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http://dx.doi.org/10.14400/JDC.2021.19.11.595

The Association between Personal Health Behaviors and Emergency Room Visit among Elderly Patients with Diabetes  

Kim, Su Hyun (College of Nursing, Research Institute of Nursing Science, Kyungpook National University)
Im, Ye-Ji (Kyungpook National University Hospital)
Publication Information
Journal of Digital Convergence / v.19, no.11, 2021 , pp. 595-606 More about this Journal
Abstract
This study was to understand the relationship between emergency room visit due to illness and personal health behaviors as well as population and illness characteristics of elderly patients with diabetes. This study was a descriptive correlation study that analyzed 956 respondents aged 65 or older and diagnosed with diabetes in the Korean Health Panel's data from 2014 to 2017. Data were analyzed using the SPSS 26.0 program with Mann-Whitney U test, chi-square test, and logistic regression analysis. The respondents who visited emergency room had fewer days of moderate-intensity physical activity and walking activity, were older, had activity restrictions due to disability, had depression, and had a large number of comorbid chronic diseases. In order to prevent elderly people with diabetes from visiting emergency room, it is important to encourage moderate-intensity activity and walking.
Keywords
Diabetes Mellitus; Elderly patients; Health behaviors; Walking; Emergency Room Visit;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Statistics Korea. (2019). Key Demographic Indicators. Elderly Person Statistics. https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&vw_cd=&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=K1
2 Korea health statistics (2018). Korea National Health and Nutrition Examination Survey. Sejong : Ministry of Health and Welfare.
3 A. Araki & H. Ito. (2009). Diabetes Mellitus and Geriatric Syndromes. Geriatrics & Gerontology International, 9(2), 105-114. https://doi.org/10.1111/j.1447-0594.2008.00495.x   DOI
4 I. S. Yoo. (2015). The Study of Health Care Utilization and Direct Medical Cost in the Diabetes Mellitus Client. The Journal of the Convergence on Culture Technology, 1(4), 87-101. https://doi.org/10.17703/JCCT.2015.1.4.87   DOI
5 R. K. Bandeen et al. (2015). Frailty in Older Adults: A nationally Representative Profile in the United States. The Journals of Gerontology, 70(11), 1427-1434. https://doi.org/10.1093/gerona/glv133   DOI
6 Q. L. Xue. (2011). The Frailty Syndrome: Definition and Natural History. Clinics in Geriatric Medicine, 27(1), 1-15. https://doi.org/10.1016/j.cger.2010.08.009   DOI
7 Van den Bussche et al. (2011). Patterns of Ambulatory Medical Care Utilization in Elderly Patients with Special Reference to Chronic Diseases and Multimorbidity - Results from A claims Data Based Observational Study in Germany. BMC Geriatrics, 11(1), 1-10. https://doi.org/10.1186/1471-2318-11-54   DOI
8 R. M. Andersen. (1995). Revisiting the Behavioral Model and Access to Medical Care: Does It Matter?. American Sociological Association, 36(1), 1-10. https://doi.org/10.2307/2137284   DOI
9 I. S. Yoo. (2015). Current Status and Problems of the Emergency Medical System. Health Insurance Review & Assessment Service_trend of policy, 9(4), 17-30.
10 H. J. Yoo. (2005. Nov). How to Manage Diabetes in the Elderly?. A monthly Diabetes Magazine, 1, 23-27.
11 P. E. Cryer. (2008). The Barrier of Hypoglycemia in Diabetes. Diabetes, 57(12), 3169-3176. https://doi.org/10.2337/db08-1084   DOI
12 P. E. Cryer. (2002). Hypoglycemia: The Limiting Factor in the Glycemic Management of Type I and Type II Diabetes. Diabetologia, 45(7), 937-948. https://doi.org/10.1007/s00125-002-0822-9   DOI
13 H. S. Jeong, O. S. Kim. (2013). Anxiety, Depression and Health Behavior of Elderly with Chronic Diseases. Health & Nursing, 25(2), 35-46.
14 Ministry of Health and Welfare. (2014). Survey of Living Conditions of Elderly Individuals. Korea Institute for Health and Social Affairs. http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=337302
15 E. Sandoval, S. Smith, J. Walter, S. A. H. Schuman, M. P. Olson, R. Striefler, J. A. Hickner. (2010). Comparison of Frequent and Infrequent Visitors to An urban Emergency Department. The Journal of Emergency Medicine, 38(2), 115-121. https://doi.org/10.1016/j.jemermed.2007.09.042   DOI
16 H. S. Chung et al. (2009). Relationship between Metabolic Syndrome and Risk of Chronic Complications in Koreans with Type 2 Diabetes. Diabetes and Metabolism Journal, 33(5), 392-400. https://doi.org/10.4093/kdj.2009.33.5.392   DOI
17 S. M. Jeong & Y. S. Kim. (2019). Effects of High-Risk Alcohol Drinking and Smoking on Treatment and Complications Management of Diabetes MellitusPpatients: Cross-Sectional Study. Korean Public Health Research, 45(3), 13-23.   DOI
18 H. S. Hong. (2007). Risk factors for cardiovascular disease in Korean type2 diabetes mellitus. Master's thesis. Ewha Womans University, Seoul.
