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자기결정성 이론에 근거한 제2형 당뇨병 환자의 자가관리행위 예측 모형

 A Predictive Model on Self Care Behavior for Patients with Type 2 Diabetes: Based on Self-Determination Theory

Journal of Korean Academy of Nursing 2011년 41권 4호 p.491 ~ 499
KMID : 0806120110410040491
서영미 ( Seo Yeong-Mi ) - 동서대학교 간호학과

최원희 ( Choi Won-Hee ) - 거제대학교 간호학과

Abstract

Purpose:The study was conducted to develop and test a hypothetical model which explains self-care behavior in patients with type 2 diabetes was established based on the Self-Determination Theory.

Methods:The participants were 218 patients with type 2 diabetes mellitus enrolled in an outpatient clinic of one endocrine center in Korea. The data were collected using questionnaires from April 5 through May 7, 2010. The descriptive and correlation statistics were analyzed using the SPSS/WIN 15.0 and the structural equation modeling procedure was performed using the AMOS 7.0 program.

Results:The results of this study showed that competence and autonomous motivation were the strong factors influencing self-care behavior in patients in this sample. Support from health provider for autonomy was a significant indirect factor on self-care behavior. These factors explained 64.9% of variance in the participants’ self care behavior. The proposed model was concise and extensive in predicting self-care behavior of the participants.

Conclusion:Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting self-care behavior in patients with type 2 diabetes.
KeyWords
당뇨병, 자가관리, 동기
Diabetes mellitus, Type 2, Self-care, Motivation
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed