• 보건교육건강증진학회지
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• 제24권4호
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• pp.149-159
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• 2007

This study was intended to provide basic data for developing an oral health management program for diabetic patients by understanding their oral health condition and defining the influence of diabetes on oral health. The following results were obtained through intraoral examination and questionnaire surveys done on one hundred and twenty two diabetic outpatients who visited endocrine department at Yeungnam University in Daegu and internal medicine department at Chungmu hospital in Cheonahn for 4 months from November, 2005 to February, 2006. DMF index according to the gender was significantly higher in females only in Filling index (p <0.05). Missing index increased as the age increased (p <0.001). Papillary bleeding index was significantly higher in females (p <0.05). Several indices which show oral status significantly higher as the duration of diabetes increased and as the blood sugar level before meal was higher (p <0.01, p <0.05). In a group that received oral hygiene education, several indices which show periodontal status were significantly lower than those in a group that didn't have it (p <0.001). According to the results, not only diabetic control but also general oral care should be included in self-management education for diabetic patients and this should be accomplished by appropriate oral health education program and staffs.

• 한국산학기술학회논문지
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• 제18권9호
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• pp.157-166
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• 2017

본 연구는 지역사회 당뇨노인의 자가관리 지식, 자신감, 행위 및 삶의 질 정도를 파악하기 위하여 시도된 서술적 조사연구이다. D광역시에 거주하는 60세 이상의 당뇨노인을 대상으로 2015년 4월 20일부터 8월 31일까지 자료를 수집하였으며 수집된 자료 236부 중 최종적으로 205부를 분석하였다. SPSS 20.0 통계 프로그램의 기술통계 및 t-test와 ANOVA를 사용하여 분석하였으며, 분석 결과, 대상자의 당뇨 자가관리 지식점수는 6.99(${\pm}2.17$)점, 자가관리 자신감은 71.27(${\pm}10.21$)점, 자가관리 행위 62.78(${\pm}1.29$)점, 삶의 질은 0.86(${\pm}0.11$)점으로 나타났다. 대상자의 자가관리 지식과 자신감은 성별, 교육정도, 주관적 건강에 따라, 자가관리 행위는 교육수준 당뇨이환년수 및 주관적 건강에 따라, 삶의질은 주관적 건강에 따른 차이가 있었다. 세부영역별로 분석하였을 때 당뇨 자가관리 지식 중 식이에 대한 지식이 부족하였으며, 당뇨 자가관리 자신감은 투약과 혈당체크에 대한 자신감이 높았고 운동에 대한 자신감이 가장 낮았다. 자가관리 행위에 있어서 투약에 대한 행위가 6.48일로 가장 높았으며 혈당체크에 대한 행위 일수는 2.03일로 가장 낮았다. 삶의 질은 통증, 불편감 항목에서 가장 불편한 것으로 조사되었다. 이에 본 연구의 결과를 바탕으로 한국인의 식생활을 반영한 식이교육 지침과 방법이 개발될 필요가 있으며, 당뇨노인이 자가혈당감시 행위를 잘 이행하지 않는 데 대한 구체적인 분석과 연구가 시행될 것과, 본 연구에서 제시된 당뇨노인의 특성을 고려하여 적합한 간호중재 프로그램을 개발하고 검증할 것을 제언한다.

• 디지털융복합연구
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• 제13권9호
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• pp.541-551
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• 2015

본 연구는 당뇨병 환자에게 적용한 중재프로그램의 효과를 분석한 국내 연구논문의 내용을 분석한 연구이며, 검색은 Riss4u, 국회도서관, 국립 중앙도서관 등을 이용하였다. 검색어는 "당뇨병 환자", "당뇨병환자와 교육", "당뇨병환자와 운동", "당뇨병환자와 중재", "당뇨병환자와 교육 또는 운동"이었다. 선정기준에 적합한 53편의 논문을 중재프로그램의 적용방법 및 효과변수로 구분하여 분석하였고, 유형은 총 8가지이며 사용된 효과변수는 113가지이다. 가장 많이 사용된 유형은 교육과 상담을 동시 적용한 경우 이며 당 대사, 자가 간호, 자기 효능감이 자주 사용되는 종속변수였다. 중재프로그램의 적용방법은 다양하였으며, 효과변수의 결과는 효과가 없거나 상이한 경우도 있었다. 향후 중재프로그램의 기대효과를 높이기 위해서는 디지털 융합 시대에 적합한 체계적인 내용 구성 및 운동이 적극적으로 포함되어야 할 것이며, 또한 사회 심리적 변수를 포함한 효과변수의 선정 및 효과변수 측정법에 대한 고려가 필요하다.

