Author
Hong Woo Nam
Bio: Hong Woo Nam is an academic researcher. The author has contributed to research in topics: Social support & Diabetes mellitus. The author has an hindex of 1, co-authored 1 publications receiving 34 citations.
Topics: Social support, Diabetes mellitus
Papers
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TL;DR: Diabetic educator should identify the significant factors that affect patient's self-management such as whether they have a full-time job, or the type of their job to focus on assertiveness training to deal with various interperso nal barriers and empowerment for enhancing patient'sSelf-efficacy.
Abstract: Background: Diabetes has a critical effect on elderly diabetic patients’ quality of life. Elderly diabetic patients have many difficulties in diabetes self-management because their physical, psychological and social functions are decreased as a result of the aging process. Therefore, we evaluated the current status of self-management and barriers in elderly diabetic patients Methods: The sample was 124 elderly diabetic patients (over 61 years) who visited a hospital and two senior welfare centers in Seoul from July to August 2006. The results of the study were analyzed by descriptive statistics, ANOVA, T-test, and hierarchical regression. Results: 1) Diabetes self-management was composed of insulin injection, diet, exercise, foot management, smoking and drinking alcohol. An average score of self-management in the elderly diabetic patients was 4.5784. In demographic variables, only job status showed a significant effect on self-management. 2) Barriers such as 'forgetting taking diet and medication', 'being interru pted by others', and 'lack of family and social support' were significant factors in diabetes self-management. 3) These barriers for diabetes self-management were still significant in the case of controlling demographic and clinical variables. Conclusion: Diabetic educator should identify the significant factors that affect patient's self-management such as whether they have a full-time job, or the type of their job. In addition, diabetes education should focus on assertiveness training to deal with various interperso nal barriers and empowerment for enhancing patient's self-efficacy. These approaches would benefit patients who experience barriers of diabetes self-management (KOREAN DIABETES J 32:280-289, 2008)
35 citations
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TL;DR: Further studies are needed to further develop and apply individual diabetes education programs in order to sustain the effects of self-care behaviors and self-efficacy in patients with diabetes who experience a decrease in self-efficiency after three months of education.
Abstract: This study investigated the effect of applying a customized diabetes education program through pattern management (PM), using continuous glucose monitoring system (CGMS) results, on individual self-care behaviors and self-efficacy in patients with type 2 diabetes mellitus. Patients with type 2 diabetes who had never received diabetes education, enrolled from March to September 2017, were sequentially assigned to either PM education or control groups. In the PM education group, the CGMS test was first conducted one week before diabetes education and repeated three times by PM in order to obtain data on self-care behaviors and self-efficacy. These results were then compared before and after education at three and six months. The control group received the traditional diabetes education. Self-efficacy showed statistically significant interactions between the two groups over time, indicating a significant difference in the degree of self-efficacy between the PM education and control groups. Diabetes education by PM using CGMS result analysis improved life habits with a positive influence on self-care behaviors and self-efficacy for diabetes management. Further studies are needed to further develop and apply individual diabetes education programs in order to sustain the effects of self-care behaviors and self-efficacy in patients with diabetes who experience a decrease in self-efficacy after three months of education.
34 citations
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TL;DR: Overall results suggest that increased diabetes prevalence in people with low quality of life might be affected by the diets based on high carbohydrate, increased waist circumference, and lower rate of practice nutritional guideline.
