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제2형 당뇨병 환자의 기능적 헬스 리터러시가 주관적 건강에 미치는 영향: 일개 대학병원 외래 환자를 대상으로

Factors Related to Perceived Health Status in Patients with Type 2 Diabetes

유승현|유명순|원앙리
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)|2014.09|보건교육건강증진학회지 (KOREAN JOURNAL OF HEALTH EDUCATION AND PROMOTION)|제31권 제3호|pp. 1-13|DOI http://dx.doi.org/10.14367/kjhep.2014.31.3.1

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키워드

Health InformationHealth LiteracyDiabetesChronic DiseasePerceived Health StatusFunctional Health Literacy
주제분류예방의학/직업환경의학

초록

Objectives: This study was performed to identify factors related to perceived health status among patients with type 2 diabetes. Methods:This is cross-sectional observational study. Respondents were 106 visitors in an outpatient diabetes clinic of a university hospital. Self-report questionnaire which included general information inquiry, diabetes-related, sociopsychological factors, functional health literacyand perceived health status was used for this study. The data was analyzed by using descriptive statistics, independent simple t-test,one-way ANOVA, and hierarchical multiple linear regression. All analysis were conducted using SAS 9.3. Results: Among the respondents,43.4% engaged in poorly perceived health status. After adjusting for control variables, functional health literacy is significantly relatedto perceived health status(β=0.095, p=0.016). Conclusion: Independent of diabetes-related, sociopsychological factors, higher functionalhealth literacy is associated with better perceived health status of patients with type 2 diabetes. In order to improve perceived healthstatus in the type 2 diabetes patients, it is necessary to develop strategy to enhance the functional health literacy.

Abstract

Objectives: This study was performed to identify factors related to perceived health status among patients with type 2 diabetes. Methods:This is cross-sectional observational study. Respondents were 106 visitors in an outpatient diabetes clinic of a university hospital. Self-report questionnaire which included general information inquiry, diabetes-related, sociopsychological factors, functional health literacyand perceived health status was used for this study. The data was analyzed by using descriptive statistics, independent simple t-test,one-way ANOVA, and hierarchical multiple linear regression. All analysis were conducted using SAS 9.3. Results: Among the respondents,43.4% engaged in poorly perceived health status. After adjusting for control variables, functional health literacy is significantly relatedto perceived health status(β=0.095, p=0.016). Conclusion: Independent of diabetes-related, sociopsychological factors, higher functionalhealth literacy is associated with better perceived health status of patients with type 2 diabetes. In order to improve perceived healthstatus in the type 2 diabetes patients, it is necessary to develop strategy to enhance the functional health literacy.

참고문헌 (51)

