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Original Article
Self Care Activity, Metabolic Control, and Cardiovascular Risk Factors in accordance with the Levels of Depression of Clients with Type 2 Diabetes Mellitus
Hae Jung Lee, Kyung Yeon Park, Hyeong Sook Park
Journal of Korean Academy of Nursing 2005;35(2):283-291.
DOI: https://doi.org/10.4040/jkan.2005.35.2.283
Published online: March 28, 2017

1Department of Nursing, College of Medicine, Pusan National University, Korea.

2Department of Nursing, College of Medicine, Pusan National University, Korea.

3Department of Nursing, College of Medicine, Pusan National University, Korea.

baakwoo@hanmail.net

Copyright © 2005 Korean Society of Nursing Science

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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 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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      Self Care Activity, Metabolic Control, and Cardiovascular Risk Factors in accordance with the Levels of Depression of Clients with Type 2 Diabetes Mellitus
      Journal of Korean Academy of Nursing. 2005;35(2):283-291.   Published online March 28, 2017
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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
    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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