Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지

Mental Health and Self-care Activities according to Perceived Stress Level in Type 2 Diabetic Patients with Metabolic Syndrome

대사증후군이 있는 당뇨병 환자의 지각된 스트레스에 따른 정신건강과 자가당뇨관리

  • Received : 2009.11.26
  • Accepted : 2010.01.29
  • Published : 2010.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was to identify the mental health and self-care activities according to perceived stress level in type 2 diabetic patients with metabolic syndrome. Methods: The descriptive survey design was conducted using a convenient sample. One hundred and fifty-two diabetic participants with metabolic syndrome were recruited in a university hospital. The data were analyzed using descriptive statistics, Students' t-test, and ANOVA with SPSS/WIN 12.0. Results: The high, moderate, and low stress groups according to perceived stress score consisted of 30.9%, 38.2%, and 30.9%, respectively. Differences of mental health and total self-care activities among the three groups were statistically significant. Depression (F=46.73, p<.001), trait anger (F=5.75, p<.01), and anger expression-in (F=4.60, p<.01) of participants in the high stress group were higher than other groups, whereas the total of self-care activities (F=2.85, p<.05) and exercise (F=3.49, p<.05) were lower than other groups. Conclusion: This study concluded that type 2 diabetic patients with metabolic syndrome with a high stress level were low in self-care activities along with elevated depression and anger.

Keywords

References

  1. American Diabetes Association[ADA] (2009). Summary of revisions for the 2009 clinical practice recommendations. Diabetes Care, 32(1), S3-S97. https://doi.org/10.2337/dc08-1206
  2. Chang, H. C., Lim, S., & Cho, N.H. (2004). The prevalence of metabolic syndrome -Korean Ansung and Ansan Cohort (KAAC) Study-. Korean Journal of Internal Medicine, 67(2), S528-S532.
  3. Choi, M. M. (1999). Stress management and diabetes. Diabetic News. Seoul: Korean Diabetes Association, 5-7.
  4. Chon, J. E. (2004). Lifestyle habit and cardiovascular disease. Korean Journal of Internal Medicine, 66(1),S35-S42.
  5. Chon, K. K., & Lee, M. K. (1992). Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology, 11(1), 65-76.
  6. Cohen, J. (1988). Statistical power analysis for the behavioral Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Publishers.
  7. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 386-396.
  8. Fisher. L., Chesla, C. A., Mullan, J. T., Skaff, M. M., & Kanter, R. A. (2001). Contributors to depression in Latino and European-American patients with type 2 diabetes. Diabetes Care, 24 (10),1751-1757. https://doi.org/10.2337/diacare.24.10.1751
  9. Hahn, D. W., Chon, K. K., Lee, C. H., & Spielberger, C. D. (1997). Korean adaptation of the state-trait anger expression inventory: Anger and blood pressure. Korean Journal of Health Psychology, 2(1), 60-78.
  10. Jun, J. S., Kim, D. J., Lee, K. W., & Kwon, J. H. (2006). Effects of stress management group psychotherapy on glycemic control in type 2 diabetes: Preliminary study. The Korean Journal of Clinical Psychology, 25(4), 899-917.
  11. Kim, C. J. (2007). Metabolic syndrome risk factors, anger, depression and self-care activities according to mode of anger expression in diabetic elders. Journal of the Korean Gerontological Society, 27(3), 549-561.
  12. Kim, C. J. (2008). Sex differences in risk of cardiovascular disease, depression and self-care activities in type 2 diabetes with metabolic syndrome. Journal of the Korean Academy of Adults Nursing, 20(1), 33-43.
  13. Kim, E. K. (2005). Self-management for stress. Clinical Diabetes, 6(1), 58-61.
  14. Kim, H. S., & Jung, S. H. (2006).Difference in prevalence and risk factors of the metabolic syndrome by gender in type 2 diabetic patients. Journal of Korean Academy Adults Nursing, 18(1), 3-9.
  15. Kim, Y. H., Lee, K. J., Yu, S. J., Lee, S. W., & Kim, S. J. (2001). Psychiatric nursing. Seoul: Soomoonsa.
  16. Kim, Y. S. (2004). Symposium for Lifestyle disease: Lifestyle and endocrine disease. Korean Journal of Internal Medicine, 66(1), S43-S49.
  17. Koh, K. B. (1998). Diabetes and stress. Korean Diabetes, 22 (2), S37-S45.
  18. Korea Centers for Disease Control and Prevention [KCDCP] (2008). 2007 National Health Survey: 4th Korea National Health And Nutrition Examination Survey. 337-338.
  19. Lee, W. H., & Kim, C. J. (2006). The relationship between depression, perceived stress, fatigue and anger in clinical nurses. Journal of Korean Academy of Nursing, 36 (6), 925- 932.
  20. Lee, H. J., & Park, K. Y. (2006). Predictors of cardiovascular risk factors among type 2 diabetic patients. Journal of Korean Academy of Nursing, 18(3), 283-291.
  21. Lee, H. J., Park, K. Y., & Park, H. S. (2005). Self care activity, metabolic control, and cardiovascular risk factors in accordance with the levels of depression of clients with type 2 diabetes mellitus. Journal of Korean Academy of Nursing, 35(5), 283-291.
  22. Lim, S., Kwon, K. H., Kim, E. J., Lim, D. S., Lim, H. J., Cho, S. I., Lee, Y. Y., Park, K. S., & Lee, H. K. (2002). Characteristics of metabolic syndrome and its relationship with the factors related to obesity in rural area. Korean Journal of Lipidology, 12(4), 370-380.
  23. Lloyd, C. E., Smith, J., & Weinger, K. (2005). Stress and diabetes: a review of the links. Diabetes Spectrum, 18(2), 121-127. https://doi.org/10.2337/diaspect.18.2.121
  24. National Institutes of Health Expert Panel of on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (2001). Executive summary of the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation and treatment of high blood cholesterol in adults (Adults Treatment Panel III). JAMA, 285(19), 2486-2497. https://doi.org/10.1001/jama.285.19.2486
  25. Park, Y. J., Baik, S. I., Shin, H. J., Yoon, J. W., Chun, S. H., & Moon, S. H. (2006). Anger, cardiovascular health and depression in middle-aged Korean man: the mediating effect of social support. Journal of Korean Academy of Nursing, 36(5), 863-871.
  26. Park, H. S., Oh, S. W., Kang, J. H., Park, Y. W., Choi, J. M., Kim, Y. S., Choi, W. H., Yoo, H. J., & Kim, Y. S. (2003). Prevalence and associated factors with metabolic syndrome in South Korea from the Korean National Health and Nutrition Examination Survey in 1998. Journal of Korean Society for the Study of Obesity, 12(1), 1-14.
  27. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research on the general population. Applied Psychology Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  28. Shin, K. R. (2001). Depression among Korean women. Journal of Korean Academy of Nursing, 31(3), 391-400.
  29. Spielberger, C. D., Johnson, E. H., Russel, S. F., Crane, R. J., Jacobs, G. A., & Worden, T. J. (1985). The experience and expression of anger: Construction and validation of an anger expression scale. In M.A. Chesney & R. Rosenman (ed.), Anger and hostility in cardiovascular and behavioral disorders (pp. 5-30). Washington DC: Hemisphere.
  30. Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-cre activities measure. Diabetes Care, 23 (7), 943-950. https://doi.org/10.2337/diacare.23.7.943