Browse > Article
http://dx.doi.org/10.4040/jkan.2016.46.3.443

Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes  

Song, Youngshin (College of Nursing, Chungnam National University)
Publication Information
Journal of Korean Academy of Nursing / v.46, no.3, 2016 , pp. 443-453 More about this Journal
Abstract
Purpose: The purpose of this study was to define the concept for psychological insulin resistance in the Korean population with diabetes. Methods: The Hybrid model was used to perform the concept analysis of psychological insulin resistance. Results from both the theoretical review with 26 studies and a field study including 19 participants with diabetes were included in final process. Results: The preceding factors of psychological insulin resistance were uncontrolled blood glucose and change in daily life. The concept of psychological insulin resistance was found to have three categories with 8 attributes such as emotional factors (negative feeling), cognitive factors (low awareness and knowledge, low confidence for self-injection) and supportive factors (economic burden, dependency life, embarrassing, feeling about supporters, feeling of trust in, vs mistrust of health care providers). The 8 attributes included 30 indicators. Conclusion: The psychological insulin resistance of population with diabetes in Korea was defined as a complex phenomenon associated with insulin therapy that can be affected by emotional factors, cognitive factors, and supportive relational factors. Based on the results, a tool for measuring psychological insulin resistance of Koreans with diabetes and effective programs for enhancing insulin adherence should be developed in future studies.
Keywords
Diabetes mellitus; Psychological factors; Insulin resistance;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Makine C, Karsidag C, Kadioglu P, Ilkova H, Karsidag K, Skovlund SE, et al. Symptoms of depression and diabetes-specific emotional distress are associated with a negative appraisal of insulin therapy in insulin-naive patients with Type 2 diabetes mellitus. A study from the European Depression in Diabetes [EDID] Research Consortium. Diabetic Medicine. 2009;26(1):28-33. http://dx.doi.org/10.1111/j.1464-5491.2008.02606.x   DOI
2 Abu Hassan H, Tohid H, Mohd Amin R, Long Bidin MB, Muthupalaniappen L, Omar K. Factors influencing insulin acceptance among type 2 diabetes mellitus patients in a primary care clinic: A qualitative exploration. BMC Family Practice. 2013;14:164. http://dx.doi.org/10.1186/1471-2296-14-164   DOI
3 Polonsky WH, Anderson BJ, Lohrer PA, Welch G, Jacobson AM, Aponte JE, et al. Assessment of diabetes-related distress. Diabetes Care. 1995;18(6):754-760. http://dx.doi.org/10.2337/diacare.18.6.754   DOI
4 Snoek FJ, Skovlund SE, Pouwer F. Development and validation of the insulin treatment appraisal scale (ITAS) in patients with type 2 diabetes. Health and Quality of Life Outcomes. 2007;5:69. http://dx.doi.org/10.1186/1477-7525-5-69   DOI
5 Karter AJ, Subramanian U, Saha C, Crosson JC, Parker MM, Swain BE, et al. Barriers to insulin initiation: The translating research into action for diabetes insulin starts project. Diabetes Care. 2010;33(4):733-735. http://dx.doi.org/10.2337/dc09-1184   DOI
6 Hong JS, Kang HC. Oral antihyperglycemic medication adherence and its associated factors among ambulatory care with adult type 2 diabetes patients in Korea. Korean Journal of Health Policy & Administration. 2010;20(2):128-143. http://dx.doi.org/10.4332/KJHPA.2010.20.2.128   DOI
