Self-Care and Related Factors in Young and Middle Adulthood Patients with Type 2 Diabetes / 임상당뇨병

BACKGROUND: This study was designed to investigate the level of self-care and related factors such as perceived health status, family support, stress related to diabetes mellitus, self-efficacy, depression, situational influence and glycemic control level in young and middle adulthood patients with type 2 diabetes. METHODS: For this study, data were collected and individual interviews were conducted from June 1 to July 16, 2012, with 149 young and middle adulthood patients with type 2 diabetes at Korea University Anam Hospital. RESULTS: The mean score of self-care evaluated in terms of dietary control, medication administration, physical exercise, self-monitoring of blood glucose and general healthcare was 63.68 points (20 to 100). The mean scores of various factors related to self-care were as follows: The mean score of perceived health status was 8.90 points (3 to 15), family support was 37.75 points (12 to 48), stress related to diabetes mellitus was 44.61 points (17 to 85), self-efficacy was 26.06 points (10 to 40),depression was 10.19 points (0 to 63) and situational influence was 10.89 points (6 to 24). The most important factors related to self-care were predicted as 45% by self-efficacy and 48% added situational influence. According to age, the most important factors related to self-care were predicted as 77% by self-efficacy in the 20 to 29 age group, 52% by stress related to diabetes mellitus in the 30~39 age group, and 43% by self-efficacy in the 40 to 49 age group. CONCLUSION: To improve self-care of young and middle adulthood patients with type 2 diabetes, it is necessary to develop nursing intervention that is useful in strengthening self-efficacy, situational influence and stress related to diabetes.

Computerized analysis of fetal heart rate after acoustic stimulation / 대한산부인과학회잡지

OBJECTIVES: The objectives of this study is to compare the differences of fetal heart rate (FHR) variables between preterm and term pregnancies after acoustic stimulation using computerized analysis of fetal heart rate. METHODS: Eighty-two normal pre-term and term pregnancies entered to this study after conventional 20-minutes nonstress test(NST) and 10-minutes acoustic stimulation test (AST). Acoustic stimulations were performed using Fetal Acoustic Stimulator (Model 146, Corometrics, US). We analyzed the FHR response after acoustic stimulation using our on-line computerized FHR analysis system, HYFM-I & II software. The changes of loss of signal, baseline FHR, variability, number of fetal movements, and number of FHR accelerations were analyzed numerically. RESULT: The mean baseline FHR was increased in term pregnancies from 141+/-7.0bpm to 152.7+/-9.7bpm, and in preterm pregnancies from 144.6+/-6.8bpm to 156.8+/-10.2bpm, respectively. The mean baseline FHR was significantly increased in both term and preterm pregnancies (p<0.01. paired t-test). The variability of FHR was increased in term pregnancies from 18.2+/-6.4bpm to 22.6+/-5.0bpm and in preterm pregnancies from 17.8+/-5.5bpm to 22.7+/-5.9bpm, respectively. The variability of FHR was also significantly increased in both term and preterm pregnancies. (p<0.01. paired t-test) CONCLUSION: The mean baseline FHR and the variability of FHR was significantly increased both preterm and term pregnancies. But the difference of each FHR variables between preterm pregnancies and term pregnancies was not statistically significant in this study.