Research in Community and Public Health Nursing

Original Article

Validity and Reliability of the Korean Version of the Diabetes Acceptance and Action Scale (DAAS-K): Kawoun Seo; Res Community Public Health Nurs. 2024;35(1):76-83. Published online March 29, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00430

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Abstract PDF: Purpose
The purpose of this study was to evaluate the validity and reliability of the Korean version of the Diabetes Acceptance and Action Scale-Revised (DAAS-R) for Korean patients with type 2 diabetes.
Methods
The survey was conducted from September 1, 2021, to September 30, 2021, through a survey institution for patients diagnosed with diabetes who understood the purpose of the study and voluntarily agreed to participate. A total of 231 individuals with type 2 diabetes participated in this study. After performing forward and backward translations of the original version of the Diabetes Acceptance and Action Scale-Revised (DAAS-R) into Korean, its constructive validity (confirmatory factor analysis), concurrent validity and reliability were assessed. Concurrent validity was confirmed through the correlation between acceptance and action, quality of life, diabetes self-stigma, and experiential avoidance.
Results
Construct validity, measured using confirmatory factor analysis, showed a good fit. The DAAS-K was positively correlated with acceptance and action, quality of life, and negatively correlated with diabetes self-stigma and experiential avoidance. As for internal reliability, the Cronbach’s α of the DAAS-K was .95.
Conclusion
The DAAS-K can be applied to assess diabetes acceptance and action in Korean patients with type 2 diabetes and to compare the levels of psychological flexibility of patients with diabetes internationally.

Review Article

Factors Related to Diabetes Self-Care among Immigrants in the United States: A Scoping Review: Jung Eun Kim; Res Community Public Health Nurs. 2023;34(2):171-182. Published online June 30, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00094

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Purpose
The purpose of this scoping review was to explore related factors in diabetes self-care among immigrants in the U.S. Diabetes is one of the fastest-growing chronic illnesses, but little is known about factors in self-care among minority immigrants in the U.S.
Methods
The Arksey and O’Malley (2005) methodological framework guided this review, which examined 16 articles, including qualitative, quantitative, and mixed-methods designs. PRISMA guidelines were used with five Databases. Search terms included: immigrants in the U.S., type 2 diabetes, self-care, and self-management.
Results
Factors related to diabetes self-care among immigrants were identified: (1) changed dietary lifestyle, (2) low economic and health insurance, (3) social support and resources, (4) low English proficiency, (5) psychological contexts, and (6) gender roles.
Conclusion
Given the culturally unique related factors in diabetes self-care among immigrants, healthcare professionals must be knowledgeable and responsive to the ethnic minority immigrants’ needs to promote effective diabetes self-care.

Citations

Citations to this article as recorded by

Educational Needs and Priorities of People with Diabetes and Healthcare Providers in South Korea: A Mixed-Methods Study
Shinae Seo, Chun-Ja Kim, Hee Sun Kang, Elizabeth A. Schlenk
Journal of Transcultural Nursing.2024;[Epub] CrossRef

Original Articles

The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea: Hye Sun Kim, Ka Woun Seo; J Korean Acad Community Health Nurs. 2022;33(4):446-455. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.446

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Abstract PDF

Purpose
This study investigated the mediating effects of acceptance action on the relationship between diabetes distress and self-stigma in older adults with diabetes. Methods: A descriptive research approach was adopted using 187 patients diagnosed with diabetes mellitus by an endocrinology doctor. The data were collected from 26 to 31 March, 2020 and were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient analysis, and hierarchical multiple regression. Results: The mean scores for diabetes distress, self-stigma, and acceptance action were 2.98±0.64, 2.54±0.74, and 4.16±0.35, respectively. Acceptance action partially mediated the relationship between diabetes distress and self-stigma (z=1.98, p=.024), with an explanatory power of 51.0%. Conclusion: To reduce diabetes self-stigma among old adults in diabetes distress situations, it is necessary to improve their acceptance action and develop step-by-step differentiated acceptance action enhancement programs through multidisciplinary collaborations.

