• 한국치위생학회지
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• 제16권1호
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• pp.1-9
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• 2016

Objectives: The purpose of the study was to identify the oral care status and periodontal disease of middle aged daibetic patients in Korea. Methods: The primitive data were taken from 238 diabetic people in the 5th Korea National Health and Nutrition Examination Survey(KNHANES) in 2010 - 2012. The variables included general profiles(gender, age, occupied area, education, and smoking), oral care status(brushing time, brushing time, use of oral hygienic supplies, availability of oral hygienic supplies, oral examination, and recognition of oral health state), and diabetes management(morbidity period, treatment, education, and glycosylated hemoglobin levels). Results: Most of the subjects took gargling more than twice a day and it accounted for 73.5%. Oral hygienic supply users accounted for 24.8%, and most of them used floss brush. Oral examination was done in 19.3% of the respondents and 55.0% thought that their oral health status were very poor. The prevalence rate of the periodontal diseases was 46.6%. Female tended to have a higher rate of periodontal disease than the male. Oral hygienic supply users had lower rate of periodntal disease than those who did not use. Those who had poor subjective oral health status had higher prevalence rate of periodontal disease than those who did not. Conclusions: Periodontal disease is closely related to good oral care of middle aged diabetic patients. It is necessary to develop the program for the prevention of the periodontal disease for the diabetic patients.

• 보건행정학회지
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• 제33권1호
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• pp.3-18
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• 2023

Background: A chronic disease management program including patient education, recall and remind service, and reduction of out-of-pocket payment was implemented in Korea through a chronic care model. This study aimed to assess the effect of a community-based intervention program for improving medication adherence of patients with diabetes mellitus in rural areas of Korea. Methods: We applied a non-equivalent control group design using Korean National Health Insurance Big Data. Hongcheon County has been continuously adopting this program since 2012 as an intervention region. Hoengseong County did not adopt such program. It was used as a control region. Subjects were a cohort of patients with diabetes mellitus aged more than 65 years but less than 85 years among residents for 11 years from 2010 to 2020. After 1:1 matching, there were 368 subjects in the intervention region and 368 in the control region. Indirect indicators were analyzed using the difference-in-difference regression according to Andersen's medical use model. Results: The increasing percent point of diabetic patients who continuously received insurance benefits for more than 240 days from 2010 to 2014 and from 2010 to 2020 were 2.6%p and 2.7%p in the intervention region and 3.0%p and 3.9%p in the control region, respectively. The number of dispensations per prescription of diabetic patient in the intervention region increased by approximately 4.61% by month compared to that in the control region. Conclusion: The intervention program encouraged older people with diabetes mellitus to receive continuous care for overcoming the rule of halves in the community. More research is needed to determine whether further improvement in the continuity of comprehensive care can prevent the progression of cardiovascular diseases.

• 한국융합학회논문지
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• 제12권3호
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• pp.389-399
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• 2021

본 연구는 당뇨병 자가관리교육이 포함된 수중운동 프로그램이 지역사회 당뇨병 환자의 자가간호행위와 자기효능감에 미치는 효과를 알아보기 위한 비동등성 대조군 유사실험연구이다. 연구대상자는 D광역시 W 보건진료소에 등록된 당뇨병 환자 중 수중운동 프로그램에 참여한 실험군 26명과 참여하지 않은 대조군 25명이다. 프로그램은 주 2회, 80분으로, 당뇨병 자가관리교육 30분과 50분의 수중운동 프로그램으로 구성되었다. 본 프로그램 후 공복혈당(p=.047), 당화혈색소(p<.001)는 유의하게 감소되었고, 당뇨병 자기효능감(p<.001), 당뇨병 자가간호행위(p<.001)는 유의하게 증가하였다. 본 연구결과로 자가관리 교육을 포함한 수중운동 프로그램이 자기효능감과 자가간호행위를 향상시켜 당뇨병 관리에 중요한 지표인 공복혈당과 당화혈색소를 완화하는데 효율적임을 알 수 있었다. 지역사회에서 당뇨병 유병율을 낮추고 합병증을 예방하기 위해 자가관리 교육이 포함된 수중운동 프로그램 상시운영이 필요한 것으로 사료된다.

