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Journal of Korean Academy of Fundamentals of Nursing 2009;16(2): 144
제2형 당뇨 환자의 혈관합병증 위험 예측인자
하정미1, 이해정2, 김동희3, 김용숙4, 이화자5
1부산대학교 간호대학
2부산대학교 간호대학
3부산대학교 간호대학
4대구과학대학
5부산대학교 간호대학
Predictors of Vascular Complications among Patients with Type 2 Diabetes
Jung-Mi Ha1, Hae-Jung Lee2, Dong-Hee Kim3, Yong-Suk Kim4, Wha-Za Lee5
1College of Nursing, Pusan National University
2College of Nursing, Pusan National University
3College of Nursing, Pusan National University
4Department of Nursing, Taegu Science College
5College of Nursing, Pusan National University
Abstract
Purpose: The purpose of this study was to predict the risk factors for vascular complications among patients with type 2 diabetes.
Method: The data were collected from August to September, 2007 using clinical examination and questionnaires. Patients (N=101) were recruited from the endocrinology department of P University hospital in D city. Descriptive statistics, Pearson correlation coefficients and multiple linear regression were used to analyze the data.
Results: The cardiovascular risk of patients with diabetes was significantly related to self care behavior, family history, and smoking status. The risk of peripheral vascular complications was not related to predictors included in the study. With multivariate analyses, significant predictors of cardiovascular risk for these patients were self care behavior, family history, and smoking status ($R^2=.40$, p<.0001).
Conclusion: The findings of this study indicate that smoking cessation and improving self-care behavior are essential to reduce the risk of cardiovascular complications among patients with diabetes. To enhance self-care practices for the patients with diabetes, nursing interventions, such as telephone counseling, problem focused nursing counseling, and peer group activities should be considered.
Key words: Diabetes complication | Self care | Diabetes mellitus
주요어: 제2형 당뇨 | 당뇨합병증 | 자가 간호