당뇨병이 있는 노인의 행위 변화 동기 요소와 자기관리 행위
Relationships of Motivational Factors and Diabetes Self-management Behavior in Community Dwelling Older Adults
2
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Purpose: Diabetes Self Management Behavior (DSMB) is crucial for the elderly with diabetes to prevent diabetes complications and to improve their quality of life. The Purposes of this study were to investigate the current status of DSMB and to identify motivational factors related to DSMB in community dwelling older adults with diabetes. Methods: The subjects were 150 diabetic elderly who visited 2 community senior centers in S city. DSMB scale consisted of 5 sub-domains; Being active, healthy eating, regular medication, glucose monitoring, and foot care rated by a scale with a range of 0 to 7. Personal motivation(i.e., intention to behavior) and social motivation including family support and health professional support were measured. Results: The mean score of DSMB was 4.27. The mean score of intention to behavior was 2.52. DSMB was related to Intention to behavior (r=.461, p<.001), family support (r=.342, p<.001), and health professional support (r=.284, p<.001). In regression analysis, a total of 33.4% of variance in DSMB was accounted for by intention to behavior, family support, and health professional support. Conclusion: To improve DSMB of the elderly, diabetes educator should consider on the strategies across both personal and social motivation related to DSMB.
Abstract
Purpose: Diabetes Self Management Behavior (DSMB) is crucial for the elderly with diabetes to prevent diabetes complications and to improve their quality of life. The Purposes of this study were to investigate the current status of DSMB and to identify motivational factors related to DSMB in community dwelling older adults with diabetes. Methods: The subjects were 150 diabetic elderly who visited 2 community senior centers in S city. DSMB scale consisted of 5 sub-domains; Being active, healthy eating, regular medication, glucose monitoring, and foot care rated by a scale with a range of 0 to 7. Personal motivation(i.e., intention to behavior) and social motivation including family support and health professional support were measured. Results: The mean score of DSMB was 4.27. The mean score of intention to behavior was 2.52. DSMB was related to Intention to behavior (r=.461, p<.001), family support (r=.342, p<.001), and health professional support (r=.284, p<.001). In regression analysis, a total of 33.4% of variance in DSMB was accounted for by intention to behavior, family support, and health professional support. Conclusion: To improve DSMB of the elderly, diabetes educator should consider on the strategies across both personal and social motivation related to DSMB.
참고문헌 (29)
- American Diabetes Association, "Executive summery: Standards of medical care in diabetes 2010", Diabetes Care, 33(suppl 1), pp.S4~S10 (2010)
- Burnside, I., "Research instrumentation and elderly subjects", Journal of Nursing Scholarship, 30(2), pp.185~190 (1998)
- 장선주, "제2형 당뇨노인을 대상으로 한 당뇨 자가 관리 측정도구(The Summary of Diabetes Self-Care Activities Questionnaire, SDSCA) 한국어 버전의 타당도와 신뢰도 검증", 성인간호학회지, 21(2), pp.235~244 (2009), 성인간호학회
- 최경애, "노인 당뇨병환자의 자기관리 실태 및 방해요인", Diabetes and Metabolism Journal, 32(3), pp.280~289 (2008), 대한당뇨병학회
- Choi, S. Y., "Structural equation modeling of self-management behavior in older adults with type 2 diabetes mellitus", 박사, pp.2012
- Choi, S., "Glucose control in Korean immigrants with type 2 diabetes", Western Journal of Nursing Research, 31(3), pp.347~363 (2009)
- Cohen, S., "Psychosocial models of the role of social support in the etiology of physical disease", Health Psychology, 7(3), pp.269~297 (1988)
- Fisher, J. D., "Changing AIDS-risk behavior", Psychological Bulletin, 111(3), pp.455~474 (1992)
- Fisher, J. D., "An information-motivation-behavioral skills model of adherence to antiretroviral therapy", Health Psychology, 25(4), pp.462~473 (2006)
- Funnell, M. M., "National standards for diabetes self-management education", Diabetes Care, 33(Suppl 1), pp.S89~S96 (2010)
- Glasgow, R. E., "Social environment and regimen adherence among type Ⅱ diabetic patients", Diabetes Care, 11(5), pp.377~386 (1988)
- 강혜연, "노인 당뇨병 환자의 신체활동정도와 신체활동 관련 요인", 근관절건강학회지, 19(1), pp.57~70 (2012), 대한근관절건강학회[DOI]
- "The forth Korea national health andnutrition examination survey" (2008)[URL]
- "2009 Statistic on the aged" (2009)[URL]
- 김순구, "당뇨병환자의 만성합병증 예방행위실천에 영향을 미치는 요인", Diabetes and Metabolism Journal, 32(1), pp.77~82 (2008), 대한당뇨병학회
- Kim, H. S., "Depression and blood glucose testing in woman type 2 diabetic patients", Korean Journal of Women Health Nursing, 9(4), pp.432~438 (2003)
- Kim, M. K., "Factors affecting the self-care behavior of elderly patients with diabetes", 석사, pp.2011
- 고남경, "제2형 당뇨병 환자의 발궤양 위험, 발관리 지식 및 발관리 수행", 성인간호학회지, 18(1), pp.81~91 (2006), 성인간호학회
- 이종경, "혈당조절이 잘 안되는 당뇨 환자의 자기관리 정도와 관련요인 연구", 성인간호학회지, 21(5), pp.447~457 (2009), 성인간호학회
- Lee, S. H., "Effect of self-efficacy promoting program on self-efficacy, metabolic control and self-care behaviors in patients with NIDDM", The Korean Journal of Rehabilitation Nursing, 8(1), pp.59~67 (2005)
- Osborn, C. Y., "An information -motivation-behavioral skills analysis of diet and exercise behavior in Puertoricans with diabetes", Journal of Health Psychology, 15(8), pp.1201~1213 (2010)
- Pimouguet, C., "Effectiveness of disease -management programs for improving diabetes care: A meta-analysis", Canadian Medical Association Journal, 183(2), pp.115~127 (2011)
- 서영미, "자기결정성 이론에 근거한 제2형 당뇨병 환자의 자가관리행위 예측 모형", Journal of Korean Academy of Nursing, 41(4), pp.491~499 (2011), 한국간호과학회
- Song, M. S., "Barriers to and facilitators of self-management adherence in Korean older adult with type 2 diabetes", International Journal of Older People Nursing, 5, pp.211~218 (2009)
- Shin, J. S., "Self-care behavior and family support of diabetes mellitus patients with hypoglycemia in emergency rooms", 석사, pp.2008
- Shumaker, S., "The handbook of health behavior change (3rd ed.)" (2009), Springer
- Sudano, J., "Explaining US racial", ethnic disparities in health declines and mortality in late middle age : The roles of socioeconomic status, health behaviors, and health insurance, 2006, pp.62, 909~922
- Thoolen, B., "Beyond good intentions : The development and evaluation of a proactive self-management course for patients recently diagnosed with type 2 diabetes", Health Education Research, 23(1), pp.53~61 (2008)
- Toobert, D. J., "Assessing diabetes self-management: The summary of diabetes self-care activities questionnaire, In Handbook of psychology and diabetes", pp.351~375 (1994), Harwood Academic