제1형 당뇨병 청소년의 자기관리 영향요인: 정보-동기-행동기술 모델을 기반으로
Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model
1
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetesrelated attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation-behavior skills model. Methods: Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children’s hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05. Results: The mean score of self-management in adolescents with type 1 diabetes mellitus was 61.23±10.00 out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (β=.504, p<.001) and family support (β=.188, p<.001) were significant predictors of self-management. Conclusion: It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.
Abstract
Purpose: The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetesrelated attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation-behavior skills model. Methods: Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children’s hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05. Results: The mean score of self-management in adolescents with type 1 diabetes mellitus was 61.23±10.00 out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (β=.504, p<.001) and family support (β=.188, p<.001) were significant predictors of self-management. Conclusion: It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.
참고문헌 (30)
- American Diabetes Association, "2 Classification and diagnosis of diabetes: Standards of medical care in diabetes-2018", Diabetes Care, 41(Supple 1), pp.S13~S27 (2018)
- Kim JH, "Increasing incidence of type 1 diabetes among Korean children and adolescents : Analysis of data from a nationwide registry in Korea", Pediatric Diabetes, 17(7), pp.519~524 (2016)[DOI]
- G Soltesz, "Worldwide childhood type 1 diabetes incidence ? what can we learn from epidemiology?", Pediatric Diabetes, 8(Suppl 6), pp.6~14 (2007), Wiley[DOI]
- 신충호, "1형 당뇨병", Clinical and Experimental Pediatrics, 45(10), pp.1181~1191 (2002), 대한소아청소년과학회
- Garvey KC, "Transition to adult care for youth with type 1 diabetes", Current Diabetes Reports, 12(5), pp.533~541 (2012)[DOI]
- Schilling LS, "The concept of self-management of type 1 diabetes in children and adolescents : An evolutionary concept analysis", Journal of Advanced Nursing, 37(1), pp.87~99 (2002)[DOI]
- 신윤미, "만성적인 신체질환을 가진 아동의 정서 및 행동문제", Annals of Pediatric Endocrinology & Metabolism, 17(1), pp.1~9 (2012), 대한소아내분비학회[DOI]
- Mollema ED, "Diabetes fear of injecting and self-testing questionnaire : A psychometric evaluation", Diabetes Care, 23(6), pp.765~769 (2000)[DOI]
- 박소현, "제 1형 당뇨병 소아 청소년의 학교 내 인슐린 자가 주사 실태 조사", Annals of Pediatric Endocrinology & Metabolism, 17(4), pp.224~229 (2012), 대한소아내분비학회
- Mulcahy K, "Diabetes self-management education core outcomes measures", The Diabetes Educator, 29(5), pp.768~803 (2003)[DOI]
- Fisher JD, "Changing AIDS-risk behavior", Psychological Bulletin, 111(3), pp.455~474 (1992)[DOI]
- 장선주, "Intervention Strategies Based on Information-Motivation-Behavioral Skills Model for Health Behavior Change: A Systematic Review", Asian Nursing Research, 8(3), pp.172~181 (2014), 한국간호과학회
- Osborn CY, "An information-motivation-behavioral skills analysis of diet and exercise behavior in Puerto Ricans with diabetes", Journal of Health Psychology, 15(8), pp.1201~1213 (2010)[DOI]
- Fisher JD, "An informationmotivation-behavioral skills model of adherence to antiretroviral therapy", Health Psychology, 25(4), pp.462~473 (2006)[DOI]
- 김영일, "재가 무릎 골관절염 환자의 관절건강 자가관리 프로그램 개발 및 효과: IMB 모델 적용", 지역사회간호학회지, 28(1), pp.55~68 (2017), 한국지역사회간호학회[DOI]
- Fitzgerald JT, "The reliability and validity of a brief diabetes knowledge test", Diabetes Care, 21(5), pp.706~710 (1998)[DOI]
- 강나래, "당뇨병 캠프의 자가간호 교육이 제1형 당뇨병 아동의 당뇨관리행위, 당뇨지식 및 당뇨관리 자아효능감에 미치는 영향", Child Health Nursing Research, 20(3), pp.168~175 (2014), 한국아동간호학회[DOI]
- Anderson RM, "The third version of the Diabetes Attitude Scale", Diabetes Care, 21(9), pp.1403~1407 (1998)[DOI]
- Choi S, "Structural equation modeling of self-management behavior in older adults with type 2 diabetes mellitus", pp.2012
- Park OJ, "The effect of social support on compliance with sick-role behavior of diabetic patients", pp.1985
- Kim GY, "Family support, self-management competency and healthcare transition readiness in emerging adults with type 1 diabetes mellitus", master's, pp.2017
- Peyrot M, "Behavioral and psychosocial interventions in diabetes : A conceptual review", Diabetes Care, 30(10), pp.2433~2440 (2007)[DOI]
- "Pocketbook for management of diabetes in childhood and adolescence in under-resourced countries" (2017)[URL]
- Chao A, "Selfmanagement in early adolescence and differences by age at diagnosis and duration of type 1 diabetes", The Diabetes Educator, 40(2), pp.167~177 (2014)[DOI]
- Kim Y, "The relationships among resilience, family support, and diabetes adaptation in children with diabetes mellitus", Perspectives in Nursing Science, 14(1), pp.21~31 (2017)[DOI]
- Kim TI, "Growth development and health", pp.267~291 (2014), Kyomunsa
- 최인재, "한국의 부모-자녀관계에 대한 문화심리학적 고찰", 상담학연구, 7(3), pp.761~773 (2006), 한국상담학회
- Sawyer SM, "Self-management in adolescents with chronic illness. What does it mean and how can it be achieved", The Medical Journal of Australia, 183(8), pp.405~409 (2005)
- Nouwen A, "Comparison of the role of self-efficacy and illness representations in relation to dietary self-care and diabetes distress in adolescents with type 1 diabetes", Psychology and Health, 24(9), pp.1071~1084 (2009)[DOI]
- 김지현, "당뇨병 교육이 환자의 혈당 조절과 자가 관리에 미치는 영향", Diabetes and Metabolism Journal, 33(6), pp.518~525 (2009), 대한당뇨병학회