pISSN : 2383-6415   eISSN : 2383-6423

Factors Influencing Self Management Behavior for Patients with Type 2 Diabetes: Comparison of Difference between the Elderly and Adults


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INFORMATION : page. 112~121 / 2012 Vol.14 No.2


ABSTRACT

당뇨병은 대사 이상에서 기인되는 대표적인 만성질환으로 우리나라 30세 이상 당뇨 유병률은 2009년 9.6%로 점차 증가 추세에 있으며 당뇨병으로 인한 사망률은 인구 10만 명당 20.7명으로 사망원인 5위이다(Korean National Statistics Office [KNSO], 2010). 당뇨병 유병률은 나이에 따라 증가하는 경향이 있어, 전 세계적으로 노인의 당뇨병 유병률 역시 증가 추세에 있으며(Wild, Roglic, Green, Sicree, & King, 2004), 우리나라는 비만과 관련하여 1992년에서 2000년 사이 특히 젊은 연령층에서 당뇨병 유병률이 무려 400%나 증가한 것으로 나타났다(Kwon et al., 2008).

Purpose: The purpose of this study was to investigate the level of self management behavior of patients with type 2 diabetes and to compare the factors influencing self management behavior between the elderly and adults. Methods: The participants consisted of 105 adults and 100 elderly who visited the outpatient department of a hospital from August to December 2011. Data was collected by questionnaires and analyzed using the SPSS/WIN 18.0. Results: The elderly showed higher mean scores of subcategory of self management behavior than adults. In stepwise multiple regression analysis, a total of 42% (adults), 52% (elderly) respectively of variance in self management behavior were accounted for by self-efficacy, perceived barriers, perceived benefits, yes or no smoking and regular exercise in adults and readiness, self efficacy, perceived benefits in the elderly. Conclusion: Therefore, a diabetics intervention program should be designed and provided as a tailored one for adults and elderly separately in Korea. In the strategy for adults with type 2 diabetes in the promotion of self efficacy, perceived benefits and reduction of perceived barriers, and correction of life habits such as smoking and exercise are needed, whereas in the elderly promotion of readiness, self efficacy, perceived benefits are required.

Keyword :

Self management,behavior,Diabetes mellitus,type 2,Elderly,Adult,자기관리행위,제2형 당뇨병,노인,성인


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