Citations

Citations to this article as recorded by

The relationship between stigma and psychological distress among people with diabetes: a meta-analysis
Xiajun Guo, Sijia Wu, Haishan Tang, Yuanyuan Li, Wanglin Dong, Guangli Lu, Shuang Liang, Chaoran Chen
BMC Psychology.2023;[Epub] CrossRef

Prevalence and Risk Factors of Diabetic Retinopathy in Diabetes People using Korean National Health and Nutrition Examination Survey VII: Ihn Sook Jeong, Chan Mi Kang; J Korean Acad Community Health Nurs. 2022;33(4):408-417. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.408

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Abstract PDF: Purpose
This study aimed to investigate the prevalence and risk factors of diabetic retinopathy (DR) in people with diabetes mellitus (DM) using Korean National Health and Nutrition Examination Survey VII (2017~2018). Methods: DM was defined as in two ways; 1) doctor's diagnosis (Group 1, n=549), 2) one of doctor's diagnosis, medication, or hyperglycemia (Group 2, n=849). The DR prevalence was measured as the prevalence proportion (%). Risk factors for developing DR were analyzed using multiple logistic regression, and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Results: The prevalence of DR was 25.87% in Group 1 and 20.14% in Group 2. Risk factors for DR were identified as insulin therapy (Group 1: OR=5.31, Group 2: OR=5.27), DM duration ≥10 years (Group 1: OR=2.20, Group 2: OR=3.10), and systolic blood pressure ≥140 mmHg (Group 1: OR=2.26, Group 2: OR=2.23) for both groups. Conclusion: Considering the DR prevalence, eye examinations education is highly recommended as part of a diabetes management programs in the community. It is also proposed to shorten the eye examination cycle for people with risk factors and establish a referral system to link between screening to treatment.

Health Management Experience of Residents through Participation in the Community Based Hypertension and Diabetes Registry Program: Mi Kyoung Park, Hyeung Keun Park, Hyun Ju Kim, Ok Jin Kim, Moon Yeon Gong; J Korean Acad Community Health Nurs. 2021;32(4):518-528. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.518

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Abstract PDF

Purpose
This study was conducted to explore the healthcare experience of residents participating in the CommunityBased Hypertension and Diabetes Registry Program.
Methods
This study used qualitative content analysis. Data were collected from in depth interviews of fifteen participants, who either participated in the program hosted by the Training Center for Hypertension and Diabetes for more than two years or participated in an intensive one-on-one education program.
Results
The results showed that the core theme in healthcare of participants was ‘Proactive healthcare with attention and systematic guidance of experts’. The positive reinforcement of staffs and the improvement of self-efficacy through effective close management were found to be positive influencing factors of participation. The theme consisted of the following categories: ‘Participation in the program with positive expectations on healthcare’, ‘Interest in body and health’, ‘Vitality in life’, ‘Confidence in dealing with disease’, ‘Thankfulness for close care and attention’, and ‘Desire for continuous care’.
Conclusion
When establishing policies on managing chronic diseases, a strategy that reflects the results of the study is required. It is necessary to build up emotional relationship among stakeholders, and expand opportunities for close healthcare such as one-on-one customized training, and mutual cooperation with various organizations in the local community.

Citations

Citations to this article as recorded by

Korean National Burden of Disease: The Importance of Diabetes Management
Chung-Nyun Kim, Yoon-Sun Jung, Young-Eun Kim, Minsu Ock, Seok-Jun Yoon
Diabetes & Metabolism Journal.2024; 48(4): 518. CrossRef
Public–Private Partnership: Participants’ Experiences of the Web-Based Registration-and-Management System for Patients with Hypertension and Diabetes Mellitus
Seonah Lee, Nanyoung Song, Suhyun Kim
Healthcare.2023; 11(9): 1297. CrossRef
Community-Based Intervention for Elderly Patients with Diabetes Mellitus: Assessing the Effectiveness of a YouTube Self-Education Program during the Global COVID-19 Pandemic
Hyo-Rim Son, So Youn Park, Ye-Jin Ko, Da-Woon Jung, Eun-Sook Won, Aie-Hee Cho, Do Hyun Shin, Chun-Bae Kim
The Journal of Korean Diabetes.2023; 24(4): 232. CrossRef
Changes in daily physical activities by income level according to the prevalence of hypertension and diabetes during the COVID-19 pandemic: The 2020 Community Health Survey
Minsun Yoon, Hyunsuk Jeong, Boyoung Bae, Nayoung Hong, Hyeon Woo Yim
Korean Journal of Health Education and Promotion.2022; 39(2): 15. CrossRef

The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes: Ka Woun Seo; J Korean Acad Community Health Nurs. 2021;32(1):86-94. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.86

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Abstract PDF

Purpose
This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes. Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson’s correlation coefficient, and hierarchical multiple regression. Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants’ education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care. Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.