• 기본간호학회지
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• 제23권3호
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• pp.300-309
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• 2016

Purpose: This study was a descriptive survey research to identify whether characteristics of patients with type 2 diabetes mellitus, their knowledge about diabetes, and self-care behavior impacted on the level of diabetic retinopathy. Methods: Participants were 133 patients who had type 2 diabetes mellitus and were being seen at a hospital in Korea. The scale for knowledge about diabetes had 24 items, the scale for self-care behavior, 20 items, and the level of diabetic retinopathy was classified according to the international clinical diabetic retinopathy severity measurement standards. Results: The influence of the independent variables on the level of diabetic retinopathy showed that age, job, time since onset of Diabetes Mellitus, regular ophthalmologic examinations, and systolic blood pressure were identified as factors affecting the level of diabetic retinopathy. The explanation power of this regression model was 23.0% and it was statistically significant (F=5.42, p<.001). Conclusion: Early education about occurrence of diabetes related diseases, specifically diabetic retinopathy should be provided for patients from younger ages. Moreover, for disease management, social support is needed from co-workers and friends. Efforts to encouraged prevention and delay of diabetic retinopathy should include control of blood sugar and blood pressure.

• 한국산학기술학회논문지
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• 제15권7호
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• pp.4301-4309
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• 2014

본 연구는 2형 당뇨병 환자의 당뇨교육요구도와 그와 관련된 영향요인을 파악하고자 시도된 서술적 상관관계연구이다. 연구 자료는 2021년 1월 2일부터 동년 2월 29일까지 수집되었으며, 총 336명의 대상자가 구조화된 설문지(일반적 특성, 당뇨지식 및 당뇨교육요구도)에 응답하였다. 자료 분석은 ANOVA, t-test, Scheffe test, Pearson correlation, 및 단계적 다중 회귀 분석으로 이루어졌다. 연구결과 당뇨교육요구도는 평균 3.03(범위: 1.09-4.00)으로 나타났고 연령이 적을수록 교육요구도가 높고(${\beta}$=-.25, p<.001), 가족이 당뇨병 교육에 참여 한 경우 교육요구도가 높은 것으로 나타났고(${\beta}$=.21, p=.003), 질병관련 특성에서는 자가혈당검사를 하지 않는 경우 교육요구도가 높은 것으로 나타났다(${\beta}$=-.13, p=.045). 이들 3개 변수가 당뇨교육 요구도의 총 11%의 설명력을 보였다. 본 연구결과 당뇨지식의 많고 적음에 따른 교육요구도에는 차이가 없는 것으로 나타나 당뇨교육은 당뇨진단은 받은 모든 환자를 대상으로 가족의 참여를 독려하여 이루어질 때 효율적이라고 생각된다.

• Journal of Community Nutrition
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• 제4권2호
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• pp.118-129
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• 2002

Nutrition is important in the management of diabetes mellitus, however, there are few little education materials specifically designed for older adults. The objective of this study was to develop nutrition education materials for prevention and management of diabetes moll for older adults. Materials developed were a booklet and four leaflets. The contents of materials were based on lesson plans. After several revisions of the draft of materials, illustrations and icons appropriate to the contents were designed using illustrator 9.0 and Photoshop 6.0. The booklet was composed of five chapters and 40 pages. The first chapter began with an introduction about diabetes and diabetes management by diet, exercise and medication. The second chapter dealt with ideal body weight, calculation of adequate caloric intake and food exchange list. The third chapter provided information for meal planning and sample menus. The fourth chapter focused on practical tips on nutritional care of diabetes, by providing tips on reducing sugars, fat and salt, and suggestions on eating for special occasions. The fifth chapter dealt with information in case of low blood sugars, exercise and foot care. The topics of the four leaflets were “Diabetes, what is it and care”, “Food exchange list and meal planning”, “Healthy eating for diabetes”, “Special care for diabetes low blood sugars, exercise and foot care” Each leaflet was composed of six sections and was printed in large paper (B4 size) for older adults. The draft of educational materials were re-viewed by four nutrition professionals and finally pilot-tested with ten adults aged 50 and older. The characteristics of the developed materials are as follows, i) messages are delivered using simple, specific information, ⅱ) messages focused on practical applicable tips, ⅲ) various pictures, illustrations and artwork were created and inserted to enhance understanding and interest, ⅳ) sections including risk factor assessment, calculation of ideal body weight and meal planning were designed to induce the user's participation, ⅴ) sample menus and food pictures were inserted in the booklet, vi) characteristics of older adults and transformed characteristics are diversely used to help the user feel familiarity. These materials are self-explanatory and can be used by older adults. These materials also can be used widely in nutrition education at public health centers or senior centers.