Abstract: This study was done to analyze the chronic diseases prevalence and dietary intake status according to the health related quality of life and to identify its significant properties. This study was conducted based on 2906 subjects ranging from 20~64 years old, out of 9704 total subjects from the 4th Korean National Health and Nutrition Survey in 2008. The average quality of life (QL) score was 0.915, where 983 subjects were below the average (low QL group) and 1923 subjects were above (high QL group). In the high QL group, there was more likely to be young, male, and with higher income and education. For high QL group, the self-related health score was high, and the subjective stress level was low. The prevalence of diabetes was significantly higher in the low QL group and anthropometric and biochemical measures were not shown differences between the two groups but waist circumference was significantly higher in the low QL group. The QL score was significantly negative correlated with the waist circumference and the body mass index. As for the recognition rate of Nutrition Guideline, there were no significant differences but high QL group had higher scores in “Eat a variety of foods”, “Avoid too much Sodium”, and “Enjoy meals and Eating a breakfast”. Carbohydrate intake was significantly lower in the high QL group than in low QL group and the high QL group showed higher intake in legumes, meat and poultry, fruits, daily products and beverages. Overall results suggest that increased diabetes prevalence in people with low quality of life might be affected by the diets based on high carbohydrate, increased waist circumference, and lower rate of practice nutritional guideline. (Korean J Community Nutrition 15(4) : 445~459, 2010) KEY WORD : quality of life·chronic disease·dietary intake·diabetics·dietary pattern ————————————————————————— 서 론 ————————————————————————— 과거에 비해 사회적, 경제적 환경이 많이 개선되었음에도 불구하고 고령화 사회로 접어들면서 만성질환의 유병율이 점 차 증가하는 추세이다(Seong 등 2004). 전세계적으로 인 구의 노령화 현상이 계속 진행되고 있어 과거에는 급성질환 이 주요 사망원인이었던 것에 비해 최근에는 만성질환과 퇴 행성 질환이 주요 사망원인이 되고 있다(Goulding 등 2003). 「국민영양조사 제 3기(2005년)」결과에 따르면 20세 이상 성인의 고혈압 유병율은 약 833만 명, 당뇨병 유 병율은 약 261만 명으로 추정하였으며(Korea Centers for Disease Control and Prevention 2007), 미국의 경우 2020년에는 과거 2000년 조사에 비해 당뇨병 및 고혈압을 앓고 있는 유병자수가 약 131만 명 정도 늘어날 것으로 보 고하고 있다(Ko & Coons 2006). 만성질환은 개인적으로 는 기대여명의 감소와 삶의 질을 저하시킬 뿐만 아니라 사회 접수일: 2010년 6월 24일 접수 채택일: 2010년 8월 03일 채택 *This study was supported by a grant from Seoul Women's University (2010) Corresponding author: Department of Nutrition, College of Natural Sciences, Seoul Women's University, #126 Kongneung 2dong, Nowon-gu, Seoul 139-774, Korea Tel: (02) 970-5644, Fax: (02) 976-4049 E-mail: kmjoung@swu.ac.kr 446·성인의 삶의 질에 따른 만성질환 유병율 및 영양섭취 실태 경제적으로는 의료비의 증가와 생산성의 저하를 일으킬 수 있다. 따라서 최근에는 건강하게 오래 살고자 하는 욕구에 부 합하여 건강관련 삶의 질에 대한 관심이 증가하고 있는 실정 이다(Jo & Lee 2007). 삶의 질은 각 개인이 주관적으로 평가한 건강상태로 좁은 의미로는 건강관련 삶의 질(Healthy-related quality of life)로 정의되고 있다. 1958년 세계보건 기구(WHO)에서 건강을 “단순히 질병이 없는 상태가 아니라, 신체적, 정신적, 사회적으로 완전히 안녕한 상태”라는 건강에 대한 정의를 발 표한 이후 안녕(well-being)이라는 개념에 대해 관심을 가 져 왔다. 최근에는 과학기술 및 경제의 발전으로 국민의 생 활수준이 향상되면서 삶의 질에 대한 관심과 욕구가 날로 증 가되고 있다(Yoon 1997). 특히 전반적인 사회의 발전으로 행복한 삶을 위해 삶의 상태를 개선시키고자 하는 인간의 노 력은 인간에게 있어 삶의 질에 대한 관심으로 이어지고 있으 며, 일반인구 집단의 건강수준을 평가하거나 각종 건강관리 도구의 효과를 평가하기 위한 항목으로 건강관련 삶의 질이 중요해 지고 있는 실정이다. 건강관련 삶의 질은 기능적 장 애, 정서적·사회적 안녕, 건강에 대한 인지, 질병과 치료 관 련 증상을 포함한 다 영역의 개념으로 정의된다(Wallander & Varni 1998). 삶의 질에 영향을 주는 요인으로는 연령, 교육수준, 직업 유무, 월 소득, 의료보장, 주관적 건강상태, 활동제한 등이 있 다. 연령의 증가, 기능적 장애, 피로감, 수면 문제 등을 가지 고 있을수록 삶의 질이 낮으며, 주관적 건강상태가 좋고, 활 동제한이 없는 경우 삶의 질이 높은 것으로 나타났다(Sohn 2009). 소득수준은 식품 선택과 구매에 영향을 주어 (Bowman 2007) 개인의 영양 상태와 건강상태에 영향을 미치는 것으로 보고되고 있다(Drewnowski & Darmon 2005; Nord 등 2006). 그러나 삶의 질에 따른 식품 섭취 실태나 식이 특성, 만성질환과의 관련성에 대한 연구는 부족 한 실정이다. 식품 및 영양소 섭취 실태는 만성질환의 발생과 밀접한 관 련이 있는 것으로 알려져 있으며, 특히 녹황색 채소와 과일 섭취는 심혈관 질환, 뇌졸중 및 당뇨병 등 만성질환의 위험 을 낮추는 것으로 알려져 있다(Esmaillzadeh 등 2006; Bazzano 등 2008). 그러므로 삶의 질에 따른 식품 및 영양 소 섭취 실태와 만성질환의 유병율을 비교하는 것은 삶의 질 에 따른 다빈도 섭취 식품 및 영양소 섭취에 대한 차이를 규 명할 수 있으며, 만성질환의 유병율과의 관련성을 이해하는 데 도움이 될 것으로 사료된다. 따라서 본 연구는 사회적 관계에서 가장 활발한 활동을 펼 치는 시기인 성인을 대상으로 삶의 질 지표를 이용하여 삶의 질에 따른 영양섭취 실태, 건강관련 습관 및 식행동이 만성 질환 유병율과 어떠한 상관성이 있는지 규명하고, 영양교육 을 위한 실천 자료와 질병 예방을 위한 자료의 마련에 기여 하고자 수행되었다. 이를 위해 2008년도 국민건강영양조사 자료 중 삶의 질 지표를 평균미만 값과 이상 값으로 분류하 여 인구 사회적 신체적 요인 등의 특성의 차이를 검토하였 고, 삶의 질 지표에 따라 만성질환 유병율, 신체계측과 생화 학적 지표, 영양소 섭취량 및 식품 섭취 빈도의 차이를 비교 분석하였다. ————————————————————————— 연구대상 및 방법 —————————————————————————