Citations

Citations to this article as recorded by

“Shame on Me”: Exploring the Role of Self-Stigma in Psychological Outcomes Among Type 2 Diabetes Patients in Hong Kong
Nelson C. Y. Yeung, Eric Kam Pui Lee, Alice Pik Shan Kong, Maria Kwan Wa Leung
International Journal of Behavioral Medicine.2024; 31(2): 241. CrossRef
Bringing an end to diabetes stigma and discrimination: an international consensus statement on evidence and recommendations
Jane Speight, Elizabeth Holmes-Truscott, Matthew Garza, Renza Scibilia, Sabina Wagner, Asuka Kato, Victor Pedrero, Sonya Deschênes, Susan J Guzman, Kevin L Joiner, Shengxin Liu, Ingrid Willaing, Katie M Babbott, Bryan Cleal, Jane K Dickinson, Jennifer A H
The Lancet Diabetes & Endocrinology.2024; 12(1): 61. CrossRef
“Diabetes is really simple on paper, but really complicated when you actually have it”: Understanding the daily stressors of adolescents living with Type 1 diabetes
Kaitlyn Rechenberg, Carley Geiss, Rebecca Koerner, Nicole Ríos, Usha Menon
Journal for Specialists in Pediatric Nursing.2024;[Epub] CrossRef
The Effect of Stigmatization on Diabetes Health Promotion Self‐Care Behaviours and Predictors of Stigma and Self‐Care Behaviours in Individuals With Type 2 Diabetes
Eda Kilinç İşleyen, İrem Nur Özdemir
International Journal of Nursing Practice.2024;[Epub] CrossRef
Type 2 diabetes stigma and its association with clinical, psychological, and behavioral outcomes: A systematic review and meta-analysis
Samuel Akyirem, Emmanuel Ekpor, Diana Namumbejja Abwoye, Janene Batten, LaRon E. Nelson
Diabetes Research and Clinical Practice.2023; 202: 110774. CrossRef
Stigma perception and determinants among patients with type 2 diabetes mellitus in Iraq
Taqi M. J. Taher, Hussein A. Ahmed, Ali A. Abutiheen, Shaymaa A. Alfadhul, Hasanain F. Ghazi
Journal of the Egyptian Public Health Association.2023;[Epub] CrossRef
The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
Hyesun Kim, Kawoun Seo
Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446. CrossRef

The Factors Influencing Intention of Dementia Prevention Behavior in Adults with Hypertension or Diabetes: Yeong Mi Seo, Nam Joo Je, Eun Sook Lee; J Korean Acad Community Health Nurs. 2020;31(4):481-490. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.481

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Abstract PDF

Purpose
The purpose of the present study is to examine the factors influencing intention of dementia prevention behavior in adults with hypertension or diabetes.
Methods
A total of 113 community-dwelling adults with hypertension or diabetes agreed to participate in this study. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and multiple regression.
Results
Self-efficacy and cues to action toward dementia prevention behavior were factors influencing intention of dementia prevention behavior of participations. Self-efficacy toward dementia prevention behavior was the most influential factor. These factors accounted for 22% of intention of dementia prevention behavior.
Conclusion
These results suggest a need for strengthening self-efficacy to increase intention of dementia preventive behaviors. And dementia prevention programs should be developed in consideration of strategies to reinforce cues to action.

