맞춤형 당뇨교육이 인슐린요법을 하는 제2형 당뇨환자의 혈당조절과 자가간호에 미치는 효과 = The Effects of Tailored Diabetes Education on Blood Glucose Control and Self-Care

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to test the effects of tailored diabetic education on blood glucose control and
self-care for patients with type 2 diabetes on insulin therapy. Methods: The participants were 60 patients (experimental
group: 30, control group: 30) with type 2 diabetes on insulin therapy. The patients were being seen at a university hospital
in Seoul, Korea. Group diabetic education and tailored diabetic education were given to the experiment group while group
diabetic education only was given to the control group. Data were collected before and three months after the education.
2 test, t-test, and ANCOVA were used to analyze the data. Results: No significant differences in postprandial (PP2hrs)
glucose and HbA1c levels were found between the two groups. Participants in the experiment group showed statistically
significant differences in the area of self-glucose test, management of insulin injection, and life style change compared to
those in the control group. Conclusion: The results indicate that tailored education for patients with diabetes on insulin
therapy improve self-glucose test, management of insulin injection, and life style. Therefore it is suggested that tailored
education can be applied in diabetic education to improve self-care.

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to test the effects of tailored diabetic education on blood glucose control and
self-care for patients with type 2 diabetes on insulin therapy. Methods: The participants were 60 patients (experimental
group: 30, control group: 30) with type 2 diabetes on insulin therapy. The patients were being seen at a university hospital
in Seoul, Korea. Group diabetic education and tailored diabetic education were given to the experiment group while group
diabetic education only was given to the control group. Data were collected before and three months after the education.
2 test, t-test, and ANCOVA were used to analyze the data. Results: No significant differences in postprandial (PP2hrs)
glucose and HbA1c levels were found between the two groups. Participants in the experiment group showed statistically
significant differences in the area of self-glucose test, management of insulin injection, and life style change compared to
those in the control group. Conclusion: The results indicate that tailored education for patients with diabetes on insulin
therapy improve self-glucose test, management of insulin injection, and life style. Therefore it is suggested that tailored
education can be applied in diabetic education to improve self-care.

참고문헌 (Reference)

1 박정호, "종합 병원에서 치료 받고 있는 제2형 당뇨병 환자의 혈당 조절 정도의 평가" 대한당뇨병학회 28 (28): 208-218, 2004

2 김춘길, "전화상담 프로그램이 당뇨병환자의 자기효능과 자가간호에 미치는 효과" 성인간호학회 14 (14): 305-314, 2002

3 김희승, "인터넷 당뇨교육이 고혈당환자 혈당 개선에 미치는 효과" 성인간호학회 17 (17): 444-451, 2005

4 박경연, "인지행동 스트레스 관리 프로그램이 제 2형 당뇨병 환자의 자가간호 이행과 당대사에 미치는 효과" 성인간호학회 19 (19): 683-693, 2007

5 유지수, "스트레스 중재를 포함한 포괄적인 생활습관개선 프로그램이 제2형 당뇨병환자의 당조절과 스트레스 반응에 미치는 효과" 한국간호과학회 36 (36): 751-760, 2006

6 김희승, "비만형 당뇨환자의 웹기반 당뇨 교육 효과" 한국간호과학회 35 (35): 924-930, 2005

7 이해정, "문제해결식 간호상담과 강화된 걷기운동이 제2형 당뇨병 대상자의 자가간호, 대처기전 및 당대사에 미치는 효과" 한국간호과학회 35 (35): 1314-1324, 2005

8 고춘희, "문제상황대처 교육 프로그램이 제2형 당뇨병 환자의 자기효능, 자기간호행위, 문제상황대처 행위 및 당조절에 미치는 효과" 한국간호과학회 34 (34): 1205-1214, 2004

9 유주화, "당뇨인의 인슐린주사관련 자가간호행위 수행 및 관련요인 분석" 대한당뇨병학회 27 (27): 153-164, 2003

10 임수, "국내 3차 의료기관의 당뇨병 조절 상태 및 합병증 보고 - 2006∼2007 대한당뇨병학회 역학소위원회 -" 대한당뇨병학회 33 (33): 48-57, 2009

11 김현정, "개별실습을 강화한 당뇨교육이 제 2형 당뇨병 환자의 혈당, 자가관리 및 자각증상에 미치는 효과" 성인간호학회 18 (18): 194-201, 2006

12 Korean Diabetes Association, "Treatment Guideline for Diabetes" MMK Communications 2007

13 Korean Association of Diabetic Nurse Educators, "The future of diabetic education" 2008

14 Lee, J. S., "The experience of life in with diabetics" 30 : 1219-1229, 2000

15 Lee, E. O., "Nursing medical research and statistical analysis (3rd ed.)" Soomoonsa 1998

16 Black, J. M., "Medical-surgical nursing: Clinical management for positive outcomes (7th ed.)" Elservier Saunders 2005

17 Lewis, S. M., "Medical-surgical nursing: Assessment and management of clinical problems (6th ed.)" Mosby 2004

18 Polonsky, W. H., "Integrating medical management with diabetes self-management training: A randomized control trial of the diabetes outpatient intensive treatment program" 26 : 3048-3053, 2003

19 International Diabetes Federation, "Global guideline for Type 2 diabetes" Paperland Printers Publishing 2005

20 Choe, M. A., "English-Korean Mosby’s medical, nursing &allied health dictionary (6th ed.)" Hyunmoonsa 2002

21 Chae, Y. H., "Effects of individual nursing education on self-efficacy and sick-roll behavior in diabetes patients" 6 : 103-114, 2000

22 Korean Association of Diabetic Nurse Educators, "Diabetic patient guidebook" Author 2002

23 Korean Diabetes Association, Health Insurance Review & Assesment Service, "Diabetes in Korea 2007" SIKR Publishing 2007

24 Jun, J. Y., "A study on the experience of self-care in diabetic patients with complication" 8 : 244-263, 1996