당뇨환자의 가족기능 특성에 관한 연구 = (A) Study on the Family Function Characteristics of Diabetes Mellitus Patients

다국어 초록 (Multilingual Abstract)

The major function of the family is to protect and support each individuals. However, when one of the family members fell into an acute and chronic disease, the structure and the function of the family change. Especially, chronic diseases threat social·physical·mental functions of patients and have influences on the function of the family.
Diabetes which is one of the chronic diseases is a disease that demands constant self-control and control of blood sugar affected not only by self effort but also by family's support and cooperation. Therefore, treating diseases has an intimate relationship with the family function.
The purpose of this research was to examine the characteristics of family function for diabetic patients in the fields of solving problems, communication, role, affective reactions, affective involvement, behavior control, and general functions and to contribute building up the base of diabetes education program for the family and the diabetes patients.
The subjects of this study were 58 diabetic patients who have treated at one university hospital in Seoul, and the data were collected from March 29 to April 2, 2004.
The instrument was Family Assessment Device(FAD) to estimate the effectiveness of family function(Cronbach's α = 0.8997).
The data were analyzed by frequency, percentage, means, standard deviations, t-test, ANOVA, Duncan post test, and correlation, using the SPSS WIN 11.5
The results were as following
1. The families of a diabetes patients displayed most functionally in the field of communication, and then in order of solving problems, affective responsiveness, affective involvement, role, and behavior control.
2. Family functions by social-populational variations did not show statistically significant differences in gender, occupation, religion, and spouse.
About age, 60∼69 age group showed higher function of solving the problems (p<.05) than under 49 age group.
About the standard of education, groups who graduated from high school had higher significance concerning role function and control behavior function(p<.05).
About income for a month, the less monthly income of the family was, the lower family function was in solving problem(p<.05), role(p<.01), affective responsiveness(p<.01), affective involvement(p<.01), and behavior control(p<.01).
3. The family function by the diabetes factors did not display statistically significant difference in disease duration, frequency of checking blood sugar, value of blood sugar, and diabetes education, however, showed statistically significant difference in treatment method of diabetes, experience of complication, experience of hospital admission, and the number of hospital admissions.
About treatment method, one group who got medical treatment with oral medication(p<.05) and dietary treatment(p<.01) had higher communication function than the other group who did not get the treatment, and one group who got exercise cure had higher affective responsiveness(p<.05) and behavior control(p<.05) function than the other group who did not get the cure.
About complication and hospital admission, one group who did not undergo complication and experience of hospital admission had statistically higher solving problems(p<.05) and communication(p<.01) function than the other group who underwent complication and admission.
The frequency of hospital admissions and the family functions had significant correlation, and the group who had less frequency of hospital admissions had higher solving problems(r=-0.259, p<.05), communication(r=-0.416, p<.01), and behavior control(r=-0.263, p<.05) function.
From these results, this study proves that there is a significant relationship between diabetes and the family functions. Therefore it is necessary to develop the diabetes education program in order to improve the family function of diabetes patient who fails in the self-control and particularly, who undergoes complication and hospital admission.

목차 (Table of Contents)

• 목차 = i
• Ⅰ. 서론 = 1
• 1. 연구 필요성 및 목적 = 1
• 2. 연구 문제 = 4
• Ⅱ. 이론적 배경= 5
• 1. 당뇨병 = 5
• 2. 만성 질환과 가족기능 = 8
• 3. 당뇨환자의 가족 특성 = 10
• 1) 가족환경 = 10
• 2) 가족지지 = 11
• 3) 가족기능 = 13
• 4. McMaster 모델 = 15
• 1) 문제해결 = 16
• 2) 의사소통 = 18
• 3) 역할 = 19
• 4) 정서적 반응성 = 20
• 5) 정서적 관여 = 21
• 6) 행동통제 = 22
• Ⅲ. 연구방법 = 24
• 1. 연구 대상 = 24
• 2. 자료 수집 = 24
• 3. 측정 도구 = 24
• 4. 자료 분석 방법 = 26
• 5. 연구의 제한점 = 27
• Ⅳ. 연구결과 및 해석 = 28
• 1. 당뇨환자의 일반적 특성 = 28
• 2. 당뇨환자의 병인별 특성 = 31
• 3. 당뇨환자의 가족 기능 특성 = 33
• 1) 가족기능 효과성 = 33
• 2) 사회인구학적 변인별 가족기능 효과성 비교 = 35
• 3) 당뇨병인별 가족기능 효과성 비교 = 44
• Ⅴ. 결론 및 제언 = 54
• 1. 결론 = 54
• 2. 제언 = 56
• 참고문헌 = 58
• 부록 = 63
• ABSTRACT = 67