Citations

Citations to this article as recorded by

Factors influencing dementia preventive behaviors of older adults at high risk of dementia: Application of extended health belief model
So Hee Jung, Mee Ock Gu
Research in Community and Public Health Nursing.2024; 35: 22. CrossRef

The Effects of the Level of Health Literacy and Self-care Activities on Quality of Life of Patients with Diabetes in Korea: Soo Jin Kang, Chanho Park; J Korean Acad Community Health Nurs. 2020;31(2):189-198. Published online June 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.2.189

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4 Citations

Abstract PDF

Purpose
The purpose of this study was to identify levels of health literacy and examine the effects of health literacy and self-care activities on quality of life of patients with type 2 diabetes.
Methods
A cross sectional design was used. Questionnaires were administered via the Gallup to 500 Korean patients with diabetes in Seoul and Gyeonggi areas. The data were analyzed using descriptive statistics, independent t tests, one way ANOVA, and hierarchical regression.
Results
Of 500 patients, 12.4% (n=62) indicated ‘inadequate’ health literacy, and 43.8% (n=219) reported ‘marginal’ or ‘adequate’ health literacy. Levels of health literacy significantly differed by demographic characteristics, self-care activities, and quality of life. The factors that had a significant effect on quality of life included inadequate health literacy (B=3.63, p=.042) and marginal health literacy (B=3.84, p=.002); however, no significant relationship was found for self-care activities (B=0.01, p=.827).
Conclusion
The results of this study demonstrate a need for further research with large samples using Korean Health Literacy Scale for Diabetes Mellitus to establish the relationships between health literacy, diabetes self-care activities, and quality of life.

Citations

Citations to this article as recorded by

The Mediating Role of Acceptance Action and Self-Care in Diabetes Self-Stigma’s Impact on Type 2 Diabetes Quality of Life: A Cross-Sectional Study
Kawoun Seo
Behavioral Sciences.2023; 13(12): 993. CrossRef
Selected health behaviors associated with health literacy and digital health literacy
Eun Jin Choi, Heeran Chun, Woosung Kwak
Korean Journal of Health Education and Promotion.2022; 39(5): 81. CrossRef
Effect of Disease-related Knowledge and Health Enhancement Lifestyle on Self-management Behavior among Chronic Hepatitis C Patients
Hoo Jeung CHO, Euna PARK
THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2022; 34(2): 219. CrossRef
The Relationships Among Health Literacy, Illness Perception, and Diabetes Self-Care in Korean-Speaking Immigrants With Diabetes
Suwon Park, Yaewon Seo
Clinical Nursing Research.2022; 31(7): 1234. CrossRef

Effects of Diabetic Foot Care Education for the Aged with Low Health Literacy: Hye Min Kim, Ji Min Seo; J Korean Acad Community Health Nurs. 2019;30(4):560-570. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.560

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Abstract PDF

PURPOSE
The purpose of this study was to examine the effects of diabetic foot care education for the older adults with low health literacy.
METHODS
A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The participants who were diagnosed with diabetes, were adults over 65 years old at the welfare center of Y and B city. They were divided into the experimental group (n=32) and the control group (n=31). Inclusion criteria were a score of 5 or under on the Short form of Korean Functional Health Literacy Test and 24 or more on the Korean version of Mini-Mental State Examination. Foot care education was conducted in a small group for 40 minutes, once a week, for three weeks. The education materials are composed of an easy term, picture and photographs to understand easily.
RESULTS
The scores of diabetic foot care knowledge (t=4.57, p < .001), foot care self-efficacy (t=6.07, p < .001), and foot self-care behavior (t=4.18, p < .001) were significantly increased in the experimental group compared to the control group. Foot health status was not significantly improved.
CONCLUSION
The findings indicate that this education program can be used as a nursing intervention improving foot care knowledge, foot care self-efficacy, and foot self-care behavior in order to prevent the diabetic foot problems of elderly diabetic persons with low health literacy.

Citations

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Diabetes self‐care activities and its correlates in patients with diabetic neuropathy
Younhee Kang, Inkyung Park
Journal of Clinical Nursing.2024;[Epub] CrossRef
A Study on the Influencing Factors of Problem Foot Care Consumers’ Intention to Visit Nail Shop: Focusing on Extended Planned Behavior Theory
Kyoung Choi, Hea-Ju Hwang
Journal of the Korean Society of Cosmetology.2024; 30(5): 933. CrossRef
Promoting foot self‐care in type 2 diabetes mellitus patients receiving hemodialysis based on the information‐motivation‐behavioral skills model
Won Hee Jung, Hye Young Kim
Nursing & Health Sciences.2023; 25(4): 721. CrossRef

The Influence of Self-care Behaviors, Empowerment and Social Support on Glycosylated Hemoglobin in Patients with Type 2 Diabetes: Hwa Kyung Oh, Eun Ju Lee; J Korean Acad Community Health Nurs. 2017;28(2):216-225. Published online June 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.2.216