  1. 김정범, "당뇨병과 연관된 심리사회적 문제들", 생물치료정신의학, 7(2), pp.288~295 (2001), 대한생물치료정신의학회
  2. American Diabetes Association, "Standards of Medical Care in Diabetes – 2010", Diabetes Care, 33(1), pp.S11~S69 (2010)
  3. Diabetes statistics, "American Diabetes Association", ~ (2011)
  4. Ary, Dennis V, "Patient perspective on factors contributing to nonadherence to diabetes regimen", Diabetes care, 9(2), pp.168~172 (1986)
  5. Baker, David W., "The meaning and the measure of health literacy", Journal of General Internal Medicine, 21(8), pp.878~883 (2006)
  6. Bandura, Albert., "Social cognitive theory : An agentic perspective", Annual review of psychology, 52(1), pp.1~26 (2001)
  7. Chew, L. D., "Brief questions to identify patients with inadequate health literacy", Fam Med, 36(8), pp.588~594 (2004)
  8. 최경애, "노인 당뇨병환자의 자기관리 실태 및 방해요인", Diabetes and Metabolism Journal, 32(3), pp.280~289 (2008), 대한당뇨병학회
  9. Cole, Irene, "Interventions for the family with diabetes", Nursing Clinics of North America, 41(4), pp.625~639 (2006)
  10. Davis, Wayne K, "Psychosocial correlates of survival in diabetes", DiabetesCare, 11(7), pp.538~545 (1988)
  11. Diabetes Control and Compilations Trial Research Group, "The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus", New England Journal of Medicine, 329, pp.977~986 (1993)
  12. Garay-Sevilla, M. E., "Adherence to treatment and social support in patients with non-insulin dependent diabetes mellitus", J Diabetes Complications, 9(2), pp.81~86 (1995)
  13. Gjesfjeld, C. D., "A Confirmatory Factor Analysis of an Abbreviated Social Support Instrument : The MOS-SSS", Research on Social Work Practice, 18(3), pp.231~237 (2008)
  14. Greene, J, "How much do health literacy and patient activation contribute to older adults' ability to manage their health?" (2005), AARP Public Policy Institute
  15. 홍인화, "입원 환자의 건강정보문해력에 관한 연구", 성인간호학회지, 24(5), pp.477~488 (2012), 성인간호학회
  16. Idler, Ellen L, "Self-rated health and mortality: a review of twenty-seven community studies", Journal of health and social behavior, pp.21~37 (1997)
  17. Ilgen, M. A., "Severe pain predicts greater likelihood of subsequent suicide", Suicide Life Threat Behav, 40(6), pp.597~608 (2010)
  18. Institute of Medicine., "Health literacy: A prescription to end confusion" (2004), The National Academic Press
  19. Jang, Soo Mi., "A Study on Family Function being Effected to Self-Care of Diabetic Patient", Korean Journal of Family Welfare, 4(0), pp.243~263 (1999)
  20. 강수진, "서울 지역 일부 중년 성인의 건강정보이해능력(health literacy) 실태와 관련 요인에 대한 연구", 보건교육건강증진학회지, 29(3), pp.75~89 (2012), 한국보건교육건강증진학회
  21. 강윤희, "재가노인의주관적건강, 일상생활수행능력, 영양상태간의관계", Journal of Korean Academy of Nursing, 38(1), pp.122~130 (2008), 한국간호과학회
  22. 김보경, "건강한 성인의 자기효능감, 사회적 자본과 지각된 건강수준과의 관련성", Korean Journal of Health Promotion, 11(3), pp.144~153 (2011), 대한임상건강증진학회
  23. 김정은, "건강정보 이해능력 수준과 영향요인에 대한 고찰: 대학병원 외래 방문객을 대상으로", 임상간호연구, 17(1), pp.27~34 (2011), 병원간호사회
  24. 김순구, "당뇨병환자의 만성합병증 예방행위실천에 영향을 미치는 요인", Diabetes and Metabolism Journal, 32(1), pp.77~82 (2008), 대한당뇨병학회
  25. 김수현, "노인의기능적의료정보이해능력이지각된건강상태에미치는영향", Journal of Korean Academy of Nursing, 38(2), pp.195~203 (2008), 한국간호과학회
  26. 김성수, "의료정보이해능력(Health Literacy):한국형 측정도구 개발을 위한 예비연구", 보건교육건강증진학회지, 22(4), pp.215~227 (2005), 한국보건교육건강증진학회
  27. "Diabetes Fact Sheet in Korea" (2012)[URL]
  28. Korean Diabetes Association, "Treatment guideline for diabetes 2011", The Journal of Korean Diabetes Association, 12(1), pp.4~49 (2011)
  29. Diabetes in Korea, "Korean Diabetes Association", ~ (2007)
  30. 권명순, "고혈압 환자의 건강 문해력과 질환관련 지식 및 치료지시 이행에 관한 연구", 한국보건간호학회지, 27(1), pp.190~202 (2013), 한국보건간호학회
  31. 이은현, "국내 연구에서 당뇨병 환자 건강관련 삶의 질 측정에 관한 모니터링", Journal of Korean Academy of Nursing, 41(4), pp.558~567 (2011), 한국간호과학회
  32. A study on the adult literacy in Korea and international comparative survey among OECD countries, "Lee, H. S.", Korean Educational Development Institute, ~, pp.Technical Report CR 2001-47 (2001)
  33. 이태화, "한국 노인의 건강 문해(Health Literacy)실태와 영향 요인 -인구사회학적 특성을 중심으로-", 한국노년학, 28(4), pp.847~863 (2008), 한국노년학회
  34. Lee, T. W., "Development of the short form of the Korean health Literacy Scale in elderly", Oral presented at the meeting of the 7th International Nursing Conference (2009)
  35. Lorig, K., "Outcome measures for health education and other health care interventions", pp.24~45 (1996), SAGE Publications
  36. Nagelkerk, J., "Perceived barriers and effective strategies to diabetes self-management", Journal of Advanced Nursing, 54(2), pp.151~158 (2006)
  37. 남석인, "당뇨환자의 주관적 건강인식이 자살행동에 미치는 영향과 우울의 매개효과", 사회복지연구, 45(1), pp.231~254 (2014), 한국사회복지연구회
  38. Literacy in Korea, "National Institute of the Korean Language", National Institute of the Korean Language, ~, pp.No. 2008-1-57 (2008)
  39. 박주영, "제 2형 당뇨병 환자의 자가관리, 당화혈색소 및 주관적 건강상태", Journal of korean biological nursing science, 12(2), pp.106~113 (2010), 기초간호학회
  40. Pompili, Maurizio, "Quality of Life and Suicide Risk in Patients With Diabetes Mellitus", Psychosomatics, 50(1), pp.16~23 (2009)
  41. 표은영, "당뇨병 유병자의 혈당 조절 관련 요인", 보건교육건강증진학회지, 29(3), pp.15~22 (2012), 한국보건교육건강증진학회
  42. Schillinger D, "Association of health literacy with diabetes outcomes", Journal of the American Medical Association, 288(4), pp.475~482 (2002)
  43. Siebolds, Marcus, "Self-monitoring of blood glucose—Psychological aspects relevant to changes in HbA1c in type 2 diabetic patients treated with diet or diet plus oral antidiabetic medication", Patient education and counseling, 62(1), pp.104~110 (2006)
  44. Sinclair, Alan J, "Cognitive dysfunction in older subjects with diabetes mellitus : impact on diabetes self-management and use of care services", Diabetes research and clinical practice, 50(3), pp.203~212 (2000)
  45. Song, J. K., "The self management in middle aged women with diabetes mellitus", Korean Clinical Diabetes, 3, pp.56~66 (2002)
  46. Toobert, D. J, "The summary of diabetes self-care activities measure : results from 7studies and a revised scale", Diabetes care, 23(7), pp.943~950 (2000)
  47. "Lancet", 1998, 837~853
  48. Closing the Gap in a Generation: Health equity through action on the social determinants of health, "World Health Organization. Commission on Social Determinants of Health", ~, pp.Final Report of the Commission on Social Determinant of Health (2008)
  49. 양남영, "노인 당뇨병 환자가 지각한 발 관리의 지식, 자기효능감 및 자가간호 행위와의 관계", 성인간호학회지, 21(4), pp.413~422 (2009), 성인간호학회
  50. Yang, D. H., "A The Psychological Response of Diabetes Patients", Korean Diabetes J, 12(4), pp.225~227 (2011)
  51. 윤은자, "재가노인의 건강지각에 영향을 미치는 요인", Journal of The Korean Data Analysis Society, 9(2), pp.611~627 (2007), 한국자료분석학회

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