보건지소 환자중심 상담관리 6개월 프로그램에 참여한 당뇨병 환자의 인식 및 행동변화에 관한 연구

김정민; 이혜진; 문지영; 조은희; 백연희; 최단비; 이지혜; 권혁녀

doi:10.14367/kjhep.2017.34.3.103

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자료유형: 학술저널

저자정보: 김정민 (인제대학교) 이혜진 (만성질환 교육상담 연구회) 문지영 (강원대학교병원) 조은희 (강원도) 백연희 (강원도) 최단비 (강원도) 이지혜 (강원도청) 권혁녀 (강원도청)

저널정보: 한국보건교육건강증진학회 보건교육건강증진학회지 보건교육건강증진학회지 제34권 제3호

발행연도: 2017.9

수록면: 103 - 118 (16page)

DOI: 10.14367/kjhep.2017.34.3.103

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Objectives: Health coaching became effective tool for management of chronic diseases. This study was designed to investigate the effects of coaching program on comprehensive lifestyles modification with Type 2 Diabetes Mellitus(T2DM) patients. Methods: The study investigated using pre- & post-test. Diabetes health coaching program was taken at branches of community health center for 6 months. This program was consisted of monthly face to face counseling and weekly telephone counseling. At enrollment and after 6 months, we performed a questionnaire survey consisted of the diabetes knowledge, practice of disease management (diet, blood sugar testing, and foot care), self-efficacy, subjective health status, health behavior (smoking, alcohol consumption, and physical activity). Also we checked blood pressure, body mass index, fasting serum glucose, postprandial glucose, total cholesterol, and glycosylated hemoglobin. Results: We analyzed 6-month follow-up data from 54 patients. They showed significant improvements in diabetes knowledge, disease management of foot care, self efficacy, the amount of exercise, and systolic blood pressure. Conclusions: Although this study didn’t show metabolic improvement of T2DM patients, it resulted the improvement of self efficacy, the amount of exercise, and systolic blood pressure. Using Diabetes health coaching program seems to be helpful in T2DM patients at branch of community health center.

#type 2 diabetes mellitus #coaching #disease management #life style

참고문헌 (37)

참고문헌 신청

Chen S. M., Creedy D., Lin HS., & Wollin J. (2012). Effects of motivational interviewing intervention on self-management, psychological and glycemic outcomes in type 2 diabetes: a randomized controlled trial. International Journal of Nursing Studies, 49(6), 637-44. doi: 10.1016/j.ijnurstu.2011.11.011 Cinar, A. B., & Schou, L. (2014). Health promotion for patients with diabetes: health coaching or formal health education? International Dental Journal, 64, 20-28. doi: 10.1111/idj.12058 Collins, J. C. (2001). Good to great: why some companies make the leap-and others don’t. New York, NY: Harper Business. Eom, S. O., & Lee, I. S. (2017). The effect of health coaching programs on self-efficacy, health behaviors, and quality of life in hypertensive people living in poverty. Journal of Korean Academy of Nursing, 47(3) 380-391. https://doi.org/10.4040/ jkan.2017.47.3.380 Gaede, P., Lund-Andersen, H., Parving, H. H., & Pedersen, O. (2008). Effect of a multifactorial intervention on mortality in type 2 diabetes. New England Journal of Medicine 358:580-591. doi: 10.1056/NEJMoa0706245

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Jung Min Kim

소속기관 NonCommunicable Disease Education & Counseling Study Group

주요연구분야 의약학 > 기초의학 > 예방의학·직업환경의학 의약학 > 임상의학 > 정신과학

논문수 22 이용수 5,027

이혜진

소속기관 공주대학교

주요연구분야 의약학 > 기초의학 > 예방의학·직업환경의학 TOP 10% 사회과학 > 교육학

논문수 22 이용수 7,877

문지영

소속기관 강원대학교병원