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5 Citations

Abstract PDF

PURPOSE
The purpose of the study was to analyze the effects of self-care behavior, empowerment, and social support on glycosylated hemoglobin in patients with type 2 diabetes.
METHODS
The data were collected during the period of July 1 to July 31, 2016. In total, 172 participants were recruited from outpatients who had been diagnosed with type 2 diabetes at a health care center, a health promotion center at National Health Insurance Corporation, and a tertiary hospital. Statistical data were analyzed with SPSS 20.0 using frequency analysis, t-test, ANOVA, ScheffÃ© test, Pearson's correlation coefficients, and hierarchical regression analysis.
RESULTS
The study results showed that self-care behavior (Î²=âˆ’.34, p<.001), empowerment (Î²=âˆ’.34, p<.001), and social support (Î²=âˆ’.20, p=.018) were found to be influential factors affecting glycosylated hemoglobin, with an overall descriptive power of 69%.
CONCLUSION
Self-care behavior, empowerment, and social support are considered to be important factors in blood glucose management for the patients with type 2 diabetes. Therefore, self-caring blood glucose programs and internal synchronizing education through social support and empowerment need to be improved.

Citations

Citations to this article as recorded by

Relationships Among Health Literacy, Self-Efficacy, Self-Management, and HbA1c Levels in Older Adults with Diabetes in South Korea: A Cross-Sectional Study
Geun Young Jang, Soo Jung Chang, Jun Hee Noh
Journal of Multidisciplinary Healthcare.2024; Volume 17: 409. CrossRef
Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
Kang Sun Lee, Hye Young Kim, Heung Young Jin
Journal of Clinical Nursing.2022; 31(9-10): 1285. CrossRef
Multimodal Diabetes Empowerment for Older Adults with Diabetes
Keumok Park, Youngshin Song
International Journal of Environmental Research and Public Health.2022; 19(18): 11299. CrossRef
The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes
Kawoun Seo
Journal of Korean Academy of Community Health Nursing.2021; 32(1): 86. CrossRef
Relationships of health literacy to self‐care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator
Kyung Suk Shin, Eun‐Hyun Lee
Journal of Advanced Nursing.2018; 74(10): 2363. CrossRef

Effects of Health Literacy and Knowledge on Diabetic Self-care in the Elderly with DM Living Alone: Nan Hui Kim, Young Ran Yang, Myung Ha Lee; J Korean Acad Community Health Nurs. 2016;27(4):370-379. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.370

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15 Citations

Abstract PDF

PURPOSE
The aim of this study was to evaluate the level of self-care adherence in the elderly with diabetes mellitus (DM) who have lived alone, and to investigate the association between health literacy, diabetic knowledge and self-care adherence.
METHODS
Descriptive research using the cross-sectional approach was conducted. Data was collected by using a convenience sampling of 201 participants who aged sixty-five years old or more and have lived alone. Statistical analysis was conducted by using an independent t-test, one-way ANOVA, ScheffÃ© test, Pearson correlation coefficient and stepwise multiple regression analysis.
RESULTS
Mean scores of health literacy, diabetic knowledge and adherence of self-care were 4.41Â±3.54 points out of a possible 12, 6.22Â±2.55 points out of a possible 15, 58.56Â±17.28 points out of a possible 112, respectively. Adherence of self-care showed a statistical association with health literacy (r=.26, p<.001) and diabetic knowledge (r=.30, p<.001). Statistically significant factors in the regression model were monthly income, diabetic knowledge and exercise.
CONCLUSION
The level of self-care adherence in the elderly with diabetes living alone was relatively low. Diabetic knowledge was an important factor to improve the level of self-care adherence for the elderly with diabetes living alone.

