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Effects of Web-based Diabetic Education in Obese Diabetic Patients
Hee Seung Kim
Journal of Korean Academy of Nursing 2005;35(5):924-930.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.5.924
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effect of web-based diabetic education on plasma glucose and serum lipids in obese people with diabetes.

Methods

A random allocation design with control and experimental groups being assessed pre- and post-intervention was used. Eighteen patients were randomly allocated to an intervention group and 16 to a control group. Participants were requested to input their blood glucose levels weekly for 3 months at http://www.biodang.com by cellular phone or wire Internet. The researcher sentoptimal recommendations to each patient weekly for 3 months using a short message service (SMS) of the cellular phone and wire Internet.

Results

Patients in the intervention group had a mean decrease of 1.2% in glycosylated haemoglobin (HbA1c) levels and those in the control group had no difference in HbA1c levels. There was a significant mean change in 2-hour post prandial blood glucose (2HPPG) for the intervention group, with a mean change of -120.1 mg/dl. The mean change in the control group, however, was not significant.

Conclusion

These findings indicate that this web-based intervention using SMS of the cellular phone for 3 months improved HbA1c and 2HPPG, but did not affect total cholesterol, triglyceride, and high density lipoprotein cholesterol in obese type 2 diabetic patient.

Citations

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  • Development of Pre-discharge Group Education Program for Liver Transplant Patients
    Ji Seon Yun, Kyung Choon Lim, Jae Sim Jeong, Hea Seon Ha, Jung Ja Hong, Soon Haeng Lee, Lee Young Kim, Yeon Hee Kim, Shin Hwang
    Korean Journal of Transplantation.2017; 31(1): 34.     CrossRef
  • The development of a mobile u-Health program and evaluation for self-diet management for diabetic patients
    Yun Ahn, Jeahurn Bae, Hee-Seon Kim
    Nutrition Research and Practice.2016; 10(3): 342.     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
  • Effects of a Simulation-based Educational Program for Gastroendoscopic Surgery Patients
    Su Young Kwon, Jia Lee
    Korean Journal of Adult Nursing.2013; 25(5): 494.     CrossRef
  • Effects of Web-based Health Education on Blood Glucose and Blood Pressure Improvement in Postmenopausal Women with Impaired Fasting Blood Glucose
    Jeong-Ah Oh, Hee-Seung Kim, Min-Jeong Park, Hye-Sun Shim
    Journal of Korean Academy of Nursing.2011; 41(5): 724.     CrossRef
  • Development and Evaluation of a Web-based Education Program to Prevent Secondary Stroke
    Chul-Gyu Kim, Hyeoun-Ae Park
    Journal of Korean Academy of Nursing.2011; 41(1): 47.     CrossRef
  • A Meta-Analysis on the Effectiveness of Computer-Based Education in Nursing
    Kook Hee Roh, Hyeoun-Ae Park
    Healthcare Informatics Research.2010; 16(3): 149.     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
  • Development of a Web-based Senescence Preparation Education Program for Successful Aging for Middle-aged Adults
    Young-Mi Jung
    Journal of Korean Academy of Nursing.2008; 38(6): 831.     CrossRef
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The Effects of Short Term Comprehensive Life Style Modification Program on Glycemic Metabolism, Lipid Metabolism and Body Composition in Type 2 Diabetes Mellitus
Ji Soo Yoo, Suk Jeong Lee, Hyun Chul Lee, So Hun Kim, Eun Seok Kang, Eun Jeong Park
Journal of Korean Academy of Nursing 2004;34(7):1277-1287.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1277
AbstractAbstract PDF
Purpose

This study was to evaluate the effects of a short term comprehensive life style modification program on glycemic metabolism, lipid metabolism and body composition in type 2 diabetes mellitus patients.

Method

A nonequivalent control group with a pre post test was designed. Data collection was done from October 2003 to June, 2004 at a hospital. Glycemic metabolism was measured by a.c., p.c. and HbA1c, and lipid metabolism was measured by cholesterol, HDL cholesterol, LDL cholesterol and triglycerides. Body Composition was measured by body weight, body mass index, waist, measurement waist per hip ratio, body fat, muscle weight and abdominal fat tissue(intra abdominal distance). The Experimental group, which was composed of 29 participants, was educated based on a life style modification protocol at a weekly meeting for 12 weeks and carried out exercise, diet along individual parameters and self monitoring, while 24 participants in the control group received only diet education.

Result

1.The experimental group showed a significant lower a.c.(t=2.11, p=.04) and HbA1c(t=2.65, p=.01) compared to those of the control group. 2. The experimental group showed a significant lower LDL than the results of the control group(t=2.42, p=.02). 3. The experimental group showed a significant lower weight(t=3.09, p=.00), BMI(t=3.01, p=.00), body fat(t=2.94, p=.01) and abdominal fat tissue(t=3.05, p=.01) than those of the control group.

