Journal of Korean Academy of Nursing

Original Article

Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes: Youngshin Song; J Korean Acad Nurs 2016;46(3):443-453. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.443

Purpose

The purpose of this study was to define the concept for psychological insulin resistance in the Korean population with diabetes.

Methods

The Hybrid model was used to perform the concept analysis of psychological insulin resistance. Results from both the theoretical review with 26 studies and a field study including 19 participants with diabetes were included in final process.

Results

The preceding factors of psychological insulin resistance were uncontrolled blood glucose and change in daily life. The concept of psychological insulin resistance was found to have three categories with 8 attributes such as emotional factors (negative feeling), cognitive factors (low awareness and knowledge, low confidence for self-injection) and supportive factors (economic burden, dependency life, embarrassing, feeling about supporters, feeling of trust in, vs mistrust of health care providers). The 8 attributes included 30 indicators.

Conclusion

The psychological insulin resistance of population with diabetes in Korea was defined as a complex phenomenon associated with insulin therapy that can be affected by emotional factors, cognitive factors, and supportive relational factors. Based on the results, a tool for measuring psychological insulin resistance of Koreans with diabetes and effective programs for enhancing insulin adherence should be developed in future studies.

Citations

Citations to this article as recorded by

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