Browse > Article
http://dx.doi.org/10.5762/KAIS.2017.18.9.157

The Analysis of Self-care Knowledge, Competence, Behavior, and Quality of Life in Community Diabetes Elderly  

Lee, Song-heun (Division of Nursing, Chodang University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.18, no.9, 2017 , pp. 157-166 More about this Journal
Abstract
This study was conducted to identify the level of diabetes self-care knowledge, confidence, behavior and quality of life in elderly people with diabetes. The participants were 205 elderly with diabetes who visited a citizen health center located in D city. Korea. The data were collected from April, 20th to August 31th, 2015, and were analyzed by the t-test and ANOVA. The results were as follows; 1) The mean scores for diabetes self-care knowledge, confidence, behavior, and quality of life were 6.99 (2.17), 71.27 (10.21), 62.78 (1.29) and 0.86, respectively. 2) There were significant differences in the self-care behavior according to the education level, duration of diabetes mellitus and subjective health, and the quality of life differeddepending on the level of subjective health(F=35.253, p=0.000). 3) Knowledge of diabetes diet was the lowest among the various aspects of diabetes self-care knowledge. Confidence for exercise was lowest, while confidence for medication and blood sugar check was highest. However, the participants exhibited good medication behavior, whereasthey did not carry out blood glucose checks in their self-care management behavior. The most uncomfortable aspect of the quality of life was found to be pain and discomfort. Based on the results of this study, it is necessary to develop guidelines and methods for dietary education reflecting the dietary habits of Koreans, and to investigatethe reasonsfor thelow performance of theblood glucose check. In addition, customized nursing interventionstaking into consideration the characteristics of elderly with diabetes need to be developed and verified.
Keywords
Competence; Diabetes; Elderly; Self-care; Quality of life;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Health Insurance Review and Assessment Service(2015). [Internet]. 2009's first quarter medical cost statistic. [cited September 10, 2009], Available From: http://www.hira.or. kr/common/dummy. jsp.
2 M. M. Funnell, T. L. Brown, B. P. Childs, L. B. Haas, G. M. Hosey, B. Jensen, M. Maryniuk, M., Peyrot, J. D. Piette, D. Reader, L. M. Siminerio, K. Weinger, M. A. Weiss, "National Standards for Diabetes Self-Management Education", Diabetes Care, vol. 33(Suppl 1), S87-S94, 2001. DOI: https://doi.org/10.2337/dc10-S089   DOI
3 D. J. Toobert, S. E. Hampson, R. E. Glasgow. "The Summary of Diabetes Self-Care Activities Measure: Results from 7 studies and a revised scale", Diabetes Care, vol. 23, no. 7, pp. 943-950, 2000.   DOI
4 S. J. Chang, M. S. Song, M. S. "The validity and diabetes self-care activities questionnaire for older patients with type 2 diabetes", Journal of Korean Academy of Adult Nursing, vol. 21, no. 2, pp. 235-244, 2009.
5 Y. K. Lee, H. S. Nam, K. Y. Kim, H. K. Yang I. S. Kwon, P. Kind, S. S. Kweon, Y. T. Kim, "South Korean Time Trade-Off Values for EQ-5D Health States: Modeling with Observed Values for 101 Health States", Value Health. vol. 12, no. 8, pp. 1187-1193, 2009.   DOI
6 C. Y. Osborn, L. E. gede, L. E. "Validation of an Information-Motivation-Behavioral Skills model of diabetes self-care (IMB-DSC)", Patient Education and Counseling, vol. 79, no. 1, pp. 49-54, 2010. DOI: https://doi.org/10.1016/j.pec.2009.07.016   DOI
7 H. Y. Kang, M O. Gu, "Comparative Study on Self-Care Behavior, Diabetes-related Stress, and Stress Coping among Good, Inadequate and Poor Glycemic Control Groups", Journal of the Korean Academy of Fundamentals of Nursing, vol. 19, no. 2, pp. 168-178, 2012.   DOI
8 M. S. Song, M. R. Lee, B. M. Shim, "Barriers to and facilitators of self-management adherence in Korean older adults with type 2 diabetes", Internal Journal of Older People Nursing. vol. 5, no. 3, pp. 211-218. 2009. DOI: https://doi.org/10.1111/j.1748-3743.2009.00189.x
9 K. S. Kim. G. W. Ko, "Factors Association with the Diabetes self-care Activities of the Elderly with Type 2 Diabetes", The Journal of Korean Gerontological Society, vol. 32, no. 4, pp. 961-973, 2012.
10 L. O. Schulz, "Obese, overweight, desirable, ideal: where to draw the line in 1986?", Journal of the American Dietetic Association, vol. 86, no. 2, pp. 1702-1704, 1986.
