• 한국임상약학회지
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• 제21권2호
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• pp.81-89
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• 2011

Medication adherence is an important public health issue. This study is conducted to explore non-adherence of elderly with hypertension and/or diabetes mellitus and to better understand its' influencing factors. To explore non-adherence, 605 elderly patients in community were surveyed with Modified Morisky Scale (MMS), from Aug 18 to Sept 19, 2008. MMS is designed to predict medication-taking behavior and outcomes, and also to explain persistence of the patient's long-term continuation of therapy, which is a significant factor in the long-term management of chronic diseases. Also, MMS is designed to classify patients into a high/low continuum for knowledge and motivation. Patients self reported medication adherence were average 4.66 with MMS (range 0-6), only 78% of patients hold high motivation of medication adherence although 95.5% of patients hold high knowledge of medication adherence. This study explores which factors influence to high motivation of medication adherence and it proved that patients' participation in work, education level, participation in private health insurance, number of medication and medication frequency per day, pharmacists' explanation, experience of non adherence due to cost are important factors to explain high motivation of medication adherence of elderly with hypertension and/or diabetes mellitus.

• 여성건강간호학회지
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• 제27권1호
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• pp.14-26
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• 2021

Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

• 디지털융복합연구
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• 제18권10호
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• pp.371-379
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• 2020

본 연구의 목적은 당뇨로 진단받은 임직원 대상으로 모바일을 통한 중재프로그램의 효과를 확인하기 위함이다. A직장의 임직원중 공복혈당 (Fasting Blood Glucose≥100mg/dL)에 해당하는 101명을 대상으로 부속의원에서 간호사가 혈액, 혈압 그리고 체질량지수를 측정하였다. 참여자에게 매일 혈당을 스스로 체크하도록 교육하고 12주간 혈당, 식이 그리고 운동에 대한 문자메시지를 제공하였다. 참여자의 일반적 특성은 기술통계로, 참여전과 참여 후는 paired t-test를 이용하여 혈당, 체질량지수 그리고 혈압을 확인하였다. 그 결과 공복시 혈당의 평균값이(129.38±1.95에서 123.63±1.82) 감소하였다(P<0.001). 체질량지수(26.20±0.29에서 25.81±0.28, P<0.000)와 이완기 혈압(124.60±1.03에서 122.56±1.05, P<0.032), 그리고 수축기 혈압(79.86±0.83에서 78.06±0.79, P<0.017)이 감소하였고 이는 통계적으로도 유의하였다. 당뇨를 가진 임직원에게 모바일을 활용하여 약물복용, 운동 그리고 식이에 대해 중재하는 프로그램을 개발하는데 기초자료로 활용되어지기를 기대한다.

• 대한영양사협회학술지
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• 제10권3호
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• pp.300-308
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• 2004

The purpose of this study was to examine the effect of diabetes education on diabetic management by determining the changes of the knowledge and practice for diet therapy and blood glucose level pre-training and post-training. Statistical data analyses were completed using the SPSS 11.0 program. The results can be summarized as follows : The average age of the subjects was 52.8 years old, the period of suffering from diabetes was 7.9 years and 31% of the patients had a history of diabetes in their family members. In life style for self-management, they showed lower levels in drinking post-training, and significantly higher exercise levels post-training (P<0.05). Regarding the level of knowledge for diet, they showed significantly higher levels post-training in eight items such as importance of diet therapy for diabetes (p<0.005), principle of diet therapy (p<0.005), nutrient composition of foods (p<0.005), carbohydrate composition of foods (p<0.005), calorie prescribed to themselves (p<0.001), exchange units prescribed to themselves (p<0.005), exchange food items and exchanges units of cereal & grains (p<0.005) and exchange food items and exchanges units of fruit & juices (p<0.005). Regarding the practices of diet, they showed significantly higher levels of practice in keeping permitted meal size (p<0.005), using food exchange list (p<0.005), keeping exact meal times (p<0.001) and restricting most foods to eat (P<0.01) post-training. When measuring their bodies, average weight was lower post-training. Obesity was significantly lower post-training (p<0.01), and blood pressure both in systolic and diastolic was lower. Postcardinal-2hour blood glucose level decreased significantly from 268.4$\pm$98.9 pre-training to 180.9$\pm$48.4 post-training (p<0.001).

