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

College of Nursing, Chungnam National University, Daejeon, Korea.

Address reprint requests to: Song, Youngshin. College of Nursing, Chungnam National University, 266 Munwha-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-580-8334, Fax: +82-42-580-8309, yssong87@cnu.ac.kr
• Received: October 20, 2015   • Revised: December 17, 2015   • Accepted: March 30, 2016

© 2016 Korean Society of Nursing Science

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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  • 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.
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Table 1

Literature regarding Attributors of Psychological Insulin Resistance (N=26)

jkan-46-443-i001.jpg
Table 2

Demographics of Participants (N=19)

jkan-46-443-i002.jpg
Table 3

Domains, Attribute, and Indicators of Psychological Insulin Resistance in Literature Review and Field Study

jkan-46-443-i003.jpg
Table 4

Domains, Attribute, and Indicators of Psychological Insulin Resistance in Final Stage

jkan-46-443-i004.jpg

Figure & Data

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        Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes
        J Korean Acad Nurs. 2016;46(3):443-453.   Published online June 30, 2016
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      Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes
      Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes

      Literature regarding Attributors of Psychological Insulin Resistance (N=26)

      Demographics of Participants (N=19)

      Domains, Attribute, and Indicators of Psychological Insulin Resistance in Literature Review and Field Study

      Domains, Attribute, and Indicators of Psychological Insulin Resistance in Final Stage

      Table 1 Literature regarding Attributors of Psychological Insulin Resistance (N=26)

      Table 2 Demographics of Participants (N=19)

      Table 3 Domains, Attribute, and Indicators of Psychological Insulin Resistance in Literature Review and Field Study

      Table 4 Domains, Attribute, and Indicators of Psychological Insulin Resistance in Final Stage


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