인슐린 주사를 시행하는 당뇨병환자의 자가간호 수행과 혈당조절

Level of Self-Care and Blood Sugar Control among Diabetes Mellitus patients under Insulin treatment

Purpose: The purpose of this study was to investigate the level of self-care among Diabetic patients under insulin treatment and the level of HbAlc indicating blood sugar control state. Methods: The participants were 60 diabetic patients under insulin treatment in an outpatