Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지

Self-care, Family Support and Depression in Elderly Patients with Diabetes Mellitus

노인 당뇨병 환자의 자가간호, 가족지지, 우울

  • 박기선 (가톨릭대학교 간호대학 대학원) ;
  • 문정순 (가톨릭대학교 간호대학) ;
  • 박선남 (서울여자간호대학)
  • Published : 2009.08.31
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Abstract

Purpose: This study was done to investigate the degree of self-care, family support and depression, and relationship among these variables for elder with diabetes mellitus. Method: Participants were 202 diabetic patients, 65 years or over, living in Seoul, Korea. Data were collected using the self-care tool for diabetic patients by Kim (1996), the family support tool for diabetic patients by Park (1984), and Korea's BDI scale by Lee (1995). Results: Of the patients, 43.1% showed HbAlc levels than higher 7%. The highest mean score was for self-care for medication compliance, and the lowest for blood glucose testing compliance. Factors affecting self-care were employment, education, HbAlc level, diabetic self-care education and complications. Factors affecting family support were living with family, diabetic self-care education, hospitalization and complications. Factors affecting depression were gender, living with family and complications. All of these factors were significant. Patients experiencing depression were 16.8% of patients. There was a significant positive correlation between self-care and family support, and significant negative correlations between self-care and depression, and family support and depression. Conclusion: For more effective management of diabetes mellitus in elders, improvement in self-care compliance, and family support are needed.

Keywords

References

  1. Anderson, R. J., Feedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). The prevalence of comorbid depression in adults with diabetes: A meta-analysis. Diabetes Care, 24(6), 1069-1078. https://doi.org/10.2337/diacare.24.6.1069
  2. Beck, A. T. (1967). Depression: Clinical, experimental and theoretical aspects. New York: Harper & Row.
  3. Choi, Y. O. (2002). Correlationships between family support, selfcare behaviors aηd quality of life in middle aged adults with diabetes mellitus. Unpublished master's thesis, Ewha Womans University, Seoul.
  4. De Groot, M., Anderson, R., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). Association of depression and diabetes complications: Meta-analysis. Psychosomatic Medicine, 63(4), 619-630
  5. Finkelstein, E. A., Bary, J. W., Chen, H., Larson, M. J., Miller, K., Tompkins, C., et al. (2003). Prevalence and costs of major depression among elderly claimants with diabetes. Diabetes Care, 26(2), 415-420. https://doi.org/10.2337/diacare.26.2.415
  6. Jung, S. H. (2005). Depression and self care behavior in patients with type 2 diabetes mellitus. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  7. Katon, W., Von Korff, M., Ciechanowscki, P., Russo, J., Lin, E., Simon, G., et al. (2004). Behavioral and clinical factors associated with depression among individuals diabetes. Diabetes Care, 27, 914-920 https://doi.org/10.2337/diacare.27.4.914
  8. Kim, D. H. (2001). A study on the correlation among family support, self-esteem and depression in elderly. Journal of Welfare for the Aged, 13, 113-144
  9. Kim, E. J. (2005). Diabetes. Seoul: Korean Diabetes Association.
  10. Kim, E. S., Lee, S. J., Ryu, O. H., Lee, J. Y., Yun, H. S., & Choi, M. G. (2007). The relationship of family support with blood glucose control in elderly type 2 diabetic patients. Journal of Korean Diabetes Association, 31(5), 435-443. https://doi.org/10.4093/jkda.2007.31.5.435
  11. Kim, S. H. (2007). Depression, self-care activin, and HbA1C of type-2 diabetes patients. Unpublished master's thesis, Chung Ang University, Seoul.
  12. Kim, Y. O. (1997). A hypothesized model of self-care behavior in diabetic patients. Unpublished doctoral thesis, Yonsei University, Seoul
  13. Korea Institute for Health and Social Affairs. (2006). The third Korea national health and nutrition examination survey (KNHANES lll), 2005-summary.
  14. Korean Diabetes Association. (2006). Pickup's core diabetes: Handbook of diabetes (3th ed.). Seoul: E-Public.
  15. Korean National Statistical Office. (2008). The aged statistics for 2008
  16. 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(2), 283-291.
  17. Lee, J. S., No, S. O., Sin, D. S., Kim, M. H., & Jung, Y. M (2000). The experience of life with diabetics. Journal of Korean Academy of Nursing, 30(5), 1219-1229
  18. Lee, N. H. (2005). Self-efficacy and self-care behavior in elderly patients with diabetes mellitus. Unpublished master's thesis, Kwandong University, Gangneung.
  19. Lee, P. S., Lee, Y. M., Lim, J. Y., Hwang, R. I., & Park, E. Y. (2004). The relationship of stress, social support and depression in the elderly. Journal of Korean Academy of Nursing, 34(3), 477-484.
  20. Lee, Y. K. (2000). The relationship of diabetic knowledge, family support, and self care in diabetic patients. Unpublished master's thesis, Korea University, Seoul.
  21. Lee, E. O., Im R. Y., & Park, H. A. (1998). Nursing and medical research statistics. Seoul: Soomoonsa.
  22. Park, H. S., Hong, Y. S., Lee, H. J., Ha, E. H., & Sung, Y. A. (2003). The association between depressive symptoms and glycemic control in the patients with diabetes mellitus. The Korean Journal of Medicine, 64(2), 204-210.
  23. Park, O. J. (1984). The effect of social support on compliance with sick role behavior in diabetic patients. Unpublished doctoral dissertation, Yonsei University, Seoul.
  24. Rhee, M. K., Lee, Y. H., Park, S. H., Sohn, C. H., Chung, Y. C., Hong, S. K., et al. (1995). A standardization study of Beck depression inventory 1 - Korean version (K_BDI): Reliability and factor analysis. The Korean Journal of Psychopathology, 4(1), 77-95.
  25. Rho, B., & Mo, S. H. (2007). The effect of levels and dimensions of social support on geriatric depression. Journal of the Korea Gerontological Society, 27(1), 53-69.
  26. Ryu, E. K. (2004). A study on the relationships between perceived family support, self-efficacy, and sick-role behavior in elderly diabetes mellitus patients. Unpublished master's thesis, Kongju National University, Kongju.
  27. Tak, Y. R., Kim, S. A., & Lee, B. S. (2003). Perceived social support, instrumental support needs, and depression of elderly women. Korean Journal of Women Health Nursing, 9(4), 449-456
  28. UK Prospective Diabetes Study (UKPDS) Group. (1998). Effect of intensive blood glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). Lancet, 352(9131), 854-865. https://doi.org/10.1016/S0140-6736(98)07037-8
  29. You, H. Y. (2003). Relationship between diet, exercise, stress, and HbA1 C among patients with type 2 diabetes mellitus. Unpublished master's thesis, Yonsei University, Seoul
  30. Hanwoori (2003). The Merck manual of geriatrics. Seoul: Hanwoori