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Journal of Korean Academy of Fundamentals of Nursing 2008;15(3): 291
인지행동기반 스트레스관리 프로그램이 제2형 당뇨병 환자의 스트레스, 대처 및 스트레스 반응에 미치는 효과
박형숙1, 박경연2
1부산대학교 간호대학
2신라대학교 의생명과학대학 간호학과
Effects of a Cognitive Behavioral Stress Management Program on Perceived Stress, Coping Strategies, and Stress Response in People with Diabetes Mellitus Type 2
Hyoung-Sook Park1, Kyung-Yeon Park2
1College of Nursing, Pusan National University
2Department of Nursing, College of Medical and Life Science, Silla University
Abstract
Purpose: The purpose of this study was to identify the effects of a cognitive behavioral stress management program on perceived stress, coping strategies, and cortisol in people with Diabetes Mellitus Type 2.
Method: Patients with type 2 diabetes were recruited from of a public health center in an urban area. Thirty-five participants (experimental group=17, and control group=18) enrolled. The experimental group received small group-based cognitive behavioral stress management training for eighty minutes per session, once a week for eight weeks. Data were collected at baseline and ninth week for perceived stress, affect-oriented coping, problem-oriented coping, and cortisol. The data were analyzed using SPSS 12.0.
Results: The experimental group had significantly less perceived stress (t=-9.82, P<.001) and cortisol (t=-2.14, p=.040) than the control group. No significant group differences were found in affect-oriented coping (t=-.43, p=.673) or problem-oriented coping (t=1.40, P<.170).
Conclusion: These results suggest that a cognitive behavioral stress management program can have positive effects on perceived stress and cortisol in patients with diabetes mellitus type 2. Further research with a larger sample and for a longer period is needed to expand our understanding of the effects of the program for patients with diabetes mellitus type 2.
Key words: Diabetes mellitus type 2 | Stress | Cognitive behavior | Coping
주요어: 제2형 당뇨병 | 스트레스 | 인지행동 | 대처
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