11 American Diabetes Association. "Standards of medical care for patients with diabetes mellitus. Dibetes Association", Diabetes Care, vol. 25, pp. 213-229, 2002.   DOI
12 K. M. Potempa, S. W. Butterworth, M. K. Flaherty-Robb, W. L. Gaynor, "The healthy ageing model: Health behaviour change for older adults", Collegian, vol. 17, No. 2, pp. 51-55, 2010.   DOI
13 G. D. Berg, S. Wadhwa, "Health services outcomes for a diabetes disease management program for the elderly", Disease Management, vol. 10, no. 4, pp. 226-234, 2007.   DOI
14 E. C. Shin, "Research Review: Effective of Self-Management Education in Diabetes Patients", Journal of Korean Diabetes, vol. 17, pp. 185-189, 2016.   DOI
15 A. J. Karter, A. Ferrara, J. A. Darbinian, L. M. Ackerson, J. V. Selby, "Self-monitoring of blood glucose: language and financial barriers in a managed care population with diabetes", Diabetes care, vol. 23, no. 4, pp. 477-483, 2000.   DOI
16 N. H. Kim, S. Y. Lim, "Social support, Educational Needs(DSMK), Convergence Study", Journal of Korean Convergence Society, vol. 8, no. 3, pp. 79-89, 2017.
17 G. A. Choi, S. M. Jang, S. M, H. W. Nam, "Current Status of Self-management and Barriers in Elderly Diabetic Patient", Korean Diabetes Journal, vol. 32, no. 3, pp. 280-289, 2008. DOI: https://doi.org/10.4093/kdj.2008.32.3.280   DOI
18 S. A. Shumaker, J. K. Ockene, K. A. Rietert, (2009). The handbook of health behavior change (3rd ed.), New York, NY: Springer, 1998
19 J. J. Sudano, D. W. Barker, "Explaining US racial/ethnic disparities in health declines and mortality in late middle age: the roles of socioeconomic status, health behaviors, and health insurance", Social Science & Medicine, vol. 62, no. 4, pp. 909-922, 2006.   DOI
20 Korean Diabetes Association, The guideline of diabetic education. Seoul; Gold Publishing, 2007
21 S. A. Kim, M. S. Song, "The Relation between Glucose Control, Self-care and Depression in Community Dwelling Older Adults with Diabetes", Perspectives in Nursing Science, vol. 9, no. 2, pp. 94-101, 2012.
22 H. S. Kim, "A Survey of Blood Glucose Testing, Medication, Diet, and Exercise Adherence in Korean Patients with Type2 Diabetes", Journal of Academy Fundamental Nursing, vol. 10, No. 2, pp. 181-186, 2003.
23 M. J. Kang, S. Y. Kim, S. Y. Park, C. H. Park, J. Y. Sung, M. A. Shin, J. Y. Ha, E. H. Hwang, Y. H. Choi, "A Study on Family Support Perceived by Patients in Diabetes Diet Implementation", Journal of the nursing academic assoc of ewha womans University, vol. 28, pp. 40-51, 1995.
24 H. G. Min, "The Problems of Diabetes in Korea". The Journal of the Korean Medical Association, vol. 29, no. 4, pp. 353-335, 1986.
25 K. S. Seo, M. S. Song, "Relationships of Motivational Factors and Diabetes Self-management Behavior in Community Dwelling Older Adults", Journal of Muscle and Joint Health, vol. 19, no. 3, pp. 308-318, 2012.   DOI
26 P. Kind, G. Hardman, S. Macran, S. UK population norms for EQ-5D (Vol. 172). York: Centre for Health Economics, University of York, 1999.
27 J. Y. Kim, S. G. Lee, S. K. Lee, "The relationship between health behaviors, health status, activities of daily living and health-related quality of life in the elderly", Journal of Korean Gerontological Society, vol. 30, no. 2, pp. 471-484, 2010.
28 J. M. Ha, H. J. Lee, D. H. Kim, Y. S. Kim, W. Z. Lee, "Predictors of Vascular Complications among Patients with Type 2 Diabetes", Journal of the Korean Academy of Fundamentals of Nursing, vol. 16, no. 2, pp. 144-152, 2009.
29 H. R. Kim, "Predicting Factors for Health related Quality of Life among Older Adults at Senior Centers in Korea", Journal of Korean Gerontology Nursing, vol. 16, no. 2, pp. 95-106, 2014.   DOI
30 Y. H. Chung, Y. H. Cho, Y. H., "Health Behaviors, Health Status and Quality of Life among the Young-old and the Old-old in Korea", Korean Public Health Research, vol. 40, no. 1, pp. 55-64, 2014.
