Korean Diabetes Journal 1999;23(2):193-206.
Published online January 1, 2001.
Self-Care and Related Factors in Patients with Diabetes.
Jin Ho Chun, Soo Boon Jung, Hae Sook Sohn
1Department of Preventive Medicine, Inje University.
2Graduate School of Public Health, Inje University.
Abstract
BACKGROUND
In patients with diabetes, self-care might be important for the prevention of complications and the improvement of quality of life. METHODS: To investigate the factors related to self-care in patients with diabetes, a questionnaire study of 128 diabetic patients at three hospitals in Pusan was done from November 1997 to March 1998. The questionnaire included the level of self-care, the knowledge of diabetes, health belief, the support of the family, stresses relating to the disease, personal characteri.;tics, medical history, relationship with medical personnel. The data was analyzed by PC SAS program (version 6.12) with the level of significance (a=0.05). RESULTS: In univariate analysis, the level of self-care was higher in the group with a greater level of knowledge, health belief, the support of family, and it was lower in the group with a greater level of stress (p<0.05). In the multiple regression analysis with the level of self-care as the dependent variable and each characteristic as independent variables, knowledge (9=0.132), health belief (g=0.469), stresses (B=-0.105), body mass index (9=-0.898), regular hospital visit (g=2.318), relationship with the physician (B=3.987) and current smoking habits (B=-5.205) were detected as significant factors (p<0.05), and current drinking factors (B=-3.742) were not significant (p>0.05). The value of R-square was 61%. CONCLUSIONS: To enhance the effectiveness for diabetes control through the enhancement of the patients self-care level, it suggested that self control of weight, smoking and stress would be necessary, and the level of knowledge and health belief should be increased with a good relationship with his physician. And thought it necessary to let them visit a physician regularly through efforts from family members and medical personnel.
Key Words: Diabetes, Self-care, Related factor


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