Kim Hee-Tae, Lee Kiheon, Jung Se Young, Oh Seung-Min, Jeong Su-Min, Choi Yoon-Jung
Department of Family Medicine, Seoul National University Hospital, Seoul, Korea.
Department of Family Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam, Korea.
Korean J Fam Med. 2015 Sep;36(5):203-9. doi: 10.4082/kjfm.2015.36.5.203. Epub 2015 Sep 18.
Diabetes is a disease with high social burdens and is expected to increase gradually. A long-term management is essential for the treatment of diabetes, requiring patient self-cares. Diabetes education is important for such self-cares, but it does not sufficiently take place. In addition, little studies have been conducted on the barriers to the completion of diabetes education. This study, thus, aimed to analyze the factors related to the completion of diabetes education and investigate its barriers.
Of 50,405 respondents to the fourth and fifth Korea National Health and Nutrition Examination Survey, a total of 3,820 were selected for the analysis, excluding those aged 29 or younger and those with missing values. The completion of diabetes education was set as a dependent variable and an analysis was made on the factors that affect the dependent variable. A multivariable logistic regression was employed for the analysis.
Lower educational level was associated with less diabetes education, and the degree of diabetes education was lower in the group with male, the group that didn't have a family history or was not aware of a family history, the group that was not currently aware of diabetes and the group without a spouse. There was no difference in the completion of diabetes education by underlying diseases, family income level, age, residing area, economic activity status, insurance coverage, smoking, and drinking.
Diabetes education is of importance for the treatment and management of diabetes. Currently, however, diabetes education is not sufficiently carried out in Korea. The completion rate of diabetes education was low in male, patients without or not knowing a family history, patients who were not currently aware of their diabetes, patients without a spouse, and patients with low educational level. Therefore, encouraging these patients to take the education will be a more effective approach to increase the completion rate of diabetes education.
糖尿病是一种社会负担沉重的疾病，且预计会逐渐增加。糖尿病的治疗需要长期管理，这要求患者进行自我护理。糖尿病教育对于这种自我护理很重要，但目前实施得并不充分。此外，关于糖尿病教育完成障碍的研究较少。因此，本研究旨在分析与糖尿病教育完成情况相关的因素并调查其障碍。
在韩国第四次和第五次全国健康与营养检查调查的50405名受访者中，总共选取了3820人进行分析，排除了29岁及以下的人群以及有缺失值的人群。将糖尿病教育的完成情况设为因变量，并对影响该因变量的因素进行分析。采用多变量逻辑回归进行分析。
教育水平较低与接受的糖尿病教育较少相关，男性群体、没有家族病史或不知道家族病史的群体、目前未意识到患有糖尿病的群体以及没有配偶的群体接受的糖尿病教育程度较低。基础疾病、家庭收入水平、年龄、居住地区、经济活动状况、保险覆盖范围、吸烟和饮酒情况在糖尿病教育完成情况方面没有差异。
糖尿病教育对于糖尿病的治疗和管理很重要。然而，目前在韩国糖尿病教育并未得到充分开展。男性、没有家族病史或不知道家族病史的患者、目前未意识到自己患有糖尿病的患者、没有配偶的患者以及教育水平较低的患者糖尿病教育完成率较低。因此，鼓励这些患者接受教育将是提高糖尿病教育完成率的更有效方法。