31 G. R. Barsky, "Diagnosis and Management of patient non-compliance", The Journal of the American Medical Association, vol. 228, pp. 1563, 1974.   DOI
32 Y. S. Park, S. H. Rye, "Factors Influencing Quality of Life in Type II Diabetes Mellitus Patients Registered at Public Health Center", The Journal of Korean Community Nursing, vol. 13, no. 4, pp. 679-688, 2002.
33 A. Bandura. "Self-efficacy: toward a Unifying Theory of Behavioral Change", Psychological Review, vol. 84, no. 2, pp. 191-215, 1977.   DOI
34 Y. R. Lee, M. A. Kang, P. G. Kim, "The Effects of an Admission-Education Program on Knowledge, Self-Efficacy, Self-Care and Glucose Control in Type 2 Diabetes Patients", The Journal of Korean Academic Society of Nursing Education, vol. 14, no. 1, pp. 12-19, 2008.   DOI
35 S. J. Loeb, D. Steffensmeier, C. Kassab, "Predictors of self-efficacy and self-rated health for older male inmates", Journal of advanced nursing, vol. 67, no. 4, pp. 811-820, 2011.   DOI
36 M. O. Gu, "The Effect of a Self Regulation Education Program for the Promotion & Maintenance of Self Care Behavior in the Chronically ill patients-For Diabetic Patients", Journal of Korean Academy of Nursing, vol. 6, pp. 413-427, 1991.
37 Y. I. Cho, "A Structural Model for Health Promotion Behaviors and the Quality of Life of Patients with Type 2 Diabetes Mellitus", Doctoral dissertation, Kyung Hee University, Seoul, Korea. 2004.
38 S. J. Chang, "Structural Equation Modeling on Health-related Quality of Life in Older Adults with Type 2 Diabetes Mellitus", Doctoral dissertation, Seoul National University, Seoul, 2010.
39 J. W. Shin, Y. K. Park, S. R. Seo, J. E. Kim, "Factors Influencing Quality of Life in Elderly Diabetic Patients of Korea: Analysis from the Korea National Health and Nutrition Examination Survey in 2008", Korean Gerontology Society, vol. 31, no. 3, pp. 479-487, 2011.
40 K. Plack, S. Herpertz, F. Petrak, "Behavioral medicine interventions in diabetes", Current Opinion in Psychiatry, vol. 23, no. 2, pp.131-138. 2010. DOI: https://doi.org/10.1097/YCO.0b013e3283366555   DOI
41 H. H. Shin, M. A. Han, J. Park. S. Y. Ryu, S. W. Choi, S. M. Park, H. J. Kim, "Quality of life in patients with diabetes mellitus compared with non-diabetic subjects in Korea: The 5th Korea National Health and Nutrition Examination Survey", Journal of Agricultural Medicine and Community Health. vol. 40, no. 1, pp. 21-31. 2015. DOI: https://doi.org/10.5393/JAMCH.2015.40.1.021   DOI
42 S. S. Chung, K. H. Jeung, "Predictors of Health-related Quality of Life(HRQoL) in the Home-dwelling Disabled Persons by using EQ-5D: Results from the 3rd Korea National Health and Nutritional Examination Survey 2005", Journal of Adults Nursing, vol. 22, no. 3, pp. 291-302, 2010.
43 S. J. Chang. "Structual Eqation Modeling on Health-related Quality of Life in Older Adults with Type 2 Diabetes Mellitus", Doctoral dissertation, Seoul National University, Seoul, Korea. 2010.
44 M. S. Lee, "A Study of the Model Construction of the Quality of Life in Type II Diabetes Mellitus", Doctoral dissertation, Chung-Ang University, Seoul, Korea. 2008.
45 J. T. Fitzgerald, M. M. Funnell, G. E. Hess, P. A. Barr, R. M. Anderson, R. G. Hiss, R. G., W. K. Davis, "The reliability and validity of a brief diabetes knowledge test", Diabetes Care, vol. 21, no. 5, pp. 706-710, 1998. DOI: http://doi.org/10.2337/diacare.21.6.706.   DOI
46 S. Y. Choi, "Structual Equation Modeling of Self-management Behavior in Older Adults with Type 2 Diabetes Mellitus". Doctoral dissertation, Seoul National University, Seoul, 2012.
47 Korea Health and Nutrition Examination Survey, [Internet]. Analysis of Health Behavior and Chronic Disease 2015. [cited 2017 Jun 20], Available From: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7(accessed June, 20, 2017)
48 M. Peyrot, M. Peeples, D. Tomky, D. Charron-Prochownik, T. Weaver, "Development of the American Association of Diabetes Educators' Diabetes Self-management Assessment Report Tool", The Diabetes Educator, vol. 33, no. 5, pp. 818-826, 2007. DOI: https://doi.org/10.1177/0145721707307614   DOI