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Journal of Korean Academy of Fundamentals of Nursing 2012;19(2): 168
혈당 조절 양호, 불충분, 불량 군 간의 자가간호행위, 당뇨관련 스트레스, 스트레스 대처의 비교
강혜연1, 구미옥2
1대동대학교 간호과
2경상대학교 간호대학, 경상대학교 건강과학연구원 노인건강연구센터
Comparative Study on Self-Care Behavior, Diabetes-related Stress, and Stress Coping among Good, Inadequate, and Poor Glycemic Control Groups
Hye-Yeon Kang1, Mee-Ock Gu2
1Department of Nursing, Daedong College
2Gerontological Health Research Center, Institute of Health Sciences, Gyeongsang National University
Abstract
Purpose: The purpose of this study was to compare self-care behavior, diabetes-related stress and stress coping style among 3 blood glucose control groups (good, inadequate, and poor blood glucose control groups).
Methods: Participants were 102 type 2 diabetic patients (good group: 41, inadequate group: 31, poor group: 30). Data were collected from Feb 19 to Mar 24, 2010 and were analyzed using Chi-square, Fisher's exact test and ANCOVA with SPSS/WIN 12.0.
Results: Using ANCOVA with frequency of admission, and illness duration as covariates, significant differences were found among the 3 groups in self-care behavior (total score) and the exercise subscale. Using ANCOVA significant differences were found among 3 groups in diabetes-related stress (total score), emotional burden subscale and regimen distress subscale. Using ANCOVA no difference in stress coping was found among the 3 groups, but there was a significant difference in the problem-oriented coping subscale.
Conclusions: Self-care behavior, diabetes-related stress, and stress coping style are factors influencing blood glucose control. The results of this study suggest that for improving blood glucose control, self care education program focused on diet and exercise in addition to stress management program for promoting problem oriented coping capability are recommended.
Key words: Diabetes Mellitus | Self Care | Stress | Coping behavior | Blood Glucose
주요어: 당뇨병 | 자기간호 | 스트레스 | 대처 | 혈당조절