Browse > Article
http://dx.doi.org/10.7739/jkafn.2012.19.2.168

Comparative Study on Self-Care Behavior, Diabetes-related Stress, and Stress Coping among Good, Inadequate, and Poor Glycemic Control Groups  

Kang, Hye-Yeon (Department of Nursing, Daedong College)
Gu, Mee-Ock (Gerontological Health Research Center, Institute of Health Sciences, Gyeongsang National University)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.19, no.2, 2012 , pp. 168-178 More about this Journal
Abstract
Purpose: The purpose of this study was to compare self-care behavior, diabetes-related stress and stress coping style among 3 blood glucose control groups (good, inadequate, and poor blood glucose control groups). Methods: Participants were 102 type 2 diabetic patients (good group: 41, inadequate group: 31, poor group: 30). Data were collected from Feb 19 to Mar 24, 2010 and were analyzed using Chi-square, Fisher's exact test and ANCOVA with SPSS/WIN 12.0. Results: Using ANCOVA with frequency of admission, and illness duration as covariates, significant differences were found among the 3 groups in self-care behavior (total score) and the exercise subscale. Using ANCOVA significant differences were found among 3 groups in diabetes-related stress (total score), emotional burden subscale and regimen distress subscale. Using ANCOVA no difference in stress coping was found among the 3 groups, but there was a significant difference in the problem-oriented coping subscale. Conclusions: Self-care behavior, diabetes-related stress, and stress coping style are factors influencing blood glucose control. The results of this study suggest that for improving blood glucose control, self care education program focused on diet and exercise in addition to stress management program for promoting problem oriented coping capability are recommended.
Keywords
Diabetes Mellitus; Self Care; Stress; Coping behavior; Blood Glucose;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Health Insurance Review & Assessment Service. (2007). National Health Insurance Corporation Release Copy. Seoul: Author.
2 Jalowiec, A., Murphy, S. P., & Powers, M. J. (1984). Psychometric assessment of the Jalowiec Coping Scale. Nursing Research, 33, 157-161.
3 Jeong, G. H. (2007). Impact of stress coping style and diabetes-related support on self-management among people with diabetes. Unpublished master's thesis, Soongsil University, Seoul.
4 Korean Diabetes Association. (2011). Diabetes (4th ed.). Seoul: Korea Medical Book Publisher.
5 Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer.
6 Lee, Y. L., Kang, M. A., & Kim, P. G. (2008). The effects of an admission-education program on knowledge, self-efficacy, self-care and glucose control in type 2 diabetes patient. Journal of Korean Academic Society of Nursing Education, 14, 12-19.   DOI   ScienceOn
7 Nakahara, R., Yoshiuchi, K., Kumano, H., Hara, Y., Suematsu, H., & Kuboki, T. (2006). Prospective study on influence of psychosocial factors on glycemic control in Japanese patients with type 2 diabetes. Psychosomatics, 47, 240-246.   DOI   ScienceOn
8 Orem, D. E. (1989). Self care deficit theory of nursing. In M. R. Alligood, & A. M. Tomey (Eds.) (2nd Ed), Nursing theorists and their work.. St. Louis: C. V. Mosby.
9 Park, H. S., & Park, K. Y. (2008). Effects of cognitive behavioral stress management program on perceived stress, coping strategies, and stress response in people with diabetes mellitus type 2. Journal of Korean Academy of Fundamentals of Nursing, 15, 291-300.
10 Park, J. Y., & Kim, K. K. (1999). Stressors coping methods by family members of psychiatric patients. Inje Medical Journal, 20, 537-552.
11 Park, S. J., Woo, M. H., & Choue, R. (2008). Dietary quality and self-management status according to the glycemic control in the elderly with type 2 diabetes. The Korean Journal of Food and Nutrition, 21, 530-535.
12 American Diabetes Association. (2010). Standards of medical care in diabetes. Diabetes Care, 33(Suppl 1), S11-S31.   DOI   ScienceOn
13 Choi, E. J. (2007). Factors related to glycemic control in patients with type 2 diabetes mellitus. Unpublished master's thesis, Yonsei University, Seoul.
14 Choi, J. E. (2001). The relation between the coping of stress and the blood sugar level of a diabetic. Unpublished master's thesis, Ewha Womans University, Seoul.
15 Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160.   DOI   ScienceOn
16 Fisher, L., Mullan, J. T., Arean, P., Glasgow, R. E., Hessler, D., & Masharani, U. (2010). Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses. Diabetes Care, 33, 23-28.   DOI   ScienceOn
17 Park, S. W., Kim, D. J., Min, K. W., Baik, S. H., Choi, K. M., Park, I. B., et al. (2007). Current status of diabetes management in Korea using national health insurance database. The Journal of Korean Diabetes Association, 31, 362-367.   DOI   ScienceOn
18 Peyrot, M. F., & McMurry, J. F. (1992). Stress buffering and glycemic control: The role of coping style. Diabetes Care, 15, 842-846.   DOI   ScienceOn
19 Polonsky, W. H., Lees, J., Fisher, L., Mullan, J., Earles, J., Dudl, R. J., et al. (2005). Assessing psychosocial distress in diabetes. Diabetes Care, 28, 626-631.   DOI   ScienceOn
20 Statistics Korea. (2009). Cause of death statistical year book, 2008. Seoul: Author.
21 Suwattee, P., Lynch, J. C., & Pendergrass, M. L. (2003). Quality of care for diabetic patients in a large urban public hospital. Diabetes Care, 26, 563-568.   DOI   ScienceOn
22 The Diabetes Control and Complications Trial (DCCT) Research Group. (1993). The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The New England Journal of Medicine, 329, 977-986.   DOI   ScienceOn
23 UK Prospective Diabetes Study (UKPDS) Group. (1998). Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet, 352, 837-853.   DOI   ScienceOn
24 Yoo, J. H. (2000). A study on the relationship of self care behavioral compliance and perceived self-efficacy in type II diabetic patient. Journal of Korean Academy of Fundamentals of Nursing, 7, 453-465.
25 Yoo, J. S., Kim, E. J., & Lee, S. J. (2006). The effects of a comprehensive life style modification program on glycemic control and stress response in type 2 diabetes. Journal of Korean Academy of Nursing, 36, 751-760.   DOI
26 Hartemann-Heurtier, A., Sultan, S., Sachon, C., Bosquet, F., & Grimaldi, A. (2001). How type 1 diabetes patients with good or poor glycemic control cope with diabetes-related stress. Diabetes Metabolism, 27, 553-559.
27 Gu, M. O. (1994). A study of the relationship among self efficacy, self regulation, situational barriers and self care behavior in patients with diabetes mellitus. Journal of Korean Academy of Nursing, 24, 635-651.