• Clinical and Experimental Pediatrics
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• 제61권10호
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• pp.307-314
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• 2018

The incidence of type 1 diabetes mellitus (T1DM) in children and adolescents is increasing worldwide. Combined effects of genetic and environmental factors cause T1DM, which make it difficult to predict whether an individual will inherit the disease. Due to the level of self-care necessary in T1DM maintenance, it is crucial for pediatric settings to support achieving optimal glucose control, especially when adolescents are beginning to take more responsibility for their own health. Innovative insulin delivery systems, such as continuous subcutaneous insulin infusion (CSII), and noninvasive glucose monitoring systems, such as continuous glucose monitoring (CGM), allow patients with T1DM to achieve a normal and flexible lifestyle. However, there are still challenges in achieving optimal glucose control despite advanced technology in T1DM administration. In this article, disease prediction and current management of T1DM are reviewed with special emphasis on biomarkers of pancreatic ${\beta}-cell$ stress, CSII, glucose monitoring, and several other adjunctive therapies.

• 한국건강관리협회지
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• 제4권1호
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• pp.39-48
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• 2006

Background : Diabetes mellitus is chronic condition which needs patients' understanding of disease status and effort for disease control. We investigated whether the patients' estimation for blood glucose control was reliable or not comparing with their HbA1C value, Method: Among people who visited one health promotion center in Seoul from 1995 to 2003,those who answered as having diabetes mellitus on self reported questionnaire were identified. Subsequent question was whether his or her diabetes was well controlled or not. We compared these replies with their HbA1C values. When their HbA1C values were below7% with answering not well controlled, we analyzed if there was any variable which can predict the discrepancy. And the same analyze we did for the opposite situation. Result: A total of 1193 patients were eligible. Those who answered as well controlled formed32.9% of the group with HbA1C values above 7%. In the cases with well controlled though significantly associated with this discrepancy, Conclusion: Considerable proportion of diabetic patients' estimation for diabetic control status was not matched with glycemic control guideline. For successful management of diabetes mellitus, more efforts for patient education and communication skills are essential.

• 대한간호학회지
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• 제36권5호
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• pp.751-760
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• 2006

Purpose: This study was to evaluate the effects of a comprehensive life style modification program on glycemic control and stress response in type 2 diabetes. Method: The participants(n=34) with type 2 diabetes were divided into either a usual care(control) or treatment(experimental) group. The experimental group(n=21) received a program that was based on a comprehensive life style modification protocol at a weekly meeting for 16 weeks. They also participated in individually prescribed exercise and diet along with stress management and self monitoring. The participants were followed for 6 months, during which postprandial glucose, HbA$_{1C]$, and stress response inventory were measured. Result: The experimental group showed a significant lower postprandial glucose and stress response compared to those of the control group. However, there was no significant change in the HbA$_{1C]$ value in either group. Conclusions: These results suggest that a type 2 diabetes comprehensive lifestyle modification program may lead to clinical improvement in glycemic control and reduce the stress response.

• 지식경영연구
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• 제23권4호
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• pp.113-132
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• 2022

