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인슐린 투여가 당뇨병 환자의 삶의 질, 우울 요소에 미치는 영향

Influence of insulin injection on quality of life and depression in diabetic patients

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초록

Insulin is the most effective drug for reducing blood glucose in patients with diabetes commonly. But it has negative aspect for diabetic patients to change from oral hypoglycemic drug to insulin injection. Insulin injection makes patients feel reducing self-esteem and QOL (quality of life). So they complain depressive moods. Multiple insulin injection has an effect on patient’s emotion more negatively than one or two injection of insulin. It is suggested that physicians much more concern about self-esteem and emotional aspect of patients when they prescript insulin.

Abstract

Insulin is the most effective drug for reducing blood glucose in patients with diabetes commonly. But it has negative aspect for diabetic patients to change from oral hypoglycemic drug to insulin injection. Insulin injection makes patients feel reducing self-esteem and QOL (quality of life). So they complain depressive moods. Multiple insulin injection has an effect on patient’s emotion more negatively than one or two injection of insulin. It is suggested that physicians much more concern about self-esteem and emotional aspect of patients when they prescript insulin.

참고문헌 (10)

  1. Meece J, "Dispelling Myths and removing barriers about insulin in type 2 diabetes", Diabetes Educ, 32, pp.9S~18S (2006)
  2. Anderson RJ, "The prevalence of comorbid depression in adults with diabetes: a metaanalysis", Diabetes care, 24, pp.1069~1078 (2001)
  3. Goodnick PJ, "Treatment of depression in patients with diabetes mellitus", J Clin Psychiatry, 56, pp.128~136 (1995)
  4. Trief PM, "Psychosocial outcomes of telemedicine case management for elderly patients with diabetes: the randomized IDEATel trial", Diabetes Care, 30, pp.1266~1268 (2007)
  5. Lustman PJ, "Depression in diabetic patients: the relationship between mood and glycemic control", J Diabetes Complications, 19, pp.113~122 (2005)
  6. Park HS, "The association between depressive symptoms and glycemic control in the patients with diabetes mellitus", Korean J Med, 64, pp.204~210 (2004)
  7. Noh JH, "Depressive symptoms of type 2 diabetes treated with insulin compared to diabetics taking oral anti-diabetic drugs: a Korean study", Diabetes Res Clin Pract, 69, pp.243~248 (2005)
  8. 박봉숙, "청장년 당뇨병환자의 자기관리와 삶의 질", Diabetes and Metabolism Journal, 29(3), pp.254~261 (2005), 대한당뇨병학회
  9. Boland EA, "Continuous subcutaneous insulin infusion. A new way to lower risk of severe hypoglycemia, improve metabolic control, and enhance coping in adolescents with type 1 diabetes", Diabetes Care, 22, pp.1779~1184 (1999)
  10. Hartman I, "Insulin analogs: impact on treatment success, satisfaction, quality of life, and adherence", Clin Med Res, 6, pp.54~67 (2008)

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