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A Study on Blood Glucose Level and Self Management among Community Dwelling Type II Diabetes Patients  

Park, Ju-Young (College of Nursing, Eulji University)
Lee, Tae-Yong (College of Medicine, Chungnam National University)
Jang, Keong-Sug (College of Nursing, Chungnam National University)
Oh, Hee-Young (College of Nursing, Eulji University)
Publication Information
Korean Journal of Adult Nursing / v.22, no.3, 2010 , pp. 271-280 More about this Journal
Abstract
Purpose: The purpose of this study was to examine relationships among blood glucose, HbA1c, and self management comparing these with general and illness characteristics of subjects with Type II Diabetes living in the community. Methods: Using a comprehensive survey developed for the study, data were collected from 82 type II diabetes patients who were registered at five community health departments. The variables of self management, blood glucose and HbA1c were assessed by nurses. Data were analyzed with descriptive statistics including t-test, ANOVA and Pearson's correlation coefficient to compare self management and level of HbA1c by subject's general and illness characteristics and to examine the relationships among variables. Results: About 73.2% of the subjects' HbA1c were 7.0% or higher and 54.9% of subjects' blood glucose were 200 mg/dL or higher. The level of self management was moderate. Most frequently perceived reasons for failure of blood glucose control were dietary failure (32.9%). There was significant relationship between self management and HbA1c(r=-.223, p=.040). The mean score of self management were higher among female (t=-2.37, p=.021), who are not on diabetes medication (t=6.70, p=.011). Conclusion: Comprehensive intervention is needed to improve dietary self management, especially for male and those who is on diabetes medication.
Keywords
Diabetes mellitus; Self management; HemoglobinA1c; Blood glucose; Chronic disease;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Browson, C. A., Hoerger, T. J ., Fisher, E. B., & Kilpatrick, K. E. (2009). Cost-effectiveness of diabetes self-management program in community care setting. The Diabetes Educator, 35(5), 761-769.   DOI   ScienceOn
2 Song, M. S., Song, K. H., Ko, S. H., Ahn, Y. B., Kim, J . S., Shin, J . H., et al. (2005). The long-term effect of a structured diabetes education program for uncontrolled Type 2 diabetes mellitus patients-a 4-year follow-up. Journal of Korean Diabetes Association, 29(2), 140-150.
3 Statistics Korea(2008, September). Deaths and Causes of Death in 2007. Retrieved January 9, 2010, from Web site: http:// www.kostat.go.kr/
4 Vincent, D. (2009). Culturally tailored education to promote lifestyle changes in mexican americans with type 2 diabetes. Journal of the American Academy of Nurse Practitioners, 21(9), 520-527.   DOI   ScienceOn
5 Weingerk, K., & J acobson, A. M. (2001). Psychosocial and quality of life correlates of glycemic control during intensive treatment of type diabetes. Patient Education and Counseling, 42(2), 123-131.   DOI   ScienceOn
6 Park, K. Y, Park, H. S., & Seo, J . M. (2007). The effects of a cognitive behavioral stress management program on diabetic self-care and glycemic control with diabetes mellitus type II. Journal of Korean Academy of Adult Nursing, 19(5), 683-693.
7 Park, M. Y. (2008). The study related to perceived stress, stress coping method. self-care behavior and hemoglobin A1c of elderly diabetes mellitus patients. Unpublished master's thesis, Chung-Ang University, Seoul.
8 Lee, H. J ., & Kim, M. S. (2007). The relationship of diet, physical activities, self-efficacy, and self-care with cardiovascular risk factors among clients with type II diabetes. Journal of Korean Academy of Adult Nursing, 19(2), 283- 294.
9 Son, Y. A. (2006). Health care status of diabetic patients registered at the public health center. Unpublished doctoral dissertation, Kyungpook University, Daegu.
10 Song, M. S., & Kim, H. S. (2008). Effects of diabetes education and telephone counseling on depression in patients with diabetes. Journal of Korean Academy of Adult Nursing, 20(3), 481-488.
