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Journal of Korean Academy of Fundamentals of Nursing 2012;19(3): 353
제 2형 당뇨환자의 우울증상군과 비우울증상군 간의 당화혈색소, 자가 관리, 삶의 질 간의 비교연구
정영민1, 김미영2
1이화여자대학교 임상보건과학대학원 간호학 전공
2이화여자대학교 건강과학대학 간호학부
Comparative Study on HbA1C, Self-care Behavior, and Quality of Life by Depression Status in Type II Diabetic Patients
Young-Min Jeong1, Mi-Young Kim2
1Major in Clinical Nursing, The Graduate School of Clinical Health Sciences, Ewha Womans University
2Division of Nursing Science, College of Health Sciences, Ewha Womans University
Purpose: The objective of this study was to examine the correlation between HbA1C, self-care behavior, and quality of life among depressed and non-depressed patients with type II diabetes
Methods: Data were collected between May 26 and July 5, 2011 using a questionnaire. The questionnaire included depression (CES-D), self-care behavior and quality of life. Hemoglobin A1C was ed from medical records. Data were analyzed by descriptive statistics, t-test, $x^2$-test, ANCOVA and Pearson's correlation coefficient.
Results: In this study sample (n=301), 20.9% of diabetic patients (n=69) were depressed. After adjustment for relevant covariates, depressed patients showed to have lower self-care behavior (2.8 vs 3.4, p<.001) and quality of life (2.8 vs 3.5, p<.001) scores, but the difference in HbA1C was no longer significant.
Conclusion: This study suggests that the assessment and intervention for depressed diabetic patients can result in effective self-care behavior, which accordingly leads to improvement of the quality of life.
Key words: Depression | Diabetes mellitus | HbA1C | Quality of life | Self care
주요어: 당뇨 | 우울 | 당화혈색소 | 자가 관리 | 삶의 질