Citations

Citations to this article as recorded by

Relationships Among Health Literacy, Self-Efficacy, Self-Management, and HbA1c Levels in Older Adults with Diabetes in South Korea: A Cross-Sectional Study
Geun Young Jang, Soo Jung Chang, Jun Hee Noh
Journal of Multidisciplinary Healthcare.2024; Volume 17: 409. CrossRef
Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
Young-Eun Yi, Hyun-Ju Lee
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179. CrossRef
Diabetes self‐care activities and its correlates in patients with diabetic neuropathy
Younhee Kang, Inkyung Park
Journal of Clinical Nursing.2024;[Epub] CrossRef
Factors influencing self-management behaviors in older people with multiple chronic conditions based on the individual and family self-management theory: A cross-sectional study
Youngji Seo, Sunyoung Jung
Journal of Korean Gerontological Nursing.2024; 26(3): 332. CrossRef
Influencing factors on self-care of older adults living alone in a community during COVID-19: A cross-sectional study
Heeyoung Woo, Minkyung Gu
Journal of Korean Gerontological Nursing.2023; 25(1): 1. CrossRef
The effects of diabetes knowledge, self-efficacy, and depression on self-management in older patients with diabetes in the community: A cross-sectional study
Hyeok Gyu Park, Myoung Jin Kwon
Journal of Korean Gerontological Nursing.2022; 24(4): 389. CrossRef
The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes
Kawoun Seo
Journal of Korean Academy of Community Health Nursing.2021; 32(1): 86. CrossRef
The Effects of Snack Control Education and Telephone Coaching on Self-Management, Social Support, Self-Efficacy, and Blood Glucose in Diabetes Patients
Hye Eun Park
The Journal of Korean Diabetes.2021; 22(4): 274. CrossRef
Health Literacy, Knowledge and Self-care Behaviors in Patients with Pulmonary Tuberculosis Living in Community
Seo Hui Yang, Eun Young Jung, Yang Sook Yoo
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(1): 1. CrossRef
Intervention study of a foot‐care programme enhancing knowledge and practice among nurses and care workers at in‐home service providers
Kashiko Fujii, Minna Stolt
Nursing Open.2020; 7(4): 1039. CrossRef
Readiness for utilizing digital intervention: Patterns of internet use among older adults with diabetes
Sunhee Park, Beomsoo Kim
Primary Care Diabetes.2020; 14(6): 692. CrossRef
The Effect of Health Literacy and Self-care Performance on Health Care Utilization of Medicaid Elderly
Yun Hee Hwang, Ga Eon Lee
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 484. CrossRef
Effects of Diabetic Foot Care Education for the Aged with Low Health Literacy
Hyemin Kim, Ji Min Seo
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 560. CrossRef
A new comprehensive diabetes health literacy scale: Development and psychometric evaluation
Eun-Hyun Lee, Young Whee Lee, Kwan-Woo Lee, Moonsuk Nam, So Hun Kim
International Journal of Nursing Studies.2018; 88: 1. CrossRef
Relationships of health literacy to self‐care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator
Kyung Suk Shin, Eun‐Hyun Lee
Journal of Advanced Nursing.2018; 74(10): 2363. CrossRef

The Effects of Elderly Diabetes Mellitus Patients' Self-care Behavior and Health Conservation on Cardiovascular Risk Factors: Ki Wol Sung; J Korean Acad Community Health Nurs. 2015;26(2):150-159. Published online June 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.2.150

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Abstract PDF

PURPOSE
This study was performed in order to identify the relationships among self-care behavior, health conservation, and cardiovascular risk factors and to examine the influence of self-care behavior and health conservation on cardiovascular risk factors among Korean elders with diabetes mellitus.
METHODS
The participants were 105 elders with diabetes mellitus using senior welfare centers and elderly leisure houses in Daegu. Data were collected through interviews during the period from April to May in 2014. Self-care behavior was measured with Kim's (1997) Self-care Behavior Scale, health conservation with Sung's (2005) Health Conservation Scale, and cardiovascular risk factors with the Arizona Heart Institute Cardiovascular Risk Factor Questionnaire. Collected data were analyzed through one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 19.0 program.
RESULTS
A negative correlation was found between self-care behavior and cardiovascular risk factors, and between health conservation and cardiovascular risk factors. Self-care behavior explained 6% and health conservation did 49% of variance in elderly diabetes mellitus patients' cardiovascular risk.
CONCLUSION
The results indicate that, in order to reduce cardiovascular risk factors among Korean elders with diabetes mellitus, we need nursing interventions for increasing health conservation and self-care behavior.