Conclusion

The results provided evidence for the effectiveness of a short term comprehensive life style modification program composed of exercise, diet, support, self efficacy elevation and self monitoring in type 2 diabetes mellitus.

Citations

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  • Literature Review on Lifestyle Intervention Program for Adults in Korea
    Keun-Young Yang
    Journal of Digital Contents Society.2023; 24(8): 1815.     CrossRef
  • Blood Biochemical Characteristics, Dietary Intake, and Risk Factors Related to Poor HbA1c Control in Elderly Korean Diabetes Patients: Comparison between the 4th(2007-2009) and the 7th(2016-2018) Korea National Health and Nutrition Examination Surveys
    Sung-Won Oh, Sook-Bae Kim
    Korean Journal of Community Nutrition.2022; 27(5): 406.     CrossRef
  • Effect of Nutrition Counseling by Nutrition Care Process on Diet Therapy Practice and Glycemic Control in Type 2 Diabetic Patients
    Tae-Jeong Bae, Na-Eun Jeon, Soo-Kyong Choi, Jung-Sook Seo
    Korean Journal of Community Nutrition.2020; 25(3): 214.     CrossRef
  • Current Status and Effects of Nutrition Education Programs for Diabetic Patients in Korea
    Hae Jin Kang
    The Journal of Korean Diabetes.2018; 19(2): 106.     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
  • Effects of 12 Weeks Tai Chi Exercise and Education Intervention Program on Glucose Control, Sexual Function and Immune Function for Women with Type 2 Diabetes
    Hyoung Sook Park, Kyoungnam Kim
    Journal of Korean Academy of Fundamentals of Nursing.2013; 20(4): 389.     CrossRef
  • Effects of Visiting Nurses' Individually Tailored Education for Low‐Income Adult Diabetic Patients in Korea
    Il Sun Ko, Tae Hwa Lee, Gwang Suk Kim, Se Won Kang, Mi Ja Kim
    Public Health Nursing.2011; 28(5): 429.     CrossRef
  • The Effect of Metabolic Syndrome Management Program in a Public Health Center
    Jae-Ryoung Seo, Sang-Soo Bae
    Journal of agricultural medicine and community health.2011; 36(4): 264.     CrossRef
  • Effects of 6 Weeks of Lifestyle Modification Including Combined Exercise Program on the Risk of Metabolic Parameters and Macrovascular Complications in Type 2 Diabetic Patients
    Dong Hoon Lee, Seung Hwan Lee, Kiyong An, Jin Young Moon, So Hun Kim, Yoon Jin Choi, Moonsuk Nam, Justin Y. Jeon
    The Korean Journal of Obesity.2011; 20(3): 147.     CrossRef
  • The Effect of a Comprehensive Lifestyle Modification Program on Glycemic Control and Body Composition in Patients with Type 2 Diabetes
    Ji-Soo Yoo, Suk-Jeong Lee, Hyun-Chul Lee, Mi-Ja Kim
    Asian Nursing Research.2007; 1(2): 106.     CrossRef
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Trend Analysis in the Prevalence of Type 2 Diabetes According to Risk Factors among Korean Adults: Based on the 2001~2009 Korean National Health and Nutrition Examination Survey Data
Young-Ju Kim, Myoung-Nam Lim, Dong-Suk Lee
J Korean Acad Nurs 2014;44(6):743-750.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.743
AbstractAbstract PDF
Purpose

The objective of this study was to provide a trend analysis of the prevalence of diabetes relative to the socioeconomic, lifestyle, and physiologic risk factors among Korean adults aged over 30 years for a 10-year period using data from the Korean National Health and Nutrition Examination Survey.

Methods

Prevalence difference and the slope index of inequality were calculated for each risk factors using binomial regression by considering the repeated cross-sectional features of the data. The prevalence ratio and the relative index of inequality were calculated using log-binomial regression. Linear trend tests were performed using SAS 9.2.

Results

Crude prevalence of diabetes increased over the 10-year period, and was higher for men than for women. It was very high for adults 60 years or over, consistently increasing over time. The prevalence among unemployed men, women with higher level of stress, women with hypertension, and adults with serum triglyceride levels over 135 mg/dL increased over the 10-year period in comparison with the respective control group.

Conclusion

Considering the rapid economic development and associated lifestyle changes in Korea, action should be taken to control the prevalence of diabetes by both preventing and consistently monitoring these identified risk factors using a public-health approach.