• 지역사회간호학회지
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• 제32권4호
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• pp.518-528
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• 2021

Purpose: This study was conducted to explore the healthcare experience of residents participating in the Community-Based Hypertension and Diabetes Registry Program. Methods: This study used qualitative content analysis. Data were collected from in depth interviews of fifteen participants, who either participated in the program hosted by the Training Center for Hypertension and Diabetes for more than two years or participated in an intensive one-on-one education program. Results: The results showed that the core theme in healthcare of participants was 'Proactive healthcare with attention and systematic guidance of experts'. The positive reinforcement of staffs and the improvement of self-efficacy through effective close management were found to be positive influencing factors of participation. The theme consisted of the following categories: 'Participation in the program with positive expectations on healthcare', 'Interest in body and health', 'Vitality in life', 'Confidence in dealing with disease', 'Thankfulness for close care and attention', and 'Desire for continuous care'. Conclusion: When establishing policies on managing chronic diseases, a strategy that reflects the results of the study is required. It is necessary to build up emotional relationship among stakeholders, and expand opportunities for close healthcare such as one-on-one customized training, and mutual cooperation with various organizations in the local community.

• 대한간호학회지
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• 제48권2호
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• pp.182-194
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• 2018

Purpose: This study aimed to estimate the effects of a health mentoring program on fasting blood sugar, total cholesterol, triglyceride, physical activity, self care behavior and social support changes among community-dwelling vulnerable elderly individuals with diabetes. Methods: A non-equivalent control group pre-post-test design was used. Participants were 70 community-dwelling vulnerable elderly individuals with diabetes. They were assigned to the experimental (n=30) or comparative (n=30) or control group (n=28). The experimental group participated in the health mentoring program, while the comparative group participated in health education program, the control group did not participate in any program. Data analyses involved a chi-square test, Fisher's exact test, a generalized linear model, and the Bonferroni correction, using SPSS 23.0. Results: Compared to the control group, the experimental and comparative groups showed a significant decrease in fasting blood sugar, total cholesterol, and triglyceride. Compared to the comparative and control groups, the experimental group showed significant improvement in self care behavior. However, there were no statistical differences in physical activity or social support among the three groups. Conclusion: These findings indicate that the health mentoring program is an effective intervention for community-dwelling vulnerable elderly individuals with diabetes. This program can be used as an efficient strategy for diabetes self-management within this population.

• Journal of Korean Biological Nursing Science
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• 제18권2호
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• pp.78-86
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• 2016

Purpose: Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain. Methods: This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test. Results: There were significant differences in self-care behavior and wound related pain. Conclusion: A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

• 한국게임학회 논문지
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• 제16권6호
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• pp.121-130
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• 2016

본 연구는 제2형 당뇨 환자 식이교육 기능성 게임(Roly-Poly 160)을 개발하고 그 효과를 검증하고자 수행하였다. 당뇨환자의 식이교육 기능성 게임은 식사자가관리, 카드게임, 퀴즈게임으로 총 3가지 종류의 모듈로 이루어져 있다. 식사자가관리는 매일의 식사정보를 관리하여 12개월 동안의 변화추이를 관찰할 수 있도록 개발되었다. 카드게임은 권장식사메뉴를 바탕으로 변화된 카드를 제한시간동안 찾아내는 게임이며 퀴즈게임은 식이요법에 관한 퀴즈를 풀면서 지식을 습득하는 게임이다. 이 게임은 2016년 9월 28일부터 10월 28일까지 G지역소재 C병원과 G병원에 내원하여 당뇨식이교육을 신청한 제2형 당뇨병환자 30명에게 1인당 1시간씩 총 5회 실시하여 당뇨식이지식과 식후 2시간 혈당을 실험전과 후에 반복 측정하였다. 실험 후 제2형 당뇨환자의 당뇨지식은 실험전보다 통계적으로 유의하게 상승하였고(p=0.01), 공복시 혈당과 식후 2시간 혈당은 각각 통계적으로 유의하게 감소하여(p<.05) Roly-Poly 160의 임상효과를 검증하였다.