Journal of Korean Academy of Nursing

The Effect of Structured Patient Education on Knowledge and Behavior about Selfcare in Hemodialysis Patients: Young Ran Jeong; Journal of Nurses Academic Society 1997;27(1):120-127. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.1.120

Abstract PDF: The purpose of this study was to identify the effect of structured patient education on knowledge and behavior about selfcare in hemodialysis patients, and to find the strategy to promote their selfcare behavior. In conclusion, structured patient education in hemodialysis patients was improved the level of knowledge and behavior about selfcare. But there was a little relationship between the knowledge and behavior about selfcare. That is ; structured patient education is the effective nursing intervention to improve their selfcare knowledge and behavior, but further research is needed to find the factor to increase selfcare behavior in hemodialysis patients.

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The Effect of a Self Regulation Education Program for the Promotion and Maintenance of Self Care Behavior in the Chronically ill patients: For Diabetic Patients: Mee Ock Gu; Journal of Nurses Academic Society 1996;26(2):413-427. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1996.26.2.413

Abstract PDF: This study was conducted to test the effect of a self regulation education program as a nursing intervention with chronically ill patients. A quasi experimental research (non equivalent control group pretest-posttest design) was used in this study. The subjects were 30 non insulin dependent diabetic patients (experimental group: 14 patients, control group: 16 patients). The study was carried out from May, 1995 to February, 1996. Data were collected before the education program, immediately after and 2 months later and were analyzed with repeated measure ANCOVA, paired t-test and t-test. The results are as follows: 1. There was a significant difference in self efficacy between the two groups(F=27.61, P=0.000). There was a significant difference according to experimental stages(F=33.09, P=0.000) and interaction between education and experimental stages(F=30.21, P=0.000), 2. There was a significant difference in self care behavior between the two groups (F=27.05, P=0. 000). There was a significant difference according to experimental stages(F=31.14, P=0.000) and interaction between education and experimental stages(F=28.88, P=0.000), 3. There was a significant difference in glycemic control between before the education program and 2 months later in the experimental group (t=2.88, P=0.013). But there was no significant difference between before the education program and 2 months later in the control group. These results suggest that a self regulation education program is effective in promoting and maintaining self care behavior and in improving glycemic control. Thus this program can be recommended as an effective nursing intervention for chronically ill patients including diabetic patients.

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The Effects of a Diabetic Educational Program for Coping with Problem Situation on Self-efficacy, Self care behaviors, Coping and Glycemic Control in Type 2 Diabetic Patients: Choun Hee Ko, Mee Ock Gu; Journal of Korean Academy of Nursing 2004;34(7):1205-1214. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.7.1205

Abstract PDF: Purpose
This study was conducted to develop and to test the effects of an educational program for coping with problem situations as a nursing intervention in the diabetic patient.
Method
A non-equivalent control group pretest-posttest design was used in this study. Data were collected from January to March, 2002. The subjects of the study consisted of 31 diabetic patients(experimental group : 17 patients, control group : 14 patients). The intervention of an educational program for coping with problem situations was applied to the experimental group for 4weeks(total 8 hours). Data were collected before the educational program, immediately after and 1 months later and were analyzed with repeated measures ANOVA, t-test, and paired t-test.
Result
1. There was a significant difference in self efficacy between the experimental and control groups (F=13.793, p=0.001). 2. There was a significant difference in self care behavior between the experimental and control groups (F=4.583, p=0.041). 3. There was a significant difference in coping behavior of the problem situation between the experimental and control groups (F=62.018, p=0.000). There was a significant difference according to experimental stages(F=4.546, p=0.015) and interaction between education and experimental stages(F=12.039, p=0.000). 4. There was a significant difference in glycemic control between the experimental and control groups (t=-3.112, p=0.004).
Conclusion
These results support that a diabetic educational program for coping with problem situations is effective in promoting and maintaining self efficacy, self care behavior, problem coping behaviors and in improving glycemic control. Thus this program can be recommended as an effective nursing intervention of in-depth education for diabetic patient.

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The Effects of a Foot-Reflexo-Massage Education Program on Foot Care in Diabetic Patients: Young Hee Lee; Journal of Korean Academy of Nursing 2003;33(5):633-642. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.5.633

Abstract PDF: Purpose
This study was conducted to evaluate the effects of foot care education program using foot-reflexo-massage in diabetic patients.
Method
A convenience sample of non-equivalent control group time series design was used. It provided foot care education to diabetic patients through small book for both group. For the experimental group, foot-reflexo-massage was taught by a researcher and research assistants. Analysis was done by Repeated Measured ANOVA.
Result
There was significant increase in foot care knowledge, self care behavior, between the experimental group and the control group over three different times. There was significant in skin temperature and pulse of foot over three different times and interaction by groups or over time, but there was no significant difference between groups. There was no significant difference in blood flow volume and capillary filling time over three different times, between groups, but there was interaction by groups or over time. But there was significant difference in discrimination in change of dosalis pedis artery blood flow.
Conclusion
Findings indicate that this study may contribute to develop nursing intervention for foot care of diabetic patients.

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