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The Effects of Diabetes Empowerment and Health Perception on Diabetes Self-Care Behavior in Community Diabetic Elderly

지역사회 당뇨병 노인의 당뇨병 임파워먼트와 건강인식이 당뇨병 자가간호행위에 미치는 영향

  • Received : 2021.07.05
  • Accepted : 2021.09.20
  • Published : 2021.09.28

Abstract

This study was conducted to investigate the correlation between diabetes empowerment, health perception, and diabetes self-care behaviors with diabetes for the elderly in the community, and to identify the factors affecting diabetes self-care behavior in the elderly with diabetes. A survey was conducted on 80 diabetic elderly people over the age of 65 who were registered at a local public health center. The mean age was 71.15 years, and 41 males and 39 females were included. Diabetes self-care behavior showed a significant positive correlation with economic status (r=.245, p=.029) and diabetes empowerment (r=.406, p<.001), but health perception (r=.127, p=.263) did not show a significant correlation. As a result of this study, diabetes empowerment and economic status of the diabetic elderly were found to be significant influencing factors on diabetes self-care behavior in the diabetic elderly, and the explanatory power of the model was 19.6% (F=10.623, p<.001). Therefore, if a community program is developed to improve the diabetes empowerment of the elderly with diabetes in the community and economic support policies are also provided at the level of public health, it will be possible to improve the self-care behavior of the elderly with diabetes in the community.

본 연구는 지역사회 당뇨병 노인을 대상으로 당뇨병 임파워먼트, 건강인식, 당뇨병 자가간호행위 간의 상관관계를 파악하고 당뇨병 노인의 당뇨병 자가간호행위에 미치는 영향요인을 파악하고자 시행되었다. 일 지역 보건소에 등록된 65세이상 당뇨병 노인 80명을 대상으로 설문조사하였다. 평균 나이는 71.15세였고 남자가 41명, 여자가 39명이 포함되었다. 당뇨병 자가간호행위는 경제적 상태(r=.245, p=.029), 당뇨병 임파워먼트(r=.406, p<.001)와 유의한 양의 상관관계를 나타내었으나 건강인식(r=.127, p=.263)과는 유의한 상관관계를 나타내지 않았다. 본 연구결과, 당뇨병 노인의 당뇨병 자가간호행위에 미치는 요인으로 당뇨병 노인의 당뇨병 임파워먼트와 경제적 상태가 유의한 영향요인으로 나타났으며 수정된 모형의 설명력은 19.6%(F=10.623, p<.001)로 나타났다. 따라서 지역사회 당뇨병 노인의 당뇨병 임파워먼트를 향상시킬 수 있도록 지역사회 프로그램을 개발하고 공중보건 차원에서 경제적 지원 정책도 함께 제공된다면 지역사회 당뇨병 노인의 자가간호행위의 향상을 도모할 수 있을 것이다.

Keywords

Acknowledgement

This paper was funded by a research grant from Woosong University.

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