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NTIS 바로가기기본간호학회지 = Journal of Korean Academy of Fundamentals of Nursing, v.19 no.1, 2012년, pp.74 - 86
박주영 (건양대학교 간호학과) , 고일선 (연세대학교 간호대학, 간호정책연구소)
Purpose: The purpose of this study was to develop a comprehensive self-management program promoting self efficacy for Type 2 diabetic patients. Methods: The study was a methodological research design in which previous related research was reviewed to develop the comprehensive self-management program...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
대부분의 당뇨병 교육의 목표는 무엇인가? | 대부분의 당뇨병 교육은 지식 습득을 통하여 자가관리를 실천하고 자가관리가 잘 유지되도록 하는 것으로써 정상적인 혈당관리를 하는 것을 목표로 하고 있다. 그러나 Choi (2010)는 당뇨병 교육을 통해 환자의 당뇨병에 대한 지식 증가는 있었을지라도 자가관리 이행이 잘 유지되지 못하는 한계점이 있다고 지적하였다. | |
제 2형 당뇨환자의 자가관리 이행을 강화시키기 위해서는 어떤 프로그램의 개발이 필요한가? | 하지만, 대부분의 연구에서 개발 적용한 프로그램이 당뇨병 환자 자가관리의 중요한 부분인 식이요법, 운동요법, 약물요법 중 단일 영역에 국한되어 있어 효과적인 당조절이 이루어지지 않은 것으로 나타났다. 따라서, 단순한 지식이나 정보제공이 행위의 결과를 보장할 수 없기 때문에 제 2형 당뇨환자의 자가관리 이행을 강화시키기 위해서는 질병과 관리에 대한 단편적인 지식이 아닌 포괄적인 지식 제공과 제공방법 뿐 만 아니라 자가관리에 영향을 미치는 요인인 사회적 지지, 자기효능, 자기조절, 자아개념, 건강신념, 건강통제위 성격, 우울, 사회심리적 적응, 건강계약, 건강동기 등을 고려한 자가관리 프로그램 개발이 필요하다. | |
당뇨병 자가관리가 중요한 이유는 무엇인가? | 제 2형 당뇨병 자가관리는 본인의 책임이 가장 중요하다는 것을 인식하는 동시에 실천에 옮길 수 있어야 하며, 당뇨병 환자 스스로가 주체성을 가지고 행동을 할 수 있도록 해야 한다(Song, Choi, Chung, Jang, & Kim, 2002a). 그런데 당뇨병 관리에 있어 수동적이거나 의존적인 환자일수록 혈당조절에 성공적이지 못하다. 따라서 제 2형 당뇨병 자가관리에서 환자의 역할은 단지 받기만 하는 수동적 위치로부터 조금씩 변화하는 적극적인 자가관리자의 역할로 전환되어야 하며 이를 위해서는 적극적인 참여를 유도하기 위하여 효과적인 자가관리 프로그램 개발이 필수적이다. |
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