19 E. W. Seo, S. Y. Choi & K. S. Lee. (2017). The Differences of Outpatient Service Uses by Depression : Focusing on the Hypertension and/or Diabetes Patients. Korean Public Health Research, 43(4), 21-34.   DOI
20 S. Eom. (2015). Utilization and cost of Korean adults with multiple chronic condition. Doctoral dissertation. Yeungnam University, Deagu.
21 J. S. Lee. (2017). Analysis of factors influencing outpatient visits and trends in patients with chronic diseases. Master's thesis. Korea University, Seoul.
22 Korea Institute for Health and Social Affairs. (2020). 2008-2017 Korean Health Panel's Data(version 1.6). Korea Health Panel Study. http://www.khp.re.kr
23 Korea Institute for Health and Social Affairs. (2020). 2008-2017 Korean Health Panel's User Guide(version 1.6). Korea Health Panel Study. http://www.khp.re.kr
24 Korean Diabetes Association. (2019). Treatment guideline for diabetes. 6 th ed. Seoul : Seoul Medcus.
25 Y. H. Jung, S. J. Go & E. J. Kim. (2013). A study on the effective chronic disease management. Seoul : Korea Institute for Health and Social Affairs.
26 J. W. Son. (2016). Focused Issue : Hypoglycemic Morbidity and Mortality in Diabetes. J Korean Diabetes, 17(1), 17-23. https://doi.org/10.4093/jkd.2016.17.1.17   DOI
27 S. H. Baik & K. M. Choi. (2003). Diabetes Mellitus in Elderly Korean. Diabetes and Metabolism Journal, 27(4), 299-303.
28 Y. E. Kwon. (2000. Nov). Nursing Tips for Elderly Diabetic Patients. A monthly Diabetes Magazine, 132, 46-47.
29 J. E. Cha & S. N. Yun. (2015). The Comparison of Health Behaviors, Use of Health Services, and Health Expenditures among Diabetic Patients according to the Practice of Exercise. J Korean Acad Community Health Nurse, 25(1), 31-41. https://doi.org/10.12799/jkachn.2015.26.1.31   DOI
30 H. L. Kim. (2016). The effects of medication adherence on hospitalization risk and health care cost in patients with type 2 diabetes mellitus. Master's thesis. Seoul National University, Seoul.
31 J. R. Kim. (2017). A study on factors influencing readmission of patients with chronic disease- foused on diabetic patients in one advanced general hospital. Master's thesis. Dankook University, Cheonan.
32 A. K. Jha, R. E. Aubert, J. Yao, J. R. Teagarden & R. S. Epstein. (2012). Greater Adherence to Diabetes Drugs is Linked to Less Hospital Use and Could Save Nearly $5 Billion Annually. Health Affairs, 31(8), 1836-1846. https://doi.org/10.1377/hlthaff.2011.1198   DOI
33 H. A. Kim. (2019). A research on factors influencing medical use and expenditure of patients with chronic diseases. Master's thesis. Ewha Womans University, Seoul.
34 H. E. Cho. (2020). The effect of depression on the use of medical services: focusing on patients with chronic physical illness among middle-aged and elderly women. Master's thesis. Korea University, Seoul.
35 K. W. Sung & J. H. Lee. (2010). The Effects of Regular Walking Exercise on Metabolic Syndrome, Cardiovascular Risk Factors, and Depressive Symptoms in the Elderly with Diabetic Mellitus. Journal of Korean Academy of Community Health Nursing, 21(4), 409-418. https://doi.org/10.12799/jkachn.2010.21.4.409   DOI
36 Y.H. Oh. (2014. Oct). Patient Satisfaction with Emergency Care and Its Policy Implications. Health and Welfare Policy Forum, 1, 83-93.
37 Y. J. Park et al. (2002). Social Support, Stressful Life Events, and Health Behaviors of Korean Undergraduate Students. Journal of Korean Academy of Nursing, 32(6), 792-802. https://doi.org/10.4040/jkan.2002.32.6.792   DOI
38 E. J. Sung. (2016). The association between chronic disease in the utilization of emergency medical service. Master's thesis. Korea University, Seoul.
39 S. Y. Kwon & H. J. Park. (2019). Association among Lifestyle Factors, Obesity, C-peptide Secretion, Metabolic Syndrome, and Cardiovascular Risk in Adults with Newly Diagnosed Type 2 Diabetes Mellitus: A Case Study. Journal of Health Informatics and Statistics. 44(2), 125-133. https://doi.org/10.21032/jhis.2019.44.2.125   DOI