11 Park, B. S. (2004). Self-managed and health related quality of life in adolescent and adulthood diabetes patients. Unpublished master's thesis, Yonsei University, Seoul.
12 Lee, J . H., Lee, C. B., Han, S. W., Ki, M. R., & Kim, H. J . (2008). Correlation between glycated hemoglobin and glucose level in diabetes mellitus patient on maintenance hemodialysis. The Korean Journal of Nephrology. Spring Scientific Meeting. book of abstract, 28(1), 332.
13 Lee, N. K. (2005). Self-efficacy and self care behavior in elderly patients with diabetes mellitus. Unpublished master's thesis, Kwandong University, Gangneung.
14 Ministry for Health, Welfare and Family Affairs (2006). Korean health and nutrition examination survey 3(2005). Web site: http://www.mw.go.kr/
15 Kim, S. H. (2008). Depression, self-care activity, and HbA1C of type-2 diabetes patients. Unpublished master's thesis, Chung-Ang University, Seoul.
16 Kim, Y. O. (1996). A prediction model for diabetes patient's selfcare behavior. Unpublished master's thesis, Yonsei University, Seoul.
17 Kim, H. S., Song, M. S., & Yoo, Y. S. (2001). A study on the glucose level control and chronic complication rate in diabetic compliance groups with Health Care Regimen. Journal of Korean Academy of Public Health Nursing, 15(2), 334-341.
18 Laakso, M. (1996). Glycemic control and the risk of coronary heart disease in patients with non-insulin -dependent diabetes mellitus-the finish studies-. Annals of Internal Medicine, 124, 127-130.
19 Lee, E. W. (2002). Self-injection related anxiety, fear and selfare compliance in insulin-treated diabetes patients. Unpublished master's thesis, Ewha Womans University, Seoul.
20 Lee, J . K. (2009). Self-management and it's predictors for patients with poorly controlled type 2 diabetes. Journal of Korean Academy of Adult Nursing, 21(5), 447-457.
21 American Diabetes Association(2006). Standards of medical care in diabetes. Diabetes Care, 27, 15-35.
22 Kim, K. S., & Gu, M. O. (2006). A study on the stages of change of exercise and its related factors in patients with diabetes mellitus -application of transtheoretical model-. Journal of Korean Academy of Adult Nursing, 18(3), 345-356.
23 Kim, K. W. (1997). Goal of diabetes management. Seoul: Korean diabetes association
24 Jang, S. H. (2007). The relationships among self-care behavior, Hemoglobin A1c and Blood Lipids of Elderly Diabetes Mellitus Patients. Nursing science, 19(2), 10-20.
25 Kim, H. J ., Kim, S. H., & Ahn, S. H. (2006). Effects of diabetic education fortified with individual practice on plasma glucose, self-care, and self reported physical symptom in type 2 diabetic patients. Journal of Korean Academy of Adult Nursing, 18(2), 194-201.
26 Edelma, S. V. (1998). Importance of glucose control. Medical Clinic of North Lancet, 82(4), 665-687.
27 Hong, S. M., Hwang, H. J ., Choi, S. H., & J eong, E. M. (2000). A study on dietary habits of diabetes patients commuting to a Ulsan Health Center. Journal of Human Ecology, 2(1), 1-12.
28 Chung, E. K., Park, S. Y., & Lee, S. Y. (2005). Effects of nutrition education on blood glucose control and related factors in NIDDM patients. Chungnam national university of Human Ecology, 18(1), 67-74.
29 An, K. H., Han, K. A., & Min, K. W. (2005). Long term effect of exercise on waist-hip ratio, BMI, HbA1C. Diabetes, 29(6), 526-532.
30 Choi, J . E. (2002). A study on the related factors in diabetic patients' diabetic control level and dietary compliance. Unpublished master's thesis, Yeungnam University, Kyungpook.