Youngshin Song

doi:10.4040/jkan.2016.46.3.443

Articles

Page Path: HOME > J Korean Acad Nurs > Volume 46(3); 2016 > Article

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

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.

253 Views
7 Download
11 Crossref
12 Scopus

prev next

Full Article

Download PDF

Abstract
NOTES
REFERENCES

Abstract

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.
Keywords: Diabetes mellitus; Psychological factors; Insulin resistance

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP)(NRF-2015R1A2A2A01002394).

The author declared no conflict of interest.

REFERENCES

1. Hong JS, Kang HC. Oral antihyperglycemic medication adherence and its associated factors among ambulatory care with adult type 2 diabetes patients in Korea. Korean J Health Policy Adm. 2010;20(2):128–143. Article
2. Korean Diabetes Association. Korean diabetes fact sheet 2013. Seoul: Author; 2013.
3. Brod M, Kongsø JH, Lessard S, Christensen TL. Psychological insulin resistance: Patient beliefs and implications for diabetes management. Qual Life Res. 2009;18(1):23–32. Article PubMed PDF
4. Peyrot M, Rubin RR, Lauritzen T, Skovlund SE, Snoek FJ, Matthews DR, et al. Resistance to insulin therapy among patients and providers: Results of the cross-national Diabetes Attitudes, Wishes, and Needs (DAWN) study. Diabetes Care. 2005;28(11):2673–2679. Article PubMed PDF
5. Fu SN, Chin WY, Wong CK, Yeung VT, Yiu MP, Tsui HY, et al. Development and validation of the Chinese Attitudes to Starting Insulin Questionnaire (Ch-ASIQ) for primary care patients with type 2 diabetes. PloS One. 2013;8(11):e78933Article PubMed PMC
6. Hong SH, Kim MJ, Noh SG, Suh DW, Youn SJ, Lee KW, et al. A study on resistance in type 2 diabetic patient against commencement of insulin treatment. J Korean Diabetes. 2008;32(3):269–279. Article
7. Petrak F, Stridde E, Leverkus F, Crispin AA, Forst T, Pfützner A. Development and validation of a new measure to evaluate psychological resistance to insulin treatment. Diabetes Care. 2007;30(9):2199–2204. Article PubMed PDF
8. Polonsky WH, Fisher L, Guzman S, Villa-Caballero L, Edelman SV. Psychological insulin resistance in patients with type 2 diabetes: The scope of the problem. Diabetes Care. 2005;28(10):2543–2555. PubMed
9. Peyrot M, Rubin RR, Khunti K. Addressing barriers to initiation of insulin in patients with type 2 diabetes. Prim Care Diabetes. 2010;4:Suppl 1. S11–S18.Article PubMed
10. Lee EW. Self-injection related anxiety, fear and self-care compliance in insulin-treated diabetes patients [master's thesis]. Seoul, Ewha Womans University. 2002;1–69.
11. Larkin ME, Capasso VA, Chen CL, Mahoney EK, Hazard B, Cagliero E, et al. Measuring psychological insulin resistance: Barriers to insulin use. Diabetes Educ. 2008;34(3):511–517. Article PubMed PDF
12. Nam S, Song HJ, Park SY, Song Y. Challenges of diabetes management in immigrant Korean Americans. Diabetes Educ. 2013;39(2):213–221. Article PubMed PDF
13. Reach G, Le Pautremat V, Gupta S. Determinants and consequences of insulin initiation for type 2 diabetes in France: Analysis of the National Health and Wellness Survey. Patient Prefer Adherence. 2013;7:1007–1023. Article PubMed PMC
14. Schwartz-Barcott D, Kim HS. An expansion and elaboration of the hybrid model of concept development. In: Rodgers BL, Knafl KA, editors. Concept development in Nursing: Foundations, techniques, and applications. 2nd ed. Philadelphia, PA: W.B. Sanders; 2000. p. 161–192.
15. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–1288. Article PubMed PDF
16. Strauss AL, Corbin JM. Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage Publications; 1998. p. 55–101.
17. National Institute of Korean Language. Basic Korean dictionary [Internet]. Seoul, Author. 2015;cited 2015 March 1. Available from: http://stdweb2.korean.go.kr/search/List_dic.jsp
18. Kang MR. Relationships among psychological insulin resistance diabetes knowledge and self-efficacy in patients with type 2 diabetes [master's thesis]. Seoul, Yonsei University. 2014;1–71.
19. Gherman A, Veresiu IA, Sassu RA, Schnur JB, Scheckner BL, Montgomery GH. Psychological insulin resistance: A critical review of the literature. Pract Diabetes Int. 2011;28(3):125d–128d. Article PDF
20. Farsaei S, Radfar M, Heydari Z, Abbasi F, Qorbani M. Insulin adherence in patients with diabetes: Risk factors for injection omission. Prim Care Diabetes. 2014;8(4):338–345. Article PubMed
21. Machinani S, Bazargan-Hejazi S, Hsia SH. Psychological insulin resistance among low-income, U.S. racial minority patients with type 2 diabetes. Prim Care Diabetes. 2013;7(1):51–55. Article PubMed
22. Brunton S. Insulin delivery systems: reducing barriers to insulin therapy and advancing diabetes mellitus treatment. Am J Med. 2008;121:6 Suppl. S35–S41. Article PubMed
23. Makine C, Karşidağ C, Kadioğlu P, Ilkova H, Karşidağ K, Skovlund SE, et al. Symptoms of depression and diabetes-specific emotional distress are associated with a negative appraisal of insulin therapy in insulin-naive patients with Type 2 diabetes mellitus. A study from the European Depression in Diabetes [EDID] Research Consortium. Diabet Med. 2009;26(1):28–33. PubMed
24. Abu Hassan H, Tohid H, Mohd Amin R, Long Bidin MB, Muthupalaniappen L, Omar K. Factors influencing insulin acceptance among type 2 diabetes mellitus patients in a primary care clinic: A qualitative exploration. BMC Fam Pract. 2013;14:164PubMed PMC
25. Polonsky WH, Anderson BJ, Lohrer PA, Welch G, Jacobson AM, Aponte JE, et al. Assessment of diabetes-related distress. Diabetes Care. 1995;18(6):754–760. Article PubMed PDF
26. Snoek FJ, Skovlund SE, Pouwer F. Development and validation of the insulin treatment appraisal scale (ITAS) in patients with type 2 diabetes. Health Qual Life Outcomes. 2007;5:69Article PubMed PMC PDF
27. Karter AJ, Subramanian U, Saha C, Crosson JC, Parker MM, Swain BE, et al. Barriers to insulin initiation: The translating research into action for diabetes insulin starts project. Diabetes Care. 2010;33(4):733–735. PubMed PMC

