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KMID : 0806120160460030443
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대한간호학회지
2016 Volume.46 No. 3 p.443 ~ p.453
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Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes
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Song Young-Shin
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Abstract
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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 theoreticalreview with 26 studies and a field study including 19 participants with diabetes were included in final process.
Results: The preceding factorsof psychological insulin resistance were uncontrolled blood glucose and change in daily life. The concept of psychological insulin resistancewas found to have three categories with 8 attributes such as emotional factors (negative feeling), cognitive factors (low awareness andknowledge, 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 insulinresistance of population with diabetes in Korea was defined as a complex phenomenon associated with insulin therapy that can be affectedby emotional factors, cognitive factors, and supportive relational factors. Based on the results, a tool for measuring psychological insulin resistanceof Koreans with diabetes and effective programs for enhancing insulin adherence should be developed in future studies.
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KEYWORD
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Diabetes mellitus, Psychological factors, Insulin resistance
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