7 Korean Diabetes Association. Korean diabetes fact sheet 2013. Seoul: Author; 2013.
8 Brod M, Kongso JH, Lessard S, Christensen TL. Psychological insulin resistance: Patient beliefs and implications for diabetes management. Quality of Life Research. 2009;18(1):23-32. http://dx.doi.org/10.1007/s11136-008-9419-1   DOI
9 Peyrot M, Rubin RR, Lauritzen T, Skovlund SE, Snoek FJ, Matthews DR, et al. Resistance to insulin therapy among patients and providers: Results of the cross-national Diabetes Attitudes, Wishes, and Needs (DAWN) study. Diabetes Care. 2005;28(11):2673-2679. http://dx.doi.org/10.2337/diacare.28.11.2673   DOI
10 Fu SN, Chin WY, Wong CK, Yeung VT, Yiu MP, Tsui HY, et al. Development and validation of the Chinese Attitudes to Starting Insulin Questionnaire (Ch-ASIQ) for primary care patients with type 2 diabetes. PloS One. 2013;8(11):e78933. http://dx.doi.org/10.1371/journal.pone.0078933   DOI
11 Hong SH, Kim MJ, Noh SG, Suh DW, Youn SJ, Lee KW, et al. A study on resistance in type 2 diabetic patient against commencement of insulin treatment. The Journal of Korean Diabetes. 2008;32(3):269-279. http://dx.doi.org/10.4093/kdj.2008.32.3.269   DOI
12 Petrak F, Stridde E, Leverkus F, Crispin AA, Forst T, Pfutzner A. Development and validation of a new measure to evaluate psychological resistance to insulin treatment. Diabetes Care. 2007;30(9):2199-2204. http://dx.doi.org/10.2337/dc06-2042   DOI
13 Larkin ME, Capasso VA, Chen CL, Mahoney EK, Hazard B, Cagliero E, et al. Measuring psychological insulin resistance: Barriers to insulin use. The Diabetes Educator. 2008;34(3):511-517. http://dx.doi.org/10.1177/0145721708317869   DOI
14 Polonsky WH, Fisher L, Guzman S, Villa-Caballero L, Edelman SV. Psychological insulin resistance in patients with type 2 diabetes: The scope of the problem. Diabetes Care. 2005;28(10):2543-2555. http://dx.doi.org/10.2337/diacare.28.10.2543   DOI
15 Peyrot M, Rubin RR, Khunti K. Addressing barriers to initiation of insulin in patients with type 2 diabetes. Primary Care Diabetes. 2010;4 Suppl 1:S11-S18. http://dx.doi.org/10.1016/s1751-9918(10)60004-6   DOI
16 Lee EW. Self-injection related anxiety, fear and self-care compliance in insulin-treated diabetes patients [master's thesis]. Seoul: Ewha Womans University; 2002. p. 1-69.
17 Nam S, Song HJ, Park SY, Song Y. Challenges of diabetes management in immigrant Korean Americans. The Diabetes Educator. 2013;39(2):213-221. http://dx.doi.org/10.1177/0145721713475846   DOI
18 Reach G, Le Pautremat V, Gupta S. Determinants and consequences of insulin initiation for type 2 diabetes in France: Analysis of the National Health and Wellness Survey. Patient Preference and Adherence. 2013;7:1007-1023. http://dx.doi.org/10.2147/ppa.s51299
19 Schwartz-Barcott D, Kim HS. An expansion and elaboration of the hybrid model of concept development. In: Rodgers BL, Knafl KA, editors. Concept development in Nursing: Foundations, techniques, and applications. 2nd ed. Philadelphia, PA: W.B. Sanders; 2000. p. 161-192.
20 Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15(9):1277-1288. http://dx.doi.org/10.1177/1049732305276687   DOI
21 Gherman A, Veresiu IA, Sassu RA, Schnur JB, Scheckner BL, Montgomery GH. Psychological insulin resistance: A critical review of the literature. Practical Diabetes International. 2011;28(3):125d-128d. http://dx.doi.org/10.1002/pdi.1574   DOI
22 Strauss AL, Corbin JM. Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage Publications; 1998. p. 55-101.
23 National Institute of Korean Language. Basic Korean dictionary [Internet]. Seoul: Author; 2015 [cited 2015 March 1]. Available from: http://stdweb2.korean.go.kr/search/List_dic.jsp.
24 Kang MR. Relationships among psychological insulin resistance diabetes knowledge and self-efficacy in patients with type 2 diabetes [master's thesis]. Seoul: Yonsei University; 2014. p. 1-71.
25 Farsaei S, Radfar M, Heydari Z, Abbasi F, Qorbani M. Insulin adherence in patients with diabetes: Risk factors for injection omission. Primary Care Diabetes. 2014;8(4):338-345. http://dx.doi.org/10.1016/j.pcd.2014.03.001   DOI
26 Machinani S, Bazargan-Hejazi S, Hsia SH. Psychological insulin resistance among low-income, U.S. racial minority patients with type 2 diabetes. Primary Care Diabetes. 2013;7(1):51-55. http://dx.doi.org/10.1016/j.pcd.2012.11.003   DOI
27 Brunton S. Insulin delivery systems: reducing barriers to insulin therapy and advancing diabetes mellitus treatment. The American Journal of Medicine. 2008;121(6 Suppl):S35-S41. http://dx.doi.org/10.1016/j.amjmed.2008.03.025   DOI