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The Effects of Problem Solving Nursing Counseling and Intensified Walking Exercise on Diabetic Self-care, Coping Strategies, and Glycemic Control among Clients with DM Type II
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Hae Jung Lee, Kyung Yeon Park, Hyeong Sook Park, In Joo Kim
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Journal of Korean Academy of Nursing 2005;35(7):1314-1324. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.7.1314
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 Abstract
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Purpose
The purpose of the study was to identify the effects of problem solving nursing counseling and intensified walking exercise on diabetic self-care, coping strategies, and glycemic control among older adults with DM type II.
Methods
Ninety nine DM patients who were older than 50 were recruited from DM clinics or public health centers and conveniently assigned into three groups: the Polar(n=41), counseling(n=30) and control groups (n=28). Participants in both Polar and counseling groups attended weekly problem solving nursing counseling for 12 weeks. Polar heart rate monitors were used in the Polar group to intensify walking exercise. Data was collected from November 2003 to August 2004 and analyzed by ANOVA or ANCOVA using the SPSS WIN program.
Results
After a 12 week intervention, participants in both the Polar and counseling groups reported increased diabetic self care behaviors and decreased blood glucose levels, which is significantly different from those in the control group. There were no distinctively different program effects between the Polar and counseling groups.
Conclusion
Based on the findings, we concluded that problem solving counseling alone could have positive effects on diabetic self care and glycemic controls for older adults with DM. Future research is needed to identify long-term effects of the program.
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Citations
Citations to this article as recorded by  - Social Network Analysis of Self‐Management Behavior Among Older Adults With Diabetes
Geumbo Ko, Youngshin Song
Public Health Nursing.2025;[Epub] CrossRef - Research Review: Effective of Self-Management Education in Diabetes Patients
Eun Chong Shin
The Journal of Korean Diabetes.2016; 17(3): 185. CrossRef - Development and Effects of a Motivational Interviewing Self-management Program for Elderly Patients with Diabetes Mellitus
Hye-Yeon Kang, Mee Ock Gu
Journal of Korean Academy of Nursing.2015; 45(4): 533. CrossRef - Analysis of Reported Study on Intervention Programs for Patients with Diabetes Mellitus
Gab-Sun Song, Ho-Jin Kim, Jum-Yi Jun
Journal of Digital Convergence.2015; 13(9): 541. CrossRef - The Effect of the Experience of Diabetes Education on Knowledge, Self-Care Behavior and Glycosylated Hemoglobin in Type 2 Diabetic Patients
Seung Hei Moon, Young Whee Lee, Ok-Kyung Ham, Soo-Hyun Kim
The Journal of Korean Academic Society of Nursing Education.2014; 20(1): 81. CrossRef - The Influence of Health Literacy and Diabetes Knowledge on Diabetes Self-care Activities in Korean Low-income Elders with Diabetes
Jihye Jeong, Namhee Park, So Young Shin
Journal of Korean Academy of Community Health Nursing.2014; 25(3): 217. CrossRef - Qualitative Research Investigating Patterns of Health Care Behavior among Korean Patients with Chronic Hepatitis B
Jin-Hyang Yang, Myung-Ok Cho, Hae-Ok Lee
Journal of Korean Academy of Nursing.2009; 39(6): 805. CrossRef - The Effects of Tailored Diabetes Education on Blood Glucose Control and Self-Care
Kyung Sun Hyun, Kwang Mi Kim, Sook Hee Jang
Journal of Korean Academy of Nursing.2009; 39(5): 720. CrossRef - Self-care, Self-efficacy, and Glycemic Control of Koreans With Diabetes Mellitus
Haejung Lee, Sukhee Ahn, Yongsuk Kim
Asian Nursing Research.2009; 3(3): 139. CrossRef
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Self Care Activity, Metabolic Control, and Cardiovascular Risk Factors in accordance with the Levels of Depression of Clients with Type 2 Diabetes Mellitus
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Hae Jung Lee, Kyung Yeon Park, Hyeong Sook Park
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Journal of Korean Academy of Nursing 2005;35(2):283-291. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.2.283
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Abstract
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Purpose
The purpose of this study was to explore the levels of depression experienced by clients (N=152) with Type 2 Diabetes Mellitus(DM), and to compare the levels of self care activity, metabolic control and cardiovascular risk factors between depressed and non-depressed clients.
Method
Participants aged 50 and above were conveniently recruited in B city. The levels of depression, self-care activity, metabolic control of glucose and lipids, and cardiovascular risk factors of the participants were measured by using questionnaires and blood tests from November, 2003 to June, 2004. Data was analyzed with descriptive statistics, Pearson correlation, Spearman rho and t-test using the SPSS WIN 10.0 program.
Result
The prevalence of depression(CES-D=16) among the participants was 44.1%. The levels of self-care activities(p=.012), glucose(p=.019), total cholesterol(p=.022), LDL(.007) and cardiovascular risk factors(p=.012) were significantly higher in the depressed group than those in the non-depressed group.
Conclusion
Based on the findings, we concluded that many DM patients experience depression and the depression of type 2 DM clients is significantly related with self care activities, diabetic control, and cardiovascular complications. However, this study did not address causality among these variables. Therefore, further research, such as a longitudinal cohort study, is needed to identify causality among these variables.
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Citations
Citations to this article as recorded by - The Development of Automated Personalized Self-Care (APSC) Program for Patients with Type 2 Diabetes Mellitus
Gaeun Park, Haejung Lee, Ah Reum Khang
Journal of Korean Academy of Nursing.2022; 52(5): 535. CrossRef - Self-care and related factors in patients with type II diabetes in Iran
Nazi Nejat, Ali Khan Mohamadi Hezave, Seyed Mohammad Aghae Pour, Korosh Rezaei, Azam Moslemi, Fatemeh Mehrabi
Journal of Diabetes & Metabolic Disorders.2021; 20(1): 635. CrossRef - The role of psychological insulin resistance in diabetes self‐care management
Ancho Lim, Youngshin Song
Nursing Open.2020; 7(3): 887. CrossRef - The Comparison of Health Status and Health Behavior among Hypertension Group, DM Group, and Hypertension DM Group for the Aged Provided with Customized Home Care Service by Visiting Nurses
Hee Kyoung Hyoung, Hyo-Soon Jang
Journal of Korean Academy of Community Health Nursing.2011; 22(1): 11. CrossRef - Effects of a Cardiovascular Risk Reduction Intervention With Psychobehavioral Strategies for Korean Adults With Type 2 Diabetes and Metabolic Syndrome
Chun-Ja Kim, Dae-Jung Kim, Hyung-Ran Park
Journal of Cardiovascular Nursing.2011; 26(2): 117. CrossRef - The Effects of Regular Walking Exercise on Metabolic Syndrome, Cardiovascular Risk Factors, and Depressive Symptoms in the Elderly with Diabetic Mellitus
Ki-Wol Sung, Ji-Hyun Lee
Journal of Korean Academy of Community Health Nursing.2010; 21(4): 409. CrossRef - The Mediating Effect of Depression in the Relationship between Muscle Strength of Extremities and Falls among Community-Dwelling Elderly
Hyoung-Sook Park, Kyung-Yeon Park
Journal of Korean Academy of Nursing.2008; 38(5): 730. CrossRef
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