Participation experience in self-care program for type 2 diabetes: A mixed-methods study

• 발행기관: 한국노인간호학회
• 저자명: Mihwan Kim Haejung Lee Gaeun Park Ah Reum Khang
• 간행물 정보: 『노인간호학회지』제26권 제1호, 31~42쪽, 전체 12쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2024.02.29

국문 초록

Purpose: This study aimed to explore the participation experiences of patients with type 2 diabetes in an Automated Personalized Self-Care program, assess the changes in self-care behavior and glyce-mic control, and evaluate the stages of change and readiness to change using the transtheoretical model (TTM). Methods: We examined 16 patients with type 2 diabetes who participated in a diabe-tes self-care program using a mobile application. Purposive sampling continued until data saturation. Using a mixed method study, we analyzed the participants’ characteristics, self-care behavior, stage of change, and readiness to change quantitatively and analyzed the qualitative data using Elo and Kyn-gas’s content analysis method. Results: The compliance group (CG) showed improved self-care be-havior and glycemic control. In the CG, the proportion of participants in the action stage was higher in the exercise and diet domains and lower in the blood glucose testing and medication domains than in the non-compliance group (NCG). Readiness to change, motivation for health behaviors, and so-cial motivation were higher in the CG, whereas personal motivation was higher in the NCG. In this qualitative study, three categories and 11 subcategories were identified. The findings suggest the CG regarded their experience in the program more frequently as positive, whereas the NCG perceived greater barriers to using the mobile application in the program. Conclusion: Based on the differences identified between the CG and NCG, TTM-based strategies are needed to facilitate the progression of NCG to the action stage.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

CONCLUSION

키워드

Diabetes mellitus, type 2 Mobile applications Self care Patient compliance Transtheo-retical model