Citations

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Social Support, eHealth Literacy, and mHealth Use in Older Adults With Diabetes
Minjin Kim, Beomsoo Kim, Sunhee Park
CIN: Computers, Informatics, Nursing.2023;[Epub] CrossRef
Cardiovascular self‐management support program for preventing cardiovascular complication behaviors and clinical outcomes in the elderly with poorly controlled type 2 diabetes mellitus in Indonesia: A pilot study
Dayan Hisni, Rukmaini Rukmaini, Saryono Saryono, Tippamas Chinnawong, Ploenpit Thaniwattananon
Japan Journal of Nursing Science.2019; 16(1): 25. CrossRef

The Comparison of Health Behaviors, Use of Health Services, and Health Expenditures among Diabetic Patients according to the Practice of Exercise: Ji Eun Cha, Soon Nyung Yun; J Korean Acad Community Health Nurs. 2015;26(1):31-41. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.31

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Abstract PDF

PURPOSE
The purpose of this study was to compare the use of health services and health expenditures between non-exercise and exercise groups of diabetic patients and among three groups divided according to exercise intensity.
METHODS
Data were obtained from the Korean Health Panel Survey of 2011. The participants of this study were 864 diabetic patients who did exercise (walk, moderate exercise, or vigorous exercise) or not. Data were subsequently analyzed using the SPSS 21 Program.
RESULTS
The exercise group showed higher percentages of medication compliance, non-smokers, and regular diet than the non-exercise group. The hospitalization percentage, the number of outpatient hospital visits, and health expenditures were higher in the non-exercise group than in the exercise group. There was no difference among the three groups divided according to exercise intensity in the use of health services and health expenditures.
CONCLUSION
These results show that exercise is a way to reduce diabetic patients' use of health services and their health expenditures.

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Implications for household health expenditure in China’s ageing population: based on Red Herring hypothesis
Xuyang Du, Hualin Wei, Xianbo Zhang
BMC Public Health.2024;[Epub] CrossRef
Association Between Cardiorespiratory Fitness and Healthcare Costs in Adults Using the Criterion Referenced Fitness Thresholds: The Korea Institute of Sport Science Fitness Standards Study
Seunghee Lee, Hyojin Lee, In-Hwan Oh, Hyeon-Kyoung Cheong, Mihyun Lee, Saejong Park
Exercise Science.2021; 30(4): 501. CrossRef
Effects of adults’ health behaviors and combinations thereof on health outcomes: an analysis using National Health Insurance Service of Korea cohort data
Hyun-Jung Park, Eun-Jung Kim
Epidemiology and Health.2019; 41: e2019042. CrossRef
Mediating Effects of Social Support on Depression and Suicidal Ideation in Older Korean Adults With Hypertension Who Live Alone
Eun Jeong NAM, Jong-Eun LEE
Journal of Nursing Research.2019; 27(3): e20. CrossRef

The Influence of Health Literacy and Diabetes Knowledge on Diabetes Self-care Activities in Korean Low-income Elders with Diabetes: Ji Hye Jeong, Nam Hee Park, So Young Shin; J Korean Acad Community Health Nurs. 2014;25(3):217-224. Published online September 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.3.217

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Abstract PDF

PURPOSE
This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population.
METHODS
This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients.
RESULTS
In the regression model, diabetes knowledge (beta=.322, p<.001), exercise (beta=.337, p<.001), and experiences of diabetes education (beta=.241, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled.
CONCLUSION
To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.

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Factors Affecting Highly Educated Elders' Diabetic Health Leader Attitude: Ki Wol Sung, Ji Ran Nam, Mi Jin Yu; J Korean Acad Community Health Nurs. 2014;25(2):119-127. Published online June 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.2.119

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Abstract PDF: PURPOSE
This study was done to identify the relationships among diabetic health leader attitude, diabetic knowledge, and health conservation in highly educated elders.
METHODS
The participants were 119 elders aged 65 or more who were attending the senior welfare centers in D and K City and had at least a high school degree. Data were collected from June 10 to July 7 in 2013. Data analysis included one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression, done with the SPSS/WIN 19.0 program.
RESULTS
A positive correlation was found among diabetic health leader attitude, diabetic knowledge, and health conservation. Health conservation explained 26% (beta=.31) and diabetic knowledge explained 2% (beta=.18) of the variance in diabetic health leader attitude.
CONCLUSION
The results indicate that to increase diabetic health leader attitude among highly educated elders, health leader programs are needed for increasing their diabetic knowledge and health conservation.

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