고혈압·당뇨병 자조모임프로그램 후 지식, 자가관리행위 및 자기효능감의 지속성
A Study on Sustainability of Knowledge, Self Care Behavior, and Self-efficacy after Self-help Group Program for Hypertension and Diabetes
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Objectives: The present study was conducted to evaluate level of knowledge related to diseases, self-management behaviors, and self-efficacy level of hypertensive and diabetic patients immediately after completion of a self-help group program and about 4 to 9 months after the completion of the program. Methods: A total of 86 individuals (41 hypertensive and 45 diabetic patients) participated in the self-help group program which was a part of the 2015 chronic disease health support services provided by D regional headquarter of National Health Insurance Service. A telephone survey for the participants was conducted from February to April 2016. Results: The level of self-management behavior for hypertensive and diabetic patients showed no significant changes. The level of knowledge related to the diseases and self-efficacy level were decreased significantly. The level of knowledge related to the diseases was significantly decreased in women, low-educated, single or short-term hypertensive or diabetic patients. The level of self-efficacy was significantly decreased in women, elderly, low-educated, or long-term hypertensive or diabetic patients. Conclusions: The results of this study can be used as a basis for the improvement of hypertension·diabetes self-help group program and the establishment of effective follow-up measures. Based on the present study, a systematic approach should be made to minimize the incidence of complications by continuing the follow-up management for the vulnerable cases who are single or with low educational level.
Abstract
Objectives: The present study was conducted to evaluate level of knowledge related to diseases, self-management behaviors, and self-efficacy level of hypertensive and diabetic patients immediately after completion of a self-help group program and about 4 to 9 months after the completion of the program. Methods: A total of 86 individuals (41 hypertensive and 45 diabetic patients) participated in the self-help group program which was a part of the 2015 chronic disease health support services provided by D regional headquarter of National Health Insurance Service. A telephone survey for the participants was conducted from February to April 2016. Results: The level of self-management behavior for hypertensive and diabetic patients showed no significant changes. The level of knowledge related to the diseases and self-efficacy level were decreased significantly. The level of knowledge related to the diseases was significantly decreased in women, low-educated, single or short-term hypertensive or diabetic patients. The level of self-efficacy was significantly decreased in women, elderly, low-educated, or long-term hypertensive or diabetic patients. Conclusions: The results of this study can be used as a basis for the improvement of hypertension·diabetes self-help group program and the establishment of effective follow-up measures. Based on the present study, a systematic approach should be made to minimize the incidence of complications by continuing the follow-up management for the vulnerable cases who are single or with low educational level.
참고문헌 (19)
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