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    제2형 당뇨병 환자의 정서와 의료인과의 상호작용이 자기관리행위와 당화혈색소에 미치는 영향 = The Influence of emotion and healthcare provider interactions on self-care behavior and HbA1c in patients with Type 2 Diabetes Mellitus

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    https://www.riss.kr/link?id=T17393268

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Purpose: Diabetes Mellitus is considered one of the most psychologically and
    behaviorally demanding chronic medical disorders. HbA1c is the central clinical
    indicator for glycemic control, a fundamental part of diabetic care. This study aimed
    to analyze the effects of emotion and healthcare provider interaction on
    self-management behaviors and HbA1c in patients with Type 2 Diabetes Mellitus.
    Methods: Data were collected from 120 patients at six local clinics from April 12 to
    July 15, 2021. The Scale of Positive and Negative Experience(SPANE), the Client
    Satisfaction Tool, the Summary of Diabetes Self-Care Activities Questionnaire(SDSCA),
    and HbA1c were used. Data were analyzed using descriptive statistics, t-tests,
    analysis of variance(ANOVA), pearson's correlation coefficient, and hierarchical
    regression.
    Results: The mean age of participants was 60.06 years, with an average diabetes
    duration of 7.79 years. According to hierarchical regression analysis, interaction
    with healthcare providers and smoking accounted for 11% of self-management behavior
    variance. Negative emotion, gender, diabetic complications, and smoking accounted for
    27% of HbA1c variance.
    Conclusion: Negative feelings and interaction with healthcare providers are
    considered to be important factors in self-management behavior and blood
    glucose management for patients with Type 2 Diabetes Mellitus. Therefore, clinical
    practice requires early identification of these high-risk groups and implementation
    of multifaceted management strategies, including psychological interventions and
    smoking cessation programs. Furthermore, patients should be provided with regular,
    personalized education and feedback, along with emotional support that fully listens
    to their stories and empathizes with them.
    Keywords: Diabetes Mellitus, Type 2, Emotions, Self-Management, Hemoglobin A,
    Glycosylated, Smoking
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    Purpose: Diabetes Mellitus is considered one of the most psychologically and behaviorally demanding chronic medical disorders. HbA1c is the central clinical indicator for glycemic control, a fundamental part of diabetic care. This study aimed to analy...

    Purpose: Diabetes Mellitus is considered one of the most psychologically and
    behaviorally demanding chronic medical disorders. HbA1c is the central clinical
    indicator for glycemic control, a fundamental part of diabetic care. This study aimed
    to analyze the effects of emotion and healthcare provider interaction on
    self-management behaviors and HbA1c in patients with Type 2 Diabetes Mellitus.
    Methods: Data were collected from 120 patients at six local clinics from April 12 to
    July 15, 2021. The Scale of Positive and Negative Experience(SPANE), the Client
    Satisfaction Tool, the Summary of Diabetes Self-Care Activities Questionnaire(SDSCA),
    and HbA1c were used. Data were analyzed using descriptive statistics, t-tests,
    analysis of variance(ANOVA), pearson's correlation coefficient, and hierarchical
    regression.
    Results: The mean age of participants was 60.06 years, with an average diabetes
    duration of 7.79 years. According to hierarchical regression analysis, interaction
    with healthcare providers and smoking accounted for 11% of self-management behavior
    variance. Negative emotion, gender, diabetic complications, and smoking accounted for
    27% of HbA1c variance.
    Conclusion: Negative feelings and interaction with healthcare providers are
    considered to be important factors in self-management behavior and blood
    glucose management for patients with Type 2 Diabetes Mellitus. Therefore, clinical
    practice requires early identification of these high-risk groups and implementation
    of multifaceted management strategies, including psychological interventions and
    smoking cessation programs. Furthermore, patients should be provided with regular,
    personalized education and feedback, along with emotional support that fully listens
    to their stories and empathizes with them.
    Keywords: Diabetes Mellitus, Type 2, Emotions, Self-Management, Hemoglobin A,
    Glycosylated, Smoking

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    목차 (Table of Contents)

    • 서론 1
    • 연구의 필요성 1
    • 연구 목적4
    • 용어 정의5
    • 문헌 고찰6
    • 서론 1
    • 연구의 필요성 1
    • 연구 목적4
    • 용어 정의5
    • 문헌 고찰6
    • 제2형 당뇨병 환자의 혈당 조절과 자기관리행위 6
    • 제2형 당뇨병 환자의 정서와 의료인과의 상호작용 9
    • Cox의 상호작용적 건강행위 모델11
    • 연구 방법 14
    • 연구 설계 14
    • 연구 대상 15
    • 연구 도구 16
    • 자료 수집 및 윤리적 고려 18
    • 자료 분석 19
    • 연구 결과 20
    • 일반적 특성과 당뇨 관련 특성 20
    • 일반적 특성과 당뇨 관련 특성에 따른 자기관리행위와 당화혈색소의 차이 22
    • 대상자의 정서, 의료인과의 상호작용, 자기관리행위, 당화혈색소 정도23
    • 대상자의 정서, 의료인과의 상호작용, 자기관리행위, 당화혈색소 간의 상관관계 25
    • 대상자의 정서와 의료인과의 상호작용이 자기관리행위에 미치는 영향27
    • 대상자의 정서와 의료인과의 상호작용이 당화혈색소에 미치는 영향29
    • 논의 31
    • 결론 및 제언 35
    • 참고문헌36
    • Abstract 42
    • 부록 44
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