노인 당뇨병 환자가 지각한 발 관리의 지식, 자기효능감 및 자가간호 행위와의 관계 = Knowledge, Self Efficacy and Self Care Behavior Regarding Foot Care among Elderly Diabetes Mellitus Patients

다국어 초록 (Multilingual Abstract)

Purpose: This study was to identify the relationship between knowledge, self efficacy, and self care behavior regarding
foot care among elderly diabetes mellitus (DM) patients. Methods: The subjects consisted of 146 elderly with DM.
The data collected from February to October 2008 were analyzed using descriptive statistics, t-test, ANOVA, Pearson
correlation coefficients, and stepwise multiple regression. Results: The mean scores of knowledge (13.21 ± 1.99),
self efficacy (2.23 ± 0.54), and self care behavior (2.29 ± 0.51) regarding foot care were moderate. The level of knowledge
was significantly different according to education about DM (p = .012) and drinking (p = .007). Self efficacy
was significantly different according to gender (p = .019), educational level (p = .014), spouse (p = .048), disease
period (p = .000), admission of DM (p = .000), complication of DM (p = .001), education of DM (p = .023). Self care
behavior was significantly different according to educational state (p = .003), disease period (p = .039), and other
disease (p = .000). Significant correlations were found between knowledge and self care behavior (p = .001), self
efficacy and self care behavior (p = .000), knowledge and self efficacy(p=.012). Knowledge and self efficacy were
a predictor of self care behavior (18.2%). Conclusion: These findings indicate that perceived knowledge and self
efficacy may be necessities to improve self care behavior regarding foot care among elderly DM patients. The above
mentioned results will be reflected in developing patient educational programs.

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