 3, pp. 312-322, 2017. https://doi.org/10.11111/jkana.2017.23.3.312
  4. Korea Labor Institute, employment Impact Assessment_Employment Impact Assessment for Expansion of Comprehensive Nursing Service, 2017; Available from: https://www.kli.re.kr/downloadPblFile.do?atchmnflNo=20976
  5. National Health Insurance Service. Guideline for Standardization of Comprehensive Nursing care Service. 2017.
  6. G. S. Kang, J. S. Kim, "Change of Life of the Older due to Social Admission in Long-Term Care Hospital", The Journal of the Korean Gerontological Society. Vol, 37, No. 1, pp. 103-123, 2017.
  7. S. Y. Kim, W. D. Kim, S. M. Lee, "The relation of communication types of nurses, satisfaction on nursing services and intent to revisit the hospital perceived by patients admitted to comprehensive nursing care service", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 11, pp. 321-331, 2017. https://doi.org/10.5762/KAIS.2017.18.11.321
  8. J. G, Shin, Y. A. Cho, "The Development and Effects of Communication Improvement Education Program for Nurses and Physicians in Nursing care Integrated Service ward", The Journal of The Korean Public Health Association, Vol. 46, No. 1, pp. 17-31, 2020.
  9. AN, Jisook.// J. S. An, "Health Literacy on Patients, Perceived by Nurses in Hospital: Focusing on Focus Group Interview Approach", The Journal of the Convergence on Culture Technology, Vol. 6, No. 4, pp. 583-590, 2020. https://doi.org/10.17703/JCCT.2020.6.4.583
  10. J. H. Kim, Y. S. Song, ""The Effects of Social Adjustment Training Program on Chronic Schizophrenia Patients' Self-Esteem and Interpersonal Relations.", The Journal Korean Acad Psych Ment Health Nursing, Vol. 12, No. 1, pp. 47-55, 2003.
  11. S. J. Park, "Differences between Nurses and Patients' Perception of Nurses' Communication Skills", Vol. 29, No. 2, pp. 166-176, 2017. https://doi.org/10.7475/kjan.2017.29.2.166
  12. Korea Diabetes Association. Diabetes fact sheet in Korea 2018. Seoul: Korea Diabetes Association; 40 p, 2018.
  13. Y. J. Kang, K. Park, "Health-related quality of life in elderly patients with diabetes mellitus according to age: based on Korea National Health and Nutrition Examination Survey", Journal of Nutrition and Health, Vol. 53, No. 2, pp. 129-140, 2020. https://doi.org/10.4163/jnh.2020.53.2.129
  14. J. C. Lee, J. S. Park, "Factors Associated with the Health Promotion Activities of the Korean Elderly", The Korean Society for Health Education and Promotion, Vol, 27, No. 2, pp. 121-139, 2010.
  15. Y. E. Kwon, Y. S. Kim, "actors Related to Self-Management the Elderly People with Diabetes Mellitus in a Community-Dwelling", The Korean Society of Living Environmental System, Vol, 18, No. 1, pp. 92-100, 2011
  16. E. W. Yoo, Y. M. Lee, "ealth literacy and self-care activities of older patients with type 2 diabetes: the mediating effect of resilience. Korean Journal of Adult Nursing". Vol, 30, No4. pp. 376-384, 2018. https://doi.org/10.7475/kjan.2018.30.4.376
  17. N. H. Kim, Y. R. Yang, M. H. Lee, "Effects of Health Literacy and Knowledge on Diabetic Self-care in the Elderly with DM Living Alone", The ournal Korean Acad Community Health Nurs, Vol, 27, No, 4, pp. 370-379, 2016. http://dx.doi.org/10.12799/jkachn.2016.27.4.370.
  18. D. Dewalt, M. P. Pignone, "The role of literacy in health and health care", The American Family Physician, Vol. 72, No. 3, pp. 387-388, 2005.
  19. S. J. Kang, K. H. Sim, S. J. Jang, M. S. Lee, "A study on the measuring health literacy in patients with diabetes in Korea" The Korean Society For Health Education And Promotion, Vol. 33, No. 5, pp. 47-57, 2016.
  20. T. J. Kim, J. O. Yu, "Comparative Study of Clinical Nurses' Role Conflict, Emotional Labor and Nursing Performance between Comprehensive Nursing Care Service Wards and General Wards", The Korean Society of Muscle and Joint Health. Vol. 25, No. 1, pp. 12-20, 2018.
  21. Y. A. Jung, K. M Sung, "A Comparison of Patients' Nursing Service Satisfaction, Hospital Commitment and Revisit Intention between General Care Unit and Comprehensive Nursing Care Unit", The Journal of Korean Academy of Nursing Administration, Vol, 24, No. 1, pp. 20-29, 2018.
  22. S. Y. Jeong, "Satisfaction of Patients by Nurse's Communication Styles", The Korean Health Communication Society, Vol. 8, No. 1, pp. 35-44, 2013.
  23. R. M. Parker, D. W. Baker, M. V. Williams, "The test of functional health literacy in adults: A new instrument for measuring patients' literacy skills", Journal of General Internal Medicine, Vol. 10. No. 10, pp. 537-341, 1995.. https://doi.org/10.1007/BF02640361
  24. The health literacy of America's adults: Results from the 2003 national assessment of adult literacy. U.S. Department of Education. Retrieved April 4, 2015, from http://www.edpubs.org.
  25. Kim SH, Lee EJ. // S. H. Kim, E. J. Lee, "The Influence of Functional Literacy on Perceived Health Status in Korean Older Adults", The Journal of Korean Academy of Nursing., Vol, 38, No. 2, pp. 195-203, 2008. . https://doi.org/10.4040/jkan.2008.38.2.195
  26. S. H. Kim, "Validation of the short version of Korean functional Health Literacy Test", The International Journal of Nursing Practice. Vol. 23, No. 4, 2017.
  27. Y. O. Kim, "A Study of Factors Predicting Self-care Behavior in Diabetics". The Journal of Korean Academy of Nursing, Vol. 28, No. 3, pp. 92-100, 1998..
  28. Gil EH, Oh HY./ E. H. Gil, H. Y. Oh, "Outpatient's Nursing Service Satisfaction and Intent to Revist Hospital According to Nurses' Communication Ability and Style", The Korean Journal Health Communication, Vol. 9, No. 2, pp. 143-153, 2014.
  29. S. Y. Kim, D. W. Kin, S. M. Lee, "The Relation of Communication Types of Nurses, Satisfaction on Nursing Services and Intent to Revisit the Hospital Perceived by Patients Admitted to Comprehensive Nursing Care Service", The Korea Academy Industrial Cooperation Society, Vol. 18, No. 11, pp. 321-331, 2017. .
  30. Zachariae R, Pedersen CG, Jensen AB, Ehrnrooth E, Rossen PB, Maase H.// R. Zachariae, C. G. Pedersen, A. B. Jensen, E. Ehrnrooth, P. B. Rossen, H. Maase, "Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease", The British Journal of Cancer, Vol. 88, No. 5, pp. 658-665, 2003. https://doi.org/10.1038/sj.bjc.6600798
  31. S. Hawighorst-Knapstein, D. O. Brueckner, G. Schoenefuss, P. G. Knapstein, H. Koelbl, "Breast Cancer Care: Patient Information and Communication as a Preventive Educational Process" Breast Care, Vol. 1, No. 6, pp. 375-378, 2006. https://doi.org/10.1159/000097264