J Korean Acad Nurs. 2009 Oct;39(5):720-730. Korean.
Published online Oct 31, 2009.
Copyright © 2009 Korean Society of Nursing Science
Original Article

The Effects of Tailored Diabetes Education on Blood Glucose Control and Self-Care

Kyung Sun Hyun,1 Kwang Mi Kim,2 and Sook Hee Jang3
    • 1Professor, College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University, Korea.
    • 2Head Nurse, Kyung Hee Medical Center, Korea.
    • 3Diabetes Educational Nurse, Kyung Hee Medical Center, Seoul, Korea.
Received February 23, 2009; Accepted September 21, 2009.

Abstract

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.

Keywords
Type 2 diabetes mellitus; Education; Insulin; Blood glucose; Self-care

Tables

Table 1
Homogeneity Test of General Characteristics between Experimental and Control Groups

Table 2
Homogeneity Test of Disease-related Characteristics between Experimental and Control Group

Table 3
Homogeneity Test of Self-Care related Characteristics between Experimental and Control Group

Table 4
Homogeneity Test of Outcome Variables before Education

Table 5
Mean Differences of Outcome Variables between Experimental and Control Groups

Notes

This work was supported by research grant of the Kyung Hee University in 2008.

References

    1. Black JM, Hawks JH. In: Medical-surgical nursing: Clinical management for positive outcomes. 7th ed. St. Louis, MO: Elservier Saunders; 2005.
    1. Chae YH, Son SK. Effects of individual nursing education on self-efficacy and sick-roll behavior in diabetes patients. The Journal of Korean Academic Society of Nursing Education 2000;6:103–114.
    1. Choe MA, Kim KW. In: English-Korean Mosby's medical, nursing & allied health dictionary. 6th ed. Seoul: Hyunmoonsa; 2002.
    1. International Diabetes Federation. Global guideline for Type 2 diabetes. Belgium: Paperland Printers Publishing; 2005.
    1. Jun JY. A study on the experience of self-care in diabetic patients with complication. Journal of Korean Academy of Adult Nursing 1996;8:244–263.
    1. Kim CG, Chung CH. Effects of telephone consulting program on self-efficacy and self-care in NIDDM patients. Journal of Korean Academy of Adult Nursing 2002;14:306–314.
    1. Kim HJ, Kim HS, Ahn SH. Effects of diabetic education fortified with individual practice on plasm glucose, self-care, and self reported physical symptom in type 2 diabetic patients. Journal of Korean Academy of Adult Nursing 2006;18:194–201.
    1. Kim HS. Effects of web-based diabetic education in obese diabetic patients. Journal of Korean Academy of Nursing 2005a;35:924–930.
    1. Kim HS. Effects of internet diabetic education on blood glucose in hyperglycemic patients. Journal of Korean Academy of Adult Nursing 2005b;17:444–451.
    1. Ko CH, Gu MO. 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. Journal of Korean Academy of Nursing 2004;34:1205–1214.
    1. Korean Association of Diabetic Nurse Educators. Diabetic patient guidebook. Seoul: Author; 2002.
    1. Korean Association of Diabetic Nurse Educators. Paper presented at the meeting of the Korean Association of Diabetic Nurse Educators. Seoul, Korea: 2008 Feb. The future of diabetic education.
    1. Korean Diabetes Association. Treatment Guideline for Diabetes. Seoul: MMK Communications; 2007.
    1. Korean Diabetes Association. Health Insurance Review & Assesment Service. Diabetes in Korea 2007. Seoul: SIKR Publishing; 2007.
    1. Lee EO, Lim NY, Park HA. In: Nursing medical research and statistical analysis. 3rd ed. Seoul: Soomoonsa; 1998.
    1. Lee HJ, Park KT, Park HS, Kim IJ. The effects of problem solving nursing counseling and intensified walking exercise on diabetic self care, coping strategies, and glycemic control among clients with DM type II. Journal of Korean Academy of Nursing 2005;35:1314–1324.
    1. Lee JS, Ro SO, Shin DS, Kim MH, Jung YM. The experience of life in with diabetics. Journal of Korean Academy of Nursing 2000;30:1219–1229.
    1. Lewis SM, Heitkemper MM, Dirksen SR, O'brien PG, Giddens JF, Bucher L. In: Medical-surgical nursing: Assessment and management of clinical problems. 6th ed. St. Louis, MO: Mosby; 2004.
    1. Lim S, Kim DJ, Jeong IK, Son HS, Chung CH, Koh G, et al. A nationwide survey about the current status of glycemic control and complication in diabetic patients in 2006-The committee of the Korean diabetes association on the epidemiology of diabetes mellitus-. Korean Diabetes Journal 2009;33:48–57.
    1. Park JH, Kim KW, Kang EJ, Kim TY, Lee SR, Bae SC, et al. Evaluation of glycemic control in type 2 diabetic patients have been treated in general hospital. Journal of Korean Diabetes Association 2004;28:208–218.
    1. Park KY, Park HS, Seo JM. The effects of a cognitive behavioral stress management program on diabetic self-care and glycemic control with diabetes mellitus type II. Journal of Korean Academy of Adult Nursing 2007;19:683–693.
    1. Polonsky WH, Earles J, Smith S, Pease DJ, Macmillan M, Christensen R, et al. Integrating medical management with diabetes self-management training: A randomized control trial of the diabetes outpatient intensive treatment program. Diabetes Care 2003;26:3048–3053.
    1. Yoo JS, Kim EJ, Lee SJ. The effects of a comprehensive life style modification program on glycemic control and stress response in type 2 diabetes. Journal of Korean Academy of Nursing 2006;36:751–760.
    1. Yoo JW, Suh MJ. Analysis of insulin injection focused self-care and related factors in diabetes. Journal of Korean Diabetes Association 2003;27:153–164.

Metrics
Share
Tables

1 / 5

PERMALINK