• 재활간호학회지
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• 제10권1호
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• pp.37-44
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• 2007

Purpose: The purpose of this study was to investigate the sexual dysfunction of diabetic women in order to provide basic data contributed in nursing intervention. Method: A convenience sample consisted of 67 subjects with diabetes who attended outpatient department of 2 university hospitals. After verbal consent was obtained, subjects were asked to complete a questionnaire including BISF-W developed by Taylor et al. Data were collected from April 27 to May 22, 2006, and were analyzed by descriptive statistics, t-test, oneway ANOVA using SPSS 12.0 program. Results: This study discovered that the degree of sexual dysfunction of women with diabetes was high, and in particular that most of the women with diabetes did not have satisfactory sex life because of lack of vaginal lubrication, lower sexual desire, lower orgasm, and sexual pain. The test of differences in sexual dysfunction according to demographic and disease-related characteristics revealed that significant differences existed only with regard to menopause and age. Conclusion: As the sexual function of women varies widely among individuals, we would like to emphasize the importance of sexual counseling and education programs to improve the quality of life of diabetic women to prevent or relieve their sexual dysfunction.

• 가정간호학회지
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• 제17권2호
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• pp.104-111
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• 2010

Purpose: To evaluate the effects of continuous self monitoring of blood glucose (SMBG) on glycemic control in diabetic patients. Methods: Among the diabetic patients who visited the department of internal medicine in H hospital from April 1 to October 27 2008, 76 patients were divided into the experimental group (n=39) and control group (n=36). The experimental group was required to measure blood glucose levels at least twice every other day using SMBG; their compliance was aided by weekly telephone reminders for 3 months after discharge. Glycated hemoglobin, fasting blood sugar and postprandial 2 hours glucose level, triglyceride and high density lipoprotein were measured before and after the study. Results: Baseline characteristics were not different between the experimental and control groups. Three months later, there was a significant difference in postprandial glucose between the two groups (t=-2.042, p=.045). Conclusion: There was significant improvement of glycemic control after the use of continuous SMBG, suggesting its value in strict glycemic control and the merit of an aggressive education program.

• 월간당뇨
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• 통권285호
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• pp.30-34
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• 2013

고지혈증의 치료를 위해서는 올바른 식사와 생활습관의 수정이 필요하다. 미국 당뇨병학회(American Diabetics Association, ADA)는 당뇨병환자의 고질혈증의 치료를 위해 생활습관 조정, 신체 활동 증가, 체중 감소, 금연과 함께 개인별 상황을 고려한 영양적 중재를 권하고 있고, 국립 콜레스테롤 교육 프로그램(National Cholesterol Education Program, NCEP)에서 제정한 고지혈증 치료지침서(Adult Treatment Panel III, ATP III)에서는 비약물 요법의 중요성을 강조하면서 식사요법 및 생활습관의 개선(therapeutic lifestyle change, TLC)으로 고지혈증의 치료를 시작하여 6주 이상 실시한 후에 효과가 없을 때는 약물치료를 하도록 권하고 있다. 따라서 고지혈증 개선을 위해 바람직한 식사 원칙에 대하여 자세히 알아보고자 한다.

• 한국산업보건학회지
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• 제27권4호
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• pp.380-389
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• 2017

Objectives: The purpose of this study was to investigate changes in HbA1c through an education and consultation intervention with diabetic workers. Methods: The participants were 65 workers with Type 2 diabetes. The data were collected from May to October 2014 using questionnaires. The intervention program included six monthly sessions on exercise, dietary habits, stress management, and diabetes knowledge. Changes in HbA1c were evaluated. The data were analyzed using descriptive statistics and paired t-tests with SPSS WIN23.0. Results: The mean of HbA1c was 7.67% before intervention and 7.28% after intervention, and this difference was statistically significant (P<0.01).The mean level of HbA1c was significantly different depending on job position, working hours, work duration, and smoking habit. Conclusion: In conclusion, these findings support the usefulness of intervention programs in reducing HbA1c. Therefore, appropriate intervention programs involving exercise, dietary habits, stress management and diabetes knowledge should be developed and provided to diabetic workers.

