Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Improvement of Knowledge, Self-Efficacy and Self-Care Behaviors among Diabetic Patients participated in the Education Program of Sejong Center for Hypertension and Diabetes Management

당뇨병 환자 교육에 따른 지식, 자기효능감 및 자기관리행위의 변화: 세종특별자치시 고혈압·당뇨병 등록교육센터 등록자를 중심으로

  • Jung, Jin-Gyu (Department of Family Medicine, Chungnam National University School of Medicine) ;
  • Chung, Eun-Young (Sejong Center for Hypertension and Diabetes Education) ;
  • Kim, A-Ryeon (Sejong Center for Hypertension and Diabetes Education) ;
  • Park, Hyun-Jin (Sejong Center for Hypertension and Diabetes Education) ;
  • Kim, Yun-Jung (Sejong Center for Hypertension and Diabetes Education) ;
  • Ban, Young-Hwa (Sejong Center for Hypertension and Diabetes Education) ;
  • Kim, Jong-Sung (Department of Family Medicine, Chungnam National University School of Medicine) ;
  • Yoon, Seok-Joon (Department of Family Medicine, Chungnam National University School of Medicine) ;
  • Kim, Soon-Young (Department of Nursing, Daejeon Health Institute of Technology) ;
  • Ahn, Soon-Ki (Public Health and Medical Services Office, Chungnam National University Hospital) ;
  • Nam, Hae-Sung (Sejong Center for Hypertension and Diabetes Education)
  • 정진규 (충남대학교 의과대학 가정의학교실) ;
  • 정은영 (세종특별자치시 고혈압.당뇨병 등록교육센터) ;
  • 김아련 (세종특별자치시 고혈압.당뇨병 등록교육센터) ;
  • 박현진 (세종특별자치시 고혈압.당뇨병 등록교육센터) ;
  • 김윤정 (세종특별자치시 고혈압.당뇨병 등록교육센터) ;
  • 반영화 (세종특별자치시 고혈압.당뇨병 등록교육센터) ;
  • 김종성 (충남대학교 의과대학 가정의학교실) ;
  • 윤석준 (충남대학교 의과대학 가정의학교실) ;
  • 김순영 (대전보건대학교 간호학과) ;
  • 안순기 (충남대학교병원 공공보건의료사업실) ;
  • 남해성 (세종특별자치시 고혈압.당뇨병 등록교육센터)
  • Received : 2017.10.13
  • Accepted : 2017.12.20
  • Published : 2017.12.31
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Abstract

Objective: This study was aimed to evaluate the effectiveness of the diabetes education program implemented in a community hypertension and diabetes education center. Methods: Participants were thirty nine diabetic patients who received the education program in the center from May 2014 through May 2015. The education program consisted of two sessions for 2 days (45 minutes per session) regarding clinical information, nutrition and exercise for type 2 diabetes patients. Initially, they were assessed for general characteristics, knowledge on diabetes, self-efficacy and self-care behaviors. Reassessment was performed on their knowledge and self-efficacy directly after the program, and on self-care behaviors at 12 weeks after the program. Results: The mean score of diabetes knowledge was significantly increased from $5.27{\pm}2.10$ to $8.21{\pm}1.20$ (p<0.001) between before and after the program. The self-efficacy score was also significantly increased from $6.88{\pm}1.72$ to $8.16{\pm}1.47$ (p<0.001). The self-care behavior score was significantly increased from $3.59{\pm}1.89$ before the program to $4.35{\pm}1.29$ (p<0.001) at 12 weeks after the program. Conclusion: The diabetes education program may be effective on the improvement of knowledge, self-efficacy and self-care behaviors in type 2 diabetic patients.

본 연구는 2014년 5월부터 2015년 5월까지 세종특별자치시 고혈압 당뇨병 등록교육센터에서 교육 받은 당뇨병 환자 39명을 대상으로 교육 프로그램의 효과를 평가하고자 실시되었다. 프로그램은 제2형 당뇨병에 대한 질환, 영양, 운동 등에 관한 내용으로 2일 동안 2회의 세션(세션 당 45 분)으로 구성되었다. 교육 전에 당뇨병에 관한 지식, 자기효능감, 자기관리행위 등을 평가하였고, 교육 직후에 지식과 자기효능감 평가, 교육 후 12주째에 자기관리행위를 평가하여 다음과 같은 결과를 얻었다. 당뇨병 지식 점수(10점 만점)는 프로그램 전후 평균 5.72점에서 8.21점으로 유의하게 증가하였고(p<0.001), 자기효능감 점수(10점 만점)는 프로그램 전후 6.88점에서 8.16점으로 유의하게 증가하였다(p<0.001). 자기관리행위 점수는 프로그램 전 5점 만점 중 3.59점이었던 것이 프로그램 종료 12주째에 4.35점으로 유의하게 증가하였다(p<0.001). 본 프로그램은 당뇨병 지식, 자기효능감, 자기관리행위 등의 향상을 통해 등록환자의 효과적인 당뇨병 관리에 기여할 수 있을 것으로 사료된다.

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