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KMID : 0922320150220020206
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Journal of Korean Academic Society of Home Care Nursing
2015 Volume.22 No. 2 p.206 ~ p.215
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Diabetic Neuropathy Symptoms and Self-Care Activities in Hypertensive Type-2 Diabetic Patients
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Kim Young-Hee
Cho Ok-Hee
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Abstract
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Purpose: This study aimed to provide basic data to enhance self-nursing ability by investigating the symptoms of autonomic neuropathy and self-management activities in patients with diabetes accompanying hypertension.
Methods: Subjects were 113 type-2 diabetic patients who were diagnosed as hypertensive in two primary medical institutions and taking anti-hypertensive treatments. The existence of postural hypotension was evaluated by blood pressure and pulse rate, and the subjective symptoms of autonomic neuropathy and self-management activities were checked by structured questionnaires. The collected data were analyzed by chi-square test, Fisher’s exact test, t-test, Wilcoxon rank sum test and analysis of covariance.
Results: Postural hypotension occurred in 4.4% of the subjects. Urinary frequency and dizziness during postural changes were the most frequent symptoms of autonomic neuropathy, and 57.5% of the subjects complained of symptoms in two or more domains. The group with autonomic neuropathy symptoms showed higher age, higher living stress, and fewer self-management activities in the diet and foot management domains as compared to the group without autonomic neuropathy symptoms.
Conclusion: From these results, we learned that strengthening education on self-management for diet and foot management and customized interventions considering age and living stress are required through early identification of the symptoms of autonomic neuropathy in patients with diabetes accompanying hypertension.
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KEYWORD
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Diabetes mellitus, Diabetic neuropathy, Self care
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