• 약학회지
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• 제53권4호
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• pp.217-221
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• 2009

Diabetes mellitus is a group of metabolic disorders characterized by hyperglycemia and abnormalities in carbohydrate, fat, and protein metabolism which is resulting chronic microvascular, macrovascular, and neuropathic complications. Therefore, correct and consistent educations for pharmacotherapy is important and especially drug consultation by the specialty pharmacist of diabetic pharmacotherapy is necessary for all diabetic patients. The purpose of this study is to evaluate the necessity of the specialty pharmacist of diabetic pharmacotherapy and this study was performed from June 31th, 2008 to October 9th, 2008 in Kangnam St. Mary's Hospital, Seoul, S. Korea throughout the questionnaire and evaluated the total 68 patients who were participating the multidisciplinary diabetes team programs. We evaluated the patient characteristics (n=68), learning status (difficulty 70.4%), wanted further education (68.3%) and preference of educator (pharmacist 46%) after finishing team teaching by multidisciplinary diabetes team program. In conclusion, many diabetic patients(80.3%) wanted individual and further drug consultation by the pharmacists who are specialized in the diabetes individually and they are needed.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.435-445
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• 2018

본 연구의 목적은 지역사회 취약계층 당뇨병노인을 위한 건강보존프로그램을 개발하고 프로그램을 적용하여 그 효과를 검증하는 것이다. 건강보존프로그램은 전문직 은퇴노인이 멘토로서 취약계층 당뇨병노인 멘티에게 건강보존을 위한 프로그램을 제공하는 것이다. 본 연구는 유사실험연구로서 비동등성 대조군 전후 설계이며 대상자는 실험군 25명, 대조군 22명이다. 본 프로그램은 전문직 은퇴노인을 대상으로 4주, 12회기 건강보존에 관한 멘토 교육 프로그램과 8주, 24회기의 취약계층 당뇨병노인을 위한 멘토링 프로그램을 포함한다. 혈액학적 변수와 신체적 변수는 혈액검사와 Inbody 230(Biospace)를 활용하여 측정하였고 정신사회적 변수는 설문지를 통하여 측정하였다. 자료수집기간은 2015년 12월부터 2016년 5월까지이며 자료분석은 SPSS 20.0.를 사용하여 독립 t-test로 하였다. 건강보존프로그램을 통해 실험군이 대조군보다 공복시 혈당(p<0.01), 총콜레스테롤(p<0.01), 중성지방(p=0.04), 수축기 혈압(p=0.03), 허리둘레(p<0.01)와 우울증상이 유의하게 감소되었고 사회적 지지는 유의하게 증가되었다. 본 연구의 결과는 건강보존프로그램이 취약계층 당뇨병노인의 사회적 지지를 효과적으로 증가시키며 공복시 혈당, 총콜레스테롤, 중성지방, 수축기 혈압, 허리둘레와 우울증상을 효과적으로 감소시키는 것을 알 수 있다. 그러므로 취약계층 당뇨병노인의 삶의 질 향상을 위해 건강보존프로그램을 활용할 것을 제언한다.

• 농촌의학ㆍ지역보건
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• 제42권4호
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• pp.226-233
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• 2017

이 연구는 입퇴원을 반복하는 치료 미순응 노인 당뇨병 환자들의 퇴원 후 자가 관리 수준을 파악하기 위하여 실시하였다. 일개 종합병원에서 고혈당으로 최근 1년 이내에 2회 이상 입원 치료받은 65세 이상 노인 당뇨병 환자 15명을 대상으로 2015년 11월 1일부터 2016년 3월 1일까지 심층 면담을 통한 질적 연구를 수행하여 다음의 결과를 얻었다. 연구 대상자들은 당뇨병 관련 지식 중 발병원인과 증상에 대한 지식수준이 낮았다. 혈당 측정은 불규칙적으로 하거나 하지 않고 있었고, 가정에 혈당기가 없어 측정을 하지 못하는 경우도 있었다. 일상생활 중 가족들로부터 스트레스를 많이 받고 있었고, 노령으로 인하여 신체 활동에 제한이 많았으며, 뇌졸중의 후유증과 근골격계 질환 등의 문제들로 운동을 거의 못하고 있었다. 규칙적인 식사도 거의 이뤄지지 않고 있었으며, 당뇨병 자가관리 교육은 받을 필요가 없다고 생각하거나 거동 불편으로 받지 못하고 있었다. 자가 혈당 측정 행위 저조, 가족으로부터의 심리적 압박, 퇴원 후 교육 기회 부재 등이 당뇨병자가 관리와 관련된 두드러진 문제점들이었다. 따라서 치료 미순응 노인 당뇨병 환자들의 자가관리 수준을 높이기 위해서는 환자와 가족을 포함하는 맞춤형 교육 프로그램을 개발하고, 교육참여 기회를 보장하여 자가 관리의 중요성과 기술습득을 통하여 자가 관리를 실천하게 하는 것이 필요하다.