• International Journal of Internet, Broadcasting and Communication
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• 제10권3호
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• pp.88-97
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• 2018

Chronic diseases management can be effectively achieved through early detection, continuous treatment, observation, and self-management, rather than a radar approach where patients are treated only when they visit a medical facility. However, previous studies have not been able to provide integrated chronic disease management services by considering generalized services such as hypertension and diabetes management, and difficult to expand and link to other services using only specific sensors or services. This paper proposes clinical rule flow model based on medical data analysis to provide personalized care for chronic disease management. Also, we implemented that as Rule-based Smart Healthcare System (RSHS). The proposed system executes chronic diseases management rules, manages events and delivers individualized knowledge information by user's request. The proposed system can be expanded into a variety of applications such as diet and exercise service in the future.

• 융합정보논문지
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• 제7권4호
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• pp.83-89
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• 2017

본 연구의 목적은 간호사가 모바일 기반의 휴먼코칭 헬스케어서비스 제공이 당뇨병 환자의 자가관리 능력에 미치는 영향을 확인하기 위함이다. 당뇨병 진단을 받은 311명을 대상으로 자료를 수집하였으며 수집된 자료는 SPSS Win 23으로 분석하였다. 연구결과, 첫째, 모바일 기반의 휴먼코칭 헬스케어서비스 제공에 의한 혈당계 활용도는 남녀의 차이가 있었고 이는 통계적으로 유의한 차이(${\chi}^2=6.059$, p= .048*)가 있었다. 둘째, 모바일 기반의 휴먼코칭 헬스케어서비스 제공에 의한 혈당계와 활동밴드 활용도는 정적 상관관계가 있었고 통계적으로 유의하였다(r=.660, p<.01). 셋째, 모바일 기반의 휴먼코칭 헬스케어서비스 제공에 의한 혈당계 활용률 추이를 확인한 결과 1주차부터 49주차까지 79%에서 41% 이상으로 유지되었다. 결론적으로, 본 연구에서 모바일 기반의 휴먼코칭 헬스 서비스가 참여자들에게 자기건강관리 능력을 향상에 접근성이 쉽고 비용 효과적인 것으로 일부 확인되었다.

• 산업융합연구
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• 제18권2호
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• pp.37-44
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• 2020

본 연구는 당뇨병 환자의 건강인식, 운동욕구, 자기효능감이 운동빈도에 미치는 영향을 파악하기 위해 시행된 서술적 연구이다. 2018년 6월부터 7월에 걸쳐, A광역시에 속한 두 개의 대학병원 내분비내과 외래를 방문한 당뇨병 진단을 환자들 중에서 자발적으로 설문지를 작성할 수 있는 86명의 환자를 대상으로 하였다. 연구결과는 서술적 기술 통계량과 Pearson 상관계수, 단계적 회귀분석을 사용하여 분석하였다. 연구결과 운동빈도는 건강인식(r=..215, p=.043), 자기효능감(r=.440, p<.001)과 유의한 양의 상관관계를 나타내었고 운동욕구(r=.144, p=.304)와는 유의한 상관관계를 나타내지 않았다. 회귀분석을 시행한 결과 운동빈도에 미치는 요인은 자기효능감(β=.440, p<.001)만이 유의한 영향을 미치는 것으로 나타났으며 모형의 설명력은 18.4%(F=20.836, p<.001)로 나타났다. 결론적으로 건강에 대한 긍정적인 인식은 자기효능감과 양의 상관관계가 있으며 자기효능감이 높을수록 운동빈도가 증가하게 된다. 따라서, 당뇨병 환자의 건강인식을 높이는 중재와 자기효능감 강화 교육 프로그램이 개발된다면 당뇨병 환자의 운동빈동, 즉 실질적 운동 자기관리를 증진시키는데 도움이 될 것이다.

