노인 당뇨병 환자의 자가간호, 가족지지, 우울

다국어 초록 (Multilingual Abstract)

Purpose: This study was done to investigate the degree of self-care, family support and depression, and relationship among these variables for elder with diabetes mellitus. Method: Participants were 202 diabetic patients, 65 years or over, living in Seoul, Korea. Data were collected using the self-care tool for diabetic patients by Kim (1996), the family support tool for diabetic patients by Park (1984), and Korea's BDI scale by Lee (1995). Results: Of the patients, 43.1% showed HbA1c levels than higher 7%. The highest mean score was for self-care for medication compliance, and the lowest for blood glucose testing compliance. Factors affecting self-care were employment, education, HbA1c level, diabetic self-care education and complications. Factors affecting family support were living with family, diabetic self-care education, hospitalization and complications. Factors affecting depression were gender, living with family and complications. All of these factors were significant. Patients experiencing depression were 16.8% of patients. There was a significant positive correlation between self-care and family support, and significant negative correlations between self-care and depression, and family support and depression. Conclusion: For more effective management of diabetes mellitus in elders, improvement in self-care compliance, and family support are needed.

참고문헌 (Reference)

1 이해정, "제2형 당뇨병 환자의 우울에 따른 자가간호 이행, 대사조절 및 심혈관계 위험지표" 한국간호과학회 35 (35): 283-291, 2005

2 노병일, "사회적 지지의 수준과 차원이 노인 우울에 미치는 영향" 한국노년학회 27 (27): 53-69, 2007

3 박혜숙, "당뇨병 환자에서 우울증과 혈당 조절과의 관련성" 대한내과학회 64 (64): 204-210, 2003

4 이평숙, "노인의 스트레스, 사회적 지지와 우울간의 관계" 한국간호과학회 34 (34): 477-484, 2004

5 김은숙, "노년층 제2형 당뇨병환자의 가족 지지 정도와 혈당 조절과의 관계" 대한당뇨병학회 31 (31): 435-443, 2007

6 Korea Institute for Health and Social Affairs, "The third Korea national health and nutrition examination survey (KNHANES Ⅲ), 2005-summary"

7 Lee, Y. K., "The relationship of diabetic knowledge, family support, and self care in diabetic patients" Korea University 2000

8 Anderson, R. J., "The prevalence of comorbid depression in adults with diabetes: A meta-analysis" 24 (24): 1069-1078, 2001

9 Lee, J. S., "The experience of life with diabetics" 30 (30): 1219-1229, 2000

10 Park, O. J., "The effect of social support on compliance with sick role behavior in diabetic patients" Yonsei University 1984

11 Korean National Statistical Office, "The aged statistics for 2008"

12 Hanwoori, "The Merck manual of geriatrics" Hanwoori 2003

13 Lee, N. H., "Self-efficacy and self-care behavior in elderly patients with diabetes mellitus" Kwandong University 2005

14 You, H. Y., "Relationship between diet, exercise, stress,and HbA1C among patients with type 2 diabetes mellitus" Yonsei University 2003

15 Finkelstein, E. A., "Prevalence and costs of major depression among elderly claimants with diabetes" 26 (26): 415-420, 2003

16 Korean Diabetes Association, "Pickup's core diabetes: Handbook of diabetes (3th ed.)" E-Public 2006

17 Tak, Y. R., "Perceived social support, instrumental support needs, and depression of elderly women" 9 (9): 449-456, 2003

18 Lee, E. O., "Nursing and medical research statistics" Soomoonsa 1998

19 UK Prospective Diabetes Study (UKPDS) Group, "Effect of intensive blood glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34)" 352 (352): 854-865, 1998

20 Kim, E. J., "Diabetes" Korean Diabetes Association 2005

21 Beck, A. T., "Depression: Clinical, experimental and theoretical aspects" Harper & Row 1967

22 Kim, S. H., "Depression, self-care activity, and HbA1C of type-2 diabetes patients" Chung Ang University 2007

23 Jung, S. H., "Depression and self care behavior in patients with type 2 diabetes mellitus" The Catholic University of Korea 2005

24 Choi, Y. O., "Correlationships between family support, self-care behaviors and quality of life in middle aged adults with diabetes mellitus" Ewha Womans University 2002

25 Katon, W., "Behavioral and clinical factors associated with depression among individuals diabetes" 27 : 914-920, 2004

26 De Groot, M., "Association of depression and diabetes complications: Meta-analysis" 63 (63): 619-630, 2001

27 Ryu, E. K., "A study on the relationships between perceived family support, self-efficacy, and sick-role behavior in elderly diabetes mellitus patients" Kongju National University 2004

28 Kim, D. H., "A study on the correlation among family support, self-esteem and depression in elderly" 13 : 113-144, 2001

29 Rhee, M. K., "A standardization study of Beck depression inventoryⅠ- Korean version (K_BDI): Reliability and factor analysis" 4 (4): 77-95, 1995

30 Kim, Y. O., "A hypothesized model of self-care behavior in diabetic patients" Yonsei University 1997