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자가혈당 측정결과기반 당뇨교육프로그램이 제2형 당뇨병환자의 혈당조절에 미치는 효과
심강희(Sim, Kang Hee),황문숙(Hwang, Moon Sook) 한국간호교육학회 2013 한국간호교육학회지 Vol.19 No.1
Purpose: The aim of the study was to evaluate the effect of self-monitoring of blood glucose (SMBG)-based Diabetes Self-Management Education (DSME) on glycemic control in type 2 diabetes. Methods: This study was designed to compare changes in glycemic control over 12months in SMBG-based DSME group (n=65) versus control group (n=65). Data were obtained from medical records type 2 diabetic patients treated with oral antidiabetic agents and above HbA1c 7.0% from June 2006 to August 2008. All participants completed DSME defined as informational intervention of lifestyle habits and reinforcement of educational Monthly News letter delivered by the diabetes nurse educator. SMBG-based DSME group requested to measure blood glucose 7 times a day for a week and to record their diary and received counseling with a focus on diet and lifestyle during the education. Assessments were conducted baseline, 3, 6 and 12 months. HbA1c was used as an index of glycemic control. Results: 12 months later, the level of HbA1c was reduced by 1.28±1.68% in experimental group and 0.49±1.05% in the control group. We found a significant effect of Time* Group interaction (p=.013). Conclusion: SMBG-based DSME for patients with type 2 diabetes with oral antidiabetic agents was effective in improving glycemic control and maintaining long-term glycemic control.
위험 지각과 자기효능이 자가간호활동과 당화혈색소 수준에 미치는 영향
강수진(Soo Jin Kang),심강희(Kang Hee Sim) 한국데이터정보과학회 2018 한국데이터정보과학회지 Vol.29 No.1
본 연구의 목적은 제 2형 성인 당뇨병 환자를 대상으로 위험 지각과 자기효능이 자기간호 활동과 당화혈색소에 미치는 영향을 알아보기 위한 서술적 조사연구이다. 연구 대상은 서울 지역 상급 종합 병원 내분비내과 외래를 이용하고 있는 180명을 대상으로 설문조사를 진행하였다. 2015년 1월 4일부터 1월 30까지 자료 수집을 하였고, 수집된 자료는 SPSS 23.0과 Stata 15.0 프로그램을 이용하여 다중회귀분석과 분위회귀분석을 적용하였다. 자기간호활동에 영향 요인으로 연령, 위험 지각, 자기효능이 유의한 변수였고, 25% 분위 이하에서는 연령, 75% 분위 이상에서는 위험 지각이 유의하였다. 당화혈색소의 영향 요인은 당뇨병 유병 기간, 약물 사용, 당화혈색소 수치 지각 여부, 위험 지각이 유의하였고, 75% 분위 이상에서는 당화혈색소 수치와 위험 지각이, 25% 이하 분위에서는 약물 사용이 유의하였다. 분위에 따른 당뇨병 관리의 영향 요인 간의 차이점을 이용하여 향후 위험 의사소통과 중재를 위한 자료로 활용할 수 있다. This study aimed to investigate the relationships among perceived risk, self-efficacy, self-care activities, and HbA1c in adult patients with type 2 diabetes. The study was designed as a descriptive study. A questionnaire was administered to a sample of 180 patients who visited a clinic at a tertiary hospital in Seoul. Multiple regression analysis and quantile regression analysis were performed on the data using SPSS 23.0 and Stata 15.0 programs. Age, perceived risk, and self-efficacy were identified as factors affecting self-care activities. For quantiles under 25%, age was significant, and for quantiles over 75%, perceived risk was significant. For factors influencing HbA1c, duration of diabetes, pharmacological treatment, awareness of own HbA1c level, and perceived risk were identified. Awareness of own HbA1c level and perceived risk were significant for quantiles over 75%, and pharmacological treatment was significant for quantiles under 25%.
정인숙 ( Ihn Sook Jeong ),박경희 ( Kyung Hee Park ),송복례 ( Bok Rye Song ),심강희 ( Kang Hee Sim ),한은진 ( Eun Jin Han ),홍은영 ( Eun Young Hong ),정영선 ( Young Sun Jung ),이선희 ( Seon Heui Lee ),박동아 ( Dong Ah Park ),정재심 병원간호사회 2015 임상간호연구 Vol.21 No.2
This study was done to use a guideline adaptation process to develop a Korean evidence-based diabetic foot care clinical practice guideline for diabetic foot prevention and management. Methods: The guideline adaptation process was conducted according to the guideline adaptation manual developed by the National Evidence-Based Healthcare Collaborating Agency. The process consists of three main phases, with 9 modules including a total of 23 steps. Results: The newly developed diabetic foot care clinical practice guideline consisted of an introduction, description of diabetic foot, summary of recommendations, recommendations, references, appendices, and glossary. There were 165 recommendations in 4 sections (risk assessment for diabetic foot ulcers, prevention of diabetic foot ulcers, wound assessment of diabetic foot ulcers, and management of the diabetic foot). In grading by recommendations, for A there were 30 (18.2%), B, 8 (4.8%), C, 30 (18.2%) D, 97 (58.8%). Conclusion: This guideline can be used as educational material for healthcare workers and diabetic patients. It can also be utilized as a practice guideline for healthcare workers in the hospital and community setting.
인슐린을 사용하는 당뇨병 환자의 당뇨인식표에 대한 인식, 소지실태 및 소지의 영향 요인
권은경 ( Kwon Eun Kyung ),이창관 ( Lee Chang Kwan ),심강희 ( Sim Kang Hee ) 병원간호사회 2017 임상간호연구 Vol.23 No.3
Purpose: The aim of this study was to identify perception, use status and factors influencing use of medical alert identification (ID) in diabetic patients who are on insulin. Methods: A survey was conducted from December 2013 to April 2014 with 198 people who were asked to participate in the survey. Results: The medical alert ID perception score was 3.54 on a 5-point scale. Most of respondents (82.8%) knew about the medical alert ID, but only 23.2% of respondents wore a medical alert ID and only 43.5% of respondents always wore a medical alert ID. Perception and frequency of possession were positively correlated (r=.41, p<.001). The most influential factor for the possession of a medical alert ID was the perception of the medical alert ID (β=.41, p<.001). The perception of the medical alert ID explained 17% of variance in possession of a medical alert ID. Conclusion: Most of diabetic patients who take insulin received education about hypoglycemia and knew about the medical alert ID, but only few of them wore a medical alert ID. Findings from this study indicate that perception is an important variable related to possession of a medical alert ID in this population.
발관리 교육프로그램이 노인 당뇨병 환자의 발관리 이행과 족부합병증에 미치는 효과
노영숙,전시자,권연숙,임미숙,심강희 노인간호학회 2007 노인간호학회지 Vol.9 No.2
Purpose : Diabetic foot complications are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to verify the effects of foot care education on compliance with foot care and diabetic foot complications when the patient is an elder with diabetes. Method: A group pretest-posttest design was used to examine the effects of 6 months of foot care education with a group of 13 elders with diabetes. The major dependent variables including foot care compliance and diabetic foot complications were measured at the beginning and end of the treatment period to examine the effects of foot care education. Result : There were no significant differences in total foot care compliance scores and presence of diabetic foot complication after 6 months, Conclusion : Interventions involving problem based education and pursuing long-time effects may be more effective in implementing and sustaining improvements than just group education or one time interventions for elders with diabetes.