• 한국학교ㆍ지역보건교육학회지
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• 제17권3호
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• pp.87-101
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• 2016

Objectives: This study was for analysis the educational needs of personnels who works for hypertension and diabetes centers in community in order to serve as the basis for the development of the future educational programs. Methods: To analyze the educational needs of personnels who wokrs for hypertension and diabetes centers in community, a survey based on CompHP core competencies framework for health promotion was conducted in September 2016. 102 personnels were answered to the online questionnaires and collected data were analyzed through SPSS. Results: The highest point of educational needs was 'how to use verbal and non-verbal effective communication skills' among 46 core competencies for health promotion and 'self-management practical skills for hypertension and diabetes patients'. There were some differences of educational needs between leaders and general staff members of centers. Most wanted educational subjects of leaders are 'contribute to the development and dissemination of health promotion evaluation and research process', and 'use evaluation findings to refine and improve health promotion action'. On the other hand, most general staff members of centers wanted 'use effective communication skills including written, verbal, non-verbal, and listening skills' and 'facilitate the development of personal skills that will maintain and improve health. Conclusions: Evidence-based and long-term educational programs should be developed for personnels who works for hypertension and diabetes centers in community.

• 한국산학기술학회논문지
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• 제12권11호
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• pp.5034-5042
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• 2011

이 연구는 국가자료인 2009년도 국민건강영양조사 자료를 이용하여 19세 이상의 성인의 혈당조절 수치에 따른 치주상태의 관련성을 평가하고자 하였다. 분석 시 공복 시 혈당이 100 mg/dl 미만이면 정상군, 100-125 mg/dl인 경우 공복혈당장애군, 126 mg/dl 이상일 경우 당뇨군으로 분류하여 치주상태를 평가하였다. 연구대상자 7,062명 중 치주질환을 가진 대상자는 정상군 27%, 공복혈당장애군 41.2%, 당뇨군 43.6%로 나타났다. 혼란변수을 보정한 결과 공복혈당장애군과 당뇨군은 정상군에 비해 치주질환 위험비가 각각 1.35, 1.27으로 나타났다(p<0.05). 이상의 결론을 종합하였을 때 당뇨를 가진 사람 뿐만 아니라 공복혈당 수치가 높으면 치주질환을 야기하는 위험인자로 작용할 수 있다는 사실을 인지하고 정기적인 치과 방문을 통해 구강건강을 유지해야 할 것이다.

• Journal of Community Nutrition
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• 제1권2호
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• pp.133-139
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• 1999

The purpose of this survey was to investigate eating habits, life styles and nutritional care of diabetic outpatients and to provide basic data for developing individualized nutritional care and diabetic education programs. This survey was carried out by nutritional counseling with a questionnaire and checking medical record. Information about the general characteristics of the subjects, eating habits, health-related life styles and attitude and perception of subjects to diet therapy was gathered from 200 randomly-sampled diabetic outpatients at a University Hospital located in Inchon. All data were analyzed by Statistical Analysis System(SAS) software. The results are summarized as follows : Female subjects were 63.5% of total subjects and 65.5% of total subjects were 50 years or more. The average Body Mas Index(BMI) of male and female subjects were 23.06kg/㎡ and 25.02kg/㎡ respectively and 44% of all subjects wee obese. Among subjects, type II diabetic patients were 81.0% and 82.5% of subjects had suffered from diabetes for more than one year. Also 41% subjects had diabetic history in their family. More than half of the subjects had nutrition education concerning diabetes. Also 75.5% of them thought that nutrition education was effective. The most important guideline in diet therapy was to eat cooked rice with dietary fiber-rich grains. Therefore, it might be necessary to develop nutrition education program adjusted according to diabetic patient's needs and life styles, which may increase feasibility of self-care and implementation of management guidelines.