당뇨병 환자의 자기조절에 관한 인식
Perceptions of the Self-regulation in Patients with Diabetes Mellitus
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초록
본 연구의 목적은 당뇨병 문제를 관리하는데 있어서 개인이 어떻게 행동과정에 대해 결정을 내리는지를 설명하는 자기조절의 인식유형과 특성을 탐색하고, 이를 근거로 당뇨병 환자의 관리방법을제시하고자 시도되었다. 총 40개의 Q-표본과 38명의 P-표본이 본 연구에 사용되었으며 응답자의 반응은 Q방법론에 기초한 요인분석을 통해 5개의 유형이 도출되었다. 각 유형의 특성은 근거기반 순응형(evidence-based compliance), 위기대응 거부반응(crisis responding denial reaction), 정보기반 관계지향형(information-based orientation to relationship), 독립적 실천형(independent practice), 의지결핍 충동반응형(willingness deficit impulse reaction)으로 명명되었다. 5개 유형으로 분류된 응답자의 특성을 자기조절 속성에 따라 포지셔닝 시킴으로써 당뇨병 관리의 전략적 함의를 도출하였다.
Abstract
The purpose of this study is to examine types and characteristics of self-regulation which explain how individual diabetic patients determine their behavior in terms of diabetes management. Based on the results, we proposed the management method of the diabetic patients. As a method of analyzing the subjectivity of each item, a Q method study was used. There were 38 subjects who were treated with oral drugs or insulin injections, but not currently hospitalized. And 40 statements in Q samples were classified in the form of a normal distribution using a 9-point scale. Research results regarding self-regulation in diabetic patients, type 1 is evidence-based compliance, type 2 is crisis responding denial reaction, type 3 is information-based orientation to relationship, type 4 is independent practice, and type 5 is willingness deficit impulse reaction. Therefore, for effective management of diabetic patients, it is necessary to understand the characteristics of each type of self-regulation and develop a program that reflects motivation for diabetes management, improvement of confidence, and countermeasures for negative emotions related to disease.
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