정보통신기술의 발전과 일상 중심으로의 의료서비스 변화는 스마트폰 건강관리 앱(mHealth) 활용을 통한 자가관리 시대를 열었다. mHealth는 이용자의 건강 자가관리에 도움을 주며 서비스 제공자의 주요 수익원이므로 mHealth 이용 요인을 이해하는 것은 중요하다. 그러나 mHealth의 주요 이용자가 될 수 있는 당뇨병 노인을 대상으로 이용 요인을 규명한 연구는 제한적으로 이루어졌다. 따라서 본 연구는 당뇨병 노인의 mHealth 이용에 영향을 미치는 요인을 파악하는 것을 목표로 하였다. 구체적으로 당뇨병 노인의 주관적 건강상태와 e헬스리터러시가 mHealth 이용에 미치는 영향이 사회적 지지 수준에 따라 어떻게 달라지는지 살펴보는 것에 초점을 두었다. 65세 이상 당뇨병 노인 252명을 대상으로 한 온/오프라인 설문조사를 통해 자료를 수집했으며, 주관적 건강상태 및 e헬스리터러시와 사회적 지지의 상호작용항을 투입하는 위계적 다중회귀분석을 실시하여 조절효과를 검증하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 당뇨병 노인이 남성, 저연령일수록 mHealth 이용이 높았다. 둘째, 당뇨병 노인의 e헬스리터러시가 높을수록 mHealth 이용이 높았다. 셋째, 주관적 건강상태와 mHealth의 관계에서 사회적 지지의 완충효과가 나타났다. 이는 사회적 지지가 높을수록 주관적 건강상태가 mHealth에 미치는 긍정적 영향이 완화되는 것을 의미한다. 본 연구는 mHealth 이용에 관한 정보시스템 및 의료 분야의 지식에 기여하는 한편, mHealth 서비스 제공자의 고객 확보 전략 수립, 정부와 의료진의 당뇨병 노인의 mHealth이용을 통한 자가관리 증진 방안 마련에 유용한 실무적 시사점을 제공할 것으로 기대된다. 나아가 mHealth 이용 활성화를 통한 당뇨병 노인이 삶의 질 개선 및 디지털 포용 사회 구축에 기여할 수 있을 것이다.

• 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.

• 보건행정학회지
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• 제29권1호
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• pp.68-76
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• 2019

Background: This study investigates the association between sleep duration and diabetes mellitus (DM) in a large representative population-based survey in South Korea. Methods: The fourth (2007-2009), fifth (2010-2012), and sixth (2013) Korea National Health and Nutrition Examination Survey data sets were used. A total of 37,989 individuals were selected for the study. Chi-square tests and multivariate logistic regression analyses were used to analyze whether general characteristics, health status, and health risk behaviors were associated with DM. Results: After adjusting for confounders, the odds of DM in short sleepers (${\leq}5hr/day$) and long sleepers (${\geq}9hr/day$) were 1.033-times higher (95% confidence interval [CI], 0.913-1.169) and 1.334-times higher (95% CI, 1.140-1.562), respectively, compared with individuals who slept 7 hr/day. Subgroup analysis according to gender showed a U-shaped association for both genders, although it appeared stronger in men. Conclusion: This study identified a U-shaped association between sleep duration and the risk for DM. Additional studies should help clarify the important information in this study.

• 보건행정학회지
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• 제20권3호
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• pp.157-172
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• 2010

This study was conducted to evaluate the effects of health-behavioral change for the elderly group after community based education of chronic diseases management. We measured self recognition of health status, medication administration of hypertension and diabetes, regular check for blood pressure and blood sugar level, recognition of body indicators (weight, hight, blood pressure, blood sugar etc), knowledge level for chronic diseases management and smoking and alcohol habitation before and after education of chronic diseases management for participants. The subjects of this study consist of 432 people with community-dwelling Seoul citizen being active churches. Education programs designed essential parts of fundamental chronic diseases management, physical exercises for health promotion, diet and nutrition etc. All data collection completed for 5 months from Aug. 2008 to Dec. 2008 by trained surveyors via interview survey. The data obtained were analyzed using descriptive statistics, Wilcoxon Singed Rank test, McNemar test and Paired t-test. The results showed that self recognition of health status, knowledge level for chronic diseases management, recognition of body indicators were statistically significantly increased after the education of chronic diseases management. Also, blood pressure were statistically significantly decreased in elderly with hypertension and blood sugar were statistically significantly decreased in elderly of high-risk group. Based on these results, it was suggested that preventive education policy of chronic diseases management should be considered with priority coming true for successful aging society.

• 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.

