제 1형 당뇨병 환자의 저혈당공포 행위와 저혈당 염려에 영향을 미치는 요인
Influencing Factors on Hypoglycemia Fear Behavior and Hypoglycemia Anxiety among Type 1 Diabetes Mellitus Patients
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본 연구의 목적은 제 1 형 당뇨병 환자에서 저혈당공포 행위와 저혈당 염려에 영향을 미치는 요인을확인하는 데 있었다. 본 연구의 설계는 횡단면 조사이었고, 연구의 참가자는 제 1 형 당뇨병 환자101명으로 자료수집은 온라인 설문을 실시하였다. 수집된 자료는 PCWS 23.0 프로그램을 이용하여기술통계, 상관관계, 단계적 다중회귀분석방법으로 분석하였다. 대상자의 평균 연령은 28.31±11.68 세였으며 한 달에 4회 이상의 저혈당을 경험하는 빈도는 61.4%이었다. 저혈당공포 행위와 저혈당염려 점수는 각각 29.55±6.70(범위:13-43), 41.11±16.39 (범위:16-80)이었다. 연령, 우울, 저혈당 염려의세 변수로 구성된 저혈당공포 행위 모델의 설명력은 19.0% (F=8.75, p<.001)이었고, 우울과 저혈당공포 행위의 두 변수로 구성된 저혈당 염려 모델의 설명력은 36.2%이었다(F=29.03, p<.001). 제 1형당뇨병 환자의 저혈당 공포행위와 저혈당 염려에 공통적으로 영향을 미치는 부정적인 정서인 우울에 대한 중재와 저혈당에 대한 올바른 인식과 대처방법에 대한 교육이 필요하겠다.
Abstract
The purpose of this study was to identify the factors affecting hypoglycemia fear behavior and hypoglycemia anxiety among type 1 diabetes mellitus patients. A cross-sectional survey was conducted with 101 type 1 diabetes mellitus patients in South Korea via online survey. The data were analyzed by descriptive statistics, correlation and multiple regression analysis using IBM SPSS Statistics 23.0 program. The mean age of the participants was 28.31±11.68 years and 61.4% of the participants experienced hypoglycemia more than four times per month. The scores for hypoglycemia fear behavior and hypoglycemia anxiety were 29.55±6.70 (range: 13-43) and 41.11±16.39 (range: 16-80), respectively. The explanatory power of the hypoglycemia fear behavior model including three variables of age, depression, and hypoglycemia anxiety was 19.0% (F=8.75, p<.001), while that of the hypoglycemia anxiety model including only two variables of depression and hypoglycemia fear behavior was 36.2% (F=29.03, p<.001). Considering that the most common factor affecting hypoglycemia anxiety was depression, efficient management of hypoglycemia is recommended to decrease the fear of hypoglycemia.
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