26 citations
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TL;DR: The older adults in the CDSMP intervention group showed significantly higher levels of self efficacy and physical activity at follow up and participants with low health literacy had greater benefits from the intervention than had those with high health literacy.
22 citations
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TL;DR: The proposed situation-specific theory is constructed with six major concepts including barriers, resources, perceptual factors, psychosocial factors, health-promoting behaviors, and health-related QOL and provides the interrelationships among concepts.
Abstract: The purpose of the study was to develop a situation-specific theory for explaining health-related quality of life (QOL) among older South Korean adults with type 2 diabetes. To develop a situation-specific theory, three sources were considered: (a) the conceptual model of health promotion and QOL for people with chronic and disabling conditions (an existing theory related to the QOL in patients with chronic diseases); (b) a literature review using multiple databases including Cumulative Index for Nursing and Allied Health Literature (CINAHL), PubMed, PsycINFO, and two Korean databases; and (c) findings from our structural equation modeling study on health-related QOL in older South Korean adults with type 2 diabetes. The proposed situation-specific theory is constructed with six major concepts including barriers, resources, perceptual factors, psychosocial factors, health-promoting behaviors, and health-related QOL. The theory also provides the interrelationships among concepts. Health care providers and nurses could incorporate the proposed situation-specific theory into development of diabetes education programs for improving health-related QOL in older South Korean adults with type 2 diabetes.
14 citations
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TL;DR: Diabetic knowledge was an important factor to improve the level of self-care adherence for the elderly with diabetes living alone, and health literacy showed a statistical association with health literacy and diabetic knowledge.
Abstract: Purpose: The aim of this study was to evaluate the level of self-care adherence in the elderly with diabetes mellitus (DM) who have lived alone, and to investigate the association between health literacy, diabetic knowledge and self-care adherence. Methods: Descriptive research using the cross-sectional approach was conducted. Data was collected by using a convenience sampling of 201 participants who aged sixty-five years old or more and have lived alone. Statistical analysis was conducted by using an independent t-test, one-way ANOVA, Scheffe? test, Pearson correlation coefficient and stepwise multiple regression analysis. Results: Mean scores of health literacy, diabetic knowledge and adherence of self-care were 4.41±3.54 points out of a possible 12, 6.22±2.55 points out of a possible 15, 58.56±17.28 points out of a possible 112, respectively. Adherence of self-care showed a statistical association with health literacy (r=.26, p<.001) and diabetic knowledge (r=.30, p<.001). Statistically significant factors in the regression model were monthly income, diabetic knowledge and exercise. Conclusion: The level of self-care adherence in the elderly with diabetes living alone was relatively low. Diabetic knowledge was an important factor to improve the level of self-care adherence for the elderly with diabetes living alone.
11 citations