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

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Development and validation of a distress measurement for insulin injections among patients with diabetes
Eujin Choi, Min-Sun Kim, Juhee Cho, Sooyeon Kim, Eun Kyung Kwon, Youngha Kim, Danbee Kang, Sung Yoon Cho
Scientific Reports.2023;[Epub] CrossRef
The Mediating Effect of Experiential Avoidance on the Relationship between Diabetes Distress and Self-Stigma in People with Diabetes Mellitus Type 2 in Republic of Korea
Kawoun Seo
Healthcare.2023; 11(20): 2773. CrossRef
The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
Hyesun Kim, Kawoun Seo
Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446. CrossRef
Psychological Insulin Resistance: Key Factors and Intervention
Yeon Jeong Jang
The Journal of Korean Diabetes.2021; 22(3): 192. CrossRef
The role of psychological insulin resistance in diabetes self‐care management
Ancho Lim, Youngshin Song
Nursing Open.2020; 7(3): 887. CrossRef
Effect of Psychological Insulin Resistance, Diabetes Distress, and Diabetes Self-Efficacy on the Insulin Therapy Adherence of Patients with Type 2 Diabetes: An Analysis Based on the Actor-Partner Interdependence Model
Ji-Soon Kang, Jun-Hee Park, Jeong-Won Han
Korean Journal of Adult Nursing.2020; 32(2): 167. CrossRef
Willingness of people with Type 2 diabetes to start insulin therapy: Evidence from the South African Tshwane Insulin Project (TIP)
Patrick Ngassa Piotie, Paola Wood, Elizabeth M. Webb, Tessa S. Marcus, Paul Rheeder
Diabetes Research and Clinical Practice.2020; 168: 108366. CrossRef
Predictors of glycemic control after decline of insulin therapy by patients with type 2 diabetes
Luisa Florez, Maria Shubina, Alexander Turchin
Journal of Diabetes and its Complications.2019; 33(11): 107418. CrossRef
Psychological Insulin Resistance and Low Self-efficacy as Barriers to Diabetes Self-care Management in Patients with Type 2 Diabetes
Bohyun Kim, Youngshin Song, Jong Im Kim
Korean Journal of Adult Nursing.2019; 31(1): 61. CrossRef
Factors influencing psychological insulin resistance in type 2 diabetes patients
Ji Hyeon Yu, Hye Young Kim, Sung Reul Kim, Eun Ko, Heung Yong Jin
International Journal of Nursing Practice.2019;[Epub] CrossRef
Development of a Psychological Insulin Resistance Scale for Korean Patients with Diabetes
Youngshin Song, Younghee Jeon, Jeonghwa Cho, Bohyun Kim
Journal of Korean Academy of Nursing.2016; 46(6): 813. CrossRef

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

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

DOI: https://doi.org/10.4040/jkan.2016.46.3.443

XML Download

We recommend

Related articles

Concept Analysis of Social Intelligence of Nurses Using Hybrid Model

Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes

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

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