• 보건행정학회지
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• 제28권2호
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• pp.107-118
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• 2018

Background: The purpose of this study was to investigate the estimated proportion for influenza vaccination and to identify factors associated with influenza vaccination in Korean diabetic patients. Methods: Data from the fourth, fifth, and sixth (except for 2013) Korea National Health and Nutrition Examination Survey (n=3,726) was used. A chi-square test was performed to investigate the estimated proportion for influenza vaccination, and a multiple logistic regression analysis was used to identify the factors associated with self-reported influenza vaccination. Results: In men, 28.8% of diabetes patients 30-64 years of age, and 76.1% of elderly (over 65 years of age) diabetes patients received influenza vaccination. In women, 37.7% of diabetes patients 30-64 years of age, and 78.4% of elderly diabetes patients received influenza vaccination (p<0.0001). The determinants of influenza vaccination were marriage, hypertension (odds ratio [OR], 1.55; 95% confidence interval [CI], 1.07-2.24), residence within a mega city, unemployment (OR, 3.94; 95% CI, 1.24-12.54), and exercise via (weekly) walking for diabetic men; and hypertension (OR, 1.71; 95% CI, 1.16-2.52), chronic disease (OR, 1.81; 95% CI, 1.08-3.02), and exercise via walking (OR, 2.65; 95% CI, 1.49-4.73) for diabetic women. Conclusion: Influenza vaccination remains relatively low in young diabetic patients. It is necessary to recommend vaccination to young diabetic patients, and to devise other strategies to improve vaccination.

• 한국간호교육학회지
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• 제8권1호
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• pp.95-107
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• 2002

The purpose of this study is to determine the clinical nurses' knowledge of DM and diabetes patient education aptitude so as to provide a basis for clinical nurse training with respect to diabetes patient education program. The data has been collected through the questionnaires of 42 items from the Knowledge on DM and each 16 item from the Importance on the elements of diabetes patient and the Recognition for clinical nurses, respectfully. 166 nurses from a general hospital who had participated in clinical nurse training in Sep. 28 and Oct. 4, 2001 were subject to respond the questionnaires. Analysis has been done by using statistical method such as percentage, average, standard deviation, t-test, ANOVA, Duncan test and Pearson correlation coefficients. The findings are as follows: 1. Clinical nurses' knowledge levels of diabetes 1) The average level of nurses' knowledge about diabetes is 29.37 (right answer- finding rate: 70%), which is intermediate. 2) Amongst the nurses classified by their knowledge levels about diabetes, the group with less than one year career and that with more than 5 year careers are found to have higher knowledge levels. The item with the highest right answer-finding rate was 'Please find the wrong out of the following examples about foot care'. Meanwhile, the item with highest incorrect answer-finding rate was 'what does blood sugar control aims for amongst gestational diabetes?'. 2. Clinical nurses' importance and perception levels of educational training about diabetes 1) There were no differences amongst nurses' importance level about diabetes. 2) Nurses usually had high scores(4.30) in terms of the items related to the importances about educational training. 3) There were quite high recognitions of general characteristics and symptoms about diabetes, amongst the nurse cohorts working more than one year and less than 5 years, and over 5 years, the group belonging to the internal department, that having the previous experiences of dealing with diabetes, and that having their diabetic relatives and other close people. Meanwhile, strangely, the group who identified themselves as 'not good at treating diabetes' had a high recognition level of educational training about diabetes. 3. Relationship between knowledge levels and importance & perception levels of diabetes 1) The higher knowledge about diabetes nurses had, the more importance they recognized. 2) It is found that there was no relationship between knowledge and perception of diabetes. 3) The more importance about diabetes nurses had, the higher perception they obtained. In conclusion, there is an urgent need for systematic educational programs about diabetes including technical aspects, in order to upgrade and improve nurses knowledge levels. In addition, re-educational training should be provided at regular intervals. Further, we believe the nurses with high knowledge about diabetes and interests in the provision of educations for patients can be far more confident, and in return, patients can have better self-management about diabetes obtained through educations. Based on the above-mentioned findings, we would like to make the suggestion: re-evaluation about nurses' knowledge and cognition levels should be carried out after job training programs about diabetes.