Citations

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  • Analysis of an Association between Preterm Birth and Parental Educational Level in Japan Using National Data
    Tasuku Okui
    Children.2023; 10(2): 342.     CrossRef
  • Trends in Diabetes Prevalence, Awareness, Treatment and Control in Yangon Region, Myanmar, Between 2004 and 2014, Two Cross-Sectional Studies
    Wai Phyo Aung, Espen Bjertness, Aung Soe Htet, Hein Stigum, Marte Karoline Råberg Kjøllesdal
    International Journal of Environmental Research and Public Health.2019; 16(18): 3461.     CrossRef
  • Factors affecting glycated hemoglobin(HbA1c) checkup of diabetic patients by gender: Using the community health survey
    Yun-Jeong Kim, Byung-Deog Hwang
    Korean Journal of Health Education and Promotion.2019; 36(5): 63.     CrossRef
  • Trends in diabetes prevalence among Korean adults based on Korean National Health and Nutrition Examination Surveys III–VI
    Jae-woo Lee, Hee-Taik Kang, Hyoung-Ji Lim, Byoungjin Park
    Diabetes Research and Clinical Practice.2018; 138: 57.     CrossRef
  • Baseline Cardiovascular Characteristics of Adult Patients with Chronic Kidney Disease from the KoreaN Cohort Study for Outcomes in Patients With Chronic Kidney Disease (KNOW-CKD)
    Hyoungnae Kim, Tae-Hyun Yoo, Kyu Hun Choi, Kook-Hwan Oh, Joongyub Lee, Soo Wan Kim, Tae Hee Kim, Suah Sung, Seung Hyeok Han
    Journal of Korean Medical Science.2017; 32(2): 231.     CrossRef
  • Secular trends in the prevalence of type 2 diabetes in adults in China from 1995 to 2014: A meta‐analysis
    Chengyi Han, Ming Zhang, Xinping Luo, Chongjian Wang, Lei Yin, Chao Pang, Tianping Feng, Yongcheng Ren, Bingyuan Wang, Lu Zhang, Linlin Li, Xiangyu Yang, Hongyan Zhang, Yang Zhao, Junmei Zhou, Zhihui Xie, Jingzhi Zhao, Dongsheng Hu
    Journal of Diabetes.2017; 9(5): 450.     CrossRef
  • Utilities for Type 2 Diabetes Treatment-Related Attributes in a South Korean and Taiwanese Population
    Narayan Rajan, Kristina S. Boye, Meaghan Gibbs, Yoon Ji Lee, Peter Davey, Mark Ball, Steve M. Babineaux
    Value in Health Regional Issues.2016; 9: 67.     CrossRef
  • Awareness, treatment and control of type 2 diabetes among Chinese elderly and its changing trend for past decade
    Miao Liu, Jianhua Wang, Yao He, Bin Jiang, Lei Wu, Yiyan Wang, Zhang Di, Jing Zeng
    BMC Public Health.2016;[Epub]     CrossRef
  • Prevalence and Risk Factors of Type 2 Diabetes According to Gender among Korean Employees
    Sang-A Kim, Woong-Sub Park, Su Jeong Yu, Young Ran Chae, Donghee Choi
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(11): 7589.     CrossRef
  • Association of Family Composition and Metabolic Syndrome in Korean Adults Aged over 45 Years Old
    Young-Ju Kim
    Asian Nursing Research.2015; 9(4): 349.     CrossRef
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The Effects of Tailored Diabetes Education on Blood Glucose Control and Self-Care
Kyung Sun Hyun, Kwang Mi Kim, Sook Hee Jang
J Korean Acad Nurs 2009;39(5):720-730.   Published online October 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.5.720
AbstractAbstract PDF
Purpose

The purpose of this study was to test the effects of tailored diabetic education on blood glucose control and self-care for patients with type 2 diabetes on insulin therapy.

Methods

The participants were 60 patients (experimental group: 30, control group: 30) with type 2 diabetes on insulin therapy. The patients were being seen at a university hospital in Seoul, Korea. Group diabetic education and tailored diabetic education were given to the experiment group while group diabetic education only was given to the control group. Data were collected before and three months after the education. χ2 test, t-test, and ANCOVA were used to analyze the data.

Results

No significant differences in postprandial (PP2hrs) glucose and HbA1c levels were found between the two groups. Participants in the experiment group showed statistically significant differences in the area of self-glucose test, management of insulin injection, and life style change compared to those in the control group.

Conclusion

The results indicate that tailored education for patients with diabetes on insulin therapy improve self-glucose test, management of insulin injection, and life style. Therefore it is suggested that tailored education can be applied in diabetic education to improve self-care.

Citations

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  • Designing a Self-Care Integrated Protocol and Evaluating its Validity in Type 2 Diabetic Patients; the Case of a Single Subject
    Susan Salary, Rasul Roshan, Hamid Pour Sharifi, Hojjatollah Farahani
    Health Research Journal.2021; 7(1): 1.     CrossRef
  • Self-Management Nursing Intervention for Controlling Glucose among Diabetes: A Systematic Review and Meta-Analysis
    Mi-Kyoung Cho, Mi Young Kim
    International Journal of Environmental Research and Public Health.2021; 18(23): 12750.     CrossRef
  • Assessment of type 2 diabetes patients’ self-care status learned based on the national diabetes control and prevention program in health centers of a selected city, Iran
    Roghayeh Ershad Sarabi, Zahra Mokhtari, Ahmad Naghibzadeh Tahami, Vahid Reza Borhaninejad, Ali Valinejadi
    Koomesh journal.2021; 23(4): 465.     CrossRef
  • The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers
    Jung Yoon Kim, Eui-Young Cheon
    Journal of Korean Biological Nursing Science.2016; 18(2): 78.     CrossRef
  • Group based diabetes self-management education compared to routine treatment, waiting list control or no intervention for people with type 2 diabetes mellitus
    Aslak Steinsbekk, Lisbeth Ø. Rygg, Monde Lisulo, Marit By Rise, Atle Fretheim
    Cochrane Database of Systematic Reviews.2015;[Epub]     CrossRef
  • Effects of Individual and Group Education Programs on Coping and Self-care Behaviors in Cancer Patients
    Young Mi Kim, Won Ock Kim, Sang Sook Han
    Journal of East-West Nursing Research.2014; 20(1): 1.     CrossRef
  • Development of a Comprehensive Self-Management Program Promoting Self Efficacy for Type 2 Diabetic Patients
    Ju-Young Park, Il-Sun Ko
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 74.     CrossRef
  • Investigation of Effect on Glycosylated Hemoglobin, Blood Pressure, and Body Mass Index of Diabetes Intensive Education Program in Patients With Type 2 Diabetes Mellitus
    Emel Beyazıt, Mukadder Mollaoğlu
    American Journal of Men's Health.2011; 5(4): 351.     CrossRef
  • 172 View
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  • 8 Crossref
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The Effects of a Comprehensive Life Style Modification Program on Glycemic Control and Stress Response in Type 2 Diabetes
Ji Soo Yoo, Eun Jung Kim, Suk Jeong Lee
Journal of Korean Academy of Nursing 2006;36(5):751-760.   Published online August 31, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.5.751
AbstractAbstract PDF
Purpose

This study was to evaluate the effects of a comprehensive life style modification program on glycemic control and stress response in type 2 diabetes.

Method

The participants(n=34) with type 2 diabetes were divided into either a usual care(control) or treatment(experimental) group. The experimental group(n=21) received a program that was based on a comprehensive life style modification protocol at a weekly meeting for 16 weeks. They also participated in individually prescribed exercise and diet along with stress management and self monitoring. The participants were followed for 6 months, during which postprandial glucose, HbA1C, and stress response inventory were measured.

Result

The experimental group showed a significant lower postprandial glucose and stress response compared to those of the control group. However, there was no significant change in the HbA1C value in either group.

Conclusions

These results suggest that a type 2 diabetes comprehensive lifestyle modification program may lead to clinical improvement in glycemic control and reduce the stress response.

Citations

Citations to this article as recorded by  
  • Literature Review on Lifestyle Intervention Program for Adults in Korea
    Keun-Young Yang
    Journal of Digital Contents Society.2023; 24(8): 1815.     CrossRef
  • Gender-dependent Association Between the Risk of Diabetes and the Concentration of Ambient Particulate Matter
    Dong-Wook Sohn
    Journal of Korea Planning Association.2016; 51(4): 211.     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
  • Comparative Study on Self-Care Behavior, Diabetes-related Stress, and Stress Coping among Good, Inadequate, and Poor Glycemic Control Groups
    Hye-Yeon Kang, Mee-Ock Gu
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(2): 168.     CrossRef
  • Development of a Comprehensive Self-Management Program Promoting Self Efficacy for Type 2 Diabetic Patients
    Ju-Young Park, Il-Sun Ko
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 74.     CrossRef
  • Effect of an abdominal obesity management program on dietary intake, stress index, and waist to hip ratio in abdominally obese women - Focus on comparison of the WHR decrease and WHR increase groups -
    Ji Won Lee, Sook Young Yoo, So Young Yang, Hyesook Kim, Seong Kyung Cho
    Korean Journal of Nutrition.2012; 45(2): 127.     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
  • The Effect of a Comprehensive Lifestyle Modification Program on Glycemic Control and Body Composition in Patients with Type 2 Diabetes
    Ji-Soo Yoo, Suk-Jeong Lee, Hyun-Chul Lee, Mi-Ja Kim
    Asian Nursing Research.2007; 1(2): 106.     CrossRef
  • 138 View
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  • 9 Crossref
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