Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지

Predictors of Vascular Complications among Patients with Type 2 Diabetes

제2형 당뇨 환자의 혈관합병증 위험 예측인자

  • Published : 2009.05.31
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Abstract

Purpose: The purpose of this study was to predict the risk factors for vascular complications among patients with type 2 diabetes. Method: The data were collected from August to September, 2007 using clinical examination and questionnaires. Patients (N=101) were recruited from the endocrinology department of P University hospital in D city. Descriptive statistics, Pearson correlation coefficients and multiple linear regression were used to analyze the data. Results: The cardiovascular risk of patients with diabetes was significantly related to self care behavior, family history, and smoking status. The risk of peripheral vascular complications was not related to predictors included in the study. With multivariate analyses, significant predictors of cardiovascular risk for these patients were self care behavior, family history, and smoking status ($R^2=.40$, p<.0001). Conclusion: The findings of this study indicate that smoking cessation and improving self-care behavior are essential to reduce the risk of cardiovascular complications among patients with diabetes. To enhance self-care practices for the patients with diabetes, nursing interventions, such as telephone counseling, problem focused nursing counseling, and peer group activities should be considered.

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References

  1. Ainsworth, B. E., Haskell, W. L., Whitt, M. C., Irwin, M. L., Swartz, A. M., Strath, S. J., et al. (2000). Compendium of physical activities: An update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9 Suppl), S498-S504. https://doi.org/10.1097/00005768-200009001-00009
  2. Choiniere, R., Lafontaine, P., & Edwards, A. C. (2000). Distribution cardiovascular disease risk factors by socioeconomic status among Canadian adults. Canadian Medical Association Journal, 162 (9 Suppl), S13-S24.
  3. Chung, S. S. (2002). Analysis of the association between carotid intima-media thickness with atherosclerotic risk factors in type 2 diabetes mellitus and the effect of antiplatelet treatment. Unpublished master's thesis. Yonsei University, Seoul.
  4. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
  5. Fritz, T., Wandell, P., Aberg, H., & Engfeldt, P. (2006). Walking for exercise-does three times per week influence risk factors in type 2 diabetes? Diabetes Research and Clinical Practice, 71(1), 21-27. https://doi.org/10.1016/j.diabres.2005.06.002
  6. Gerich, J. E. (2007). Type 2 diabetes mellitus is associated with multiple cardiometabolic risk factors. Clinical Cornerstone. 8(3), 53-68. https://doi.org/10.1016/S1098-3597(07)80028-7
  7. Gilmer, T. P., O'Connor, P. J., Rush, W. A., Crain, A. L., Whitebird, R. R., Hanson, A. M., et al. (2005). Predictors of health care costs in adults with diabetes. Diabetes Care, 28(1), 59-64. https://doi.org/10.2337/diacare.28.1.59
  8. Gu, M. O. (1992). A structural model for self care behavior and metabolic control in diabetic patient. Doctoral dissertation, Seoul National University, Seoul.
  9. Hong, Y. H., Cho, M. O., & Tae, Y. S. (2005). An ethnographic study on eating styles of adult diabetics in Korea. Journal of Korean Academy of Nursing, 35(2), 313-322.
  10. Jung, I. K. (2007). A pathogenesis of the diabetic complication. The Journal of Korean Diabetes Association, 31(3), 117-120.
  11. Kim, Y. S. (2007). A prospect of clinical study on type 2 diabetes. The Journal of Korean Diabetes Association, 31(3), 158-166.
  12. Korea Diabetes Association. (2007). Knowing diabetes correctly. Retrieved February 8, 2009 from http://www.diabetes.or.kr/clinic/knowlege.php#:none
  13. Korean Nutrition Society. (1998) Computer Aided Nutrient analysis program (CAN-pro). Seoul: Korean Nutrition Society.
  14. Korean Nutrition Society. (2006). KDRIs; Dietary Reference Intakes for Koreans. Retrieved January 2, 2009, from www.KNS.or.kr
  15. Lee, B. W., Kang, B. H., Kang, H. W., Kim, H. H., Kim, H. J., Noh, J. H., et al. (2002). Clinical and angiographic review of diabetes mellitus in coronary artery disease. Korean Clinical Diabetes, 3(3), 253-269.
  16. Lee, H. J., Han, K. A., Min, K. W., & Kim, E. J. (2005). Eighteen-year trends in Korean diabetic patients (1981 through 1998). The Journal of Korean Diabetes Association, 29(3), 239-246.
  17. Lee, H. J., & Kim, M. S. (2007). The relationship of diet, physical activities, self-efficacy, and self-care with cardiovascular risk factors among clients with type 2 diabetes. Journal of Korean Academy of Adult Nursing, 19(2), 283-294.
  18. Lee, H. J., & Park, K. Y. (2006). Predictors of cardiovascular risk factors among type II diabetic patients. Journal of Korean Academy of Adult Nursing, 18(3), 426-435.
  19. Lee, S. E., & Kim, J. H. (2004). Comparison of dietary intakes and plasma lipid levels in diabetes and control elderly. Korean Journal of Community Nutrition, 9(1), 98-112.
  20. Li J, Luo, U., Xu, Y., Yang, J., Zheng, L., Hasimu, B., et al. (2007). Risk factors of peripheral arterial disease and relationship between low ankle-brachial index and mortality from all-cause and cardiovascular disease in Chinese patients with type 2 diabetes. Circulation Journal, 71(3), 377-381. https://doi.org/10.1253/circj.71.377
  21. Sacks, D., Bakal, C. W., Beatty, P. T., Becker, G. J., Cardella, J. F., Raabe, R. D., et al. (2003). Position statement on the use of the ankle-brachial index in the evaluation of patients with peripheral vascular disease: a consensus statement developed by the standards division of the society of cardiovascular & interventional radiology. Journal of Vascular and Interventional Radiology, 13(4), 353. https://doi.org/10.1016/S1051-0443(07)61735-7
  22. Schneider, S. H., & Elouzi, E. B. (2000). The role of exercise in type II diabetes mellitus. Preventive Cardiology, 3(2), 77-82. https://doi.org/10.1111/j.1520-037X.2000.80365.x
  23. Song, R. Y., Junn, K. J., Ro, Y. J., & Kim, C. G. (2001). Effects of motivation-enhancing program on health behaviors, cardiovascular risk factors and functional status for institutionalized elderly women. Journal of Korean Academy of Nursing. 31(5), 858-870.
  24. Sullivan, P. W., Morrato, E, H., Ghushchyan, V., Wyatt, H. R., & Hill, J, O. (2005). Obesity, inactivity, and the prevalence of diabetes and diabetes-related cardiovascular comorbidities in the U.S., 2000-2002. Diabetes Care, 28(7), 1599-1603. https://doi.org/10.2337/diacare.28.7.1599
  25. Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure:Results from 7 studies and a revised scale. Diabetes Care, 23(7), 943-950. https://doi.org/10.2337/diacare.23.7.943
  26. Wild, S., Roglic, G., Green, A., Sicree, R., & King, H. (2004). Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care, 27(5), 1047-1053. https://doi.org/10.2337/diacare.27.5.1047
  27. Zilli, F., Croci, M., Tufano, A., & Caviezel, F. (2000) The compliance of hypo caloric diet in type 2 diabetic obese patients: A brief-term study. Eating and Weight Disorders, 5(4), 217-222.