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김선향 ( Kim Sun-Hyang ) - 마리아 성모병원
강희선 ( Kang Hee-Sun ) - 중앙대학교 의과대학 간호학과
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Abstract
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Purpose: This study was done to investigate the relationship between depression, self-care activity and HbA1c in clients with type-2 diabetes mellitus (DM) clients.
Method: This was a cross sectional descriptive study and data were collected between October 4 and 27, 2006 using a questionnaire. The participants were inpatients and outpatients with type-2 diabetes being seen in one of two hospitals. The questionnaire included general as well as disease related characteristics, a depression scale (CES-D), and the self-care activity scale developed by Kim (1996). HbA1c was obtained from medical records.
Results: There were 50 men (41.7%) and 70 women (58.3%). The mean scores for depression and self-care activity were 18.22±10.03 and 3.51, respectively. Almost half of the Participants (46.7%) had an HbA1c greater than 7%. Self-care activity was negatively correlated with depression (r=-.436, p=0.00) and HbA1c (r=-.269, p=0.03). Depression was positively correlated with HbA1c (r=-.325, p=0.00). Participants who had diabetes education showed a significantly lower level of HbA1c than the group who had never had diabetes education.
Conclusions: It is Important to make ensure that patients with diabetes have education on diabetes mellitus and to screen and manage depression as part of the care for these patients.
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KeyWords
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당뇨, 우울, 자가간호, 당화혈색소
Diabetes mellitus, Depression, Self-care, Hemoglobin A1c, protein
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원문 및 링크아웃 정보
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등재저널 정보
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