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Journal of Korean Academy of Fundamentals of Nursing 2003;10(2): 181
당뇨병환자의 자가혈당검사, 약물, 식이 및 운동 치료지시이행
김희승
가톨릭대학교 간호대학
A Survey of Blood Glucose Testing, Medication, Diet, and Exercise Adherence in Korean Patients with Type2 Diabetes
Hee-Seung Kim
College of Nursing, The Catholic University
Abstract
Purpose: The purpose of this study was to investigate the adherence to diabetes control recommendations (blood glucose testing, medication, diet, exercise) in patients with type 2 diabetes at home and to analyse the correlation between adherence and blood glucose level.
Method: Participants, numbering 214, were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. The data were collected by a self report adherence questionnaire. Glycosylated haemoglobin (HbA1c) was determined by the high-performance liquid chromatography technique and fasting blood glucose was analyzed by the glucose oxidase method. Result: Medication adherence was higher than diet or exercise adherence. The frequency of blood glucose testing was lower for middle school graduates than college graduates. Diet adherence was significantly lower for participants who were obese, who did not have a spouse, and who had hyperglycemia. Medication and diet adherence were negatively correlated with HbA1c.
Conclusion: A diet education program should be developed for patients with type 2 diabetes who are obese, who do not have a spouse, and who have hyperglycemia.
Key words: Type 2 diabetes | Blood glucose testing | Adherence
주요어: 제2형 당뇨병환자 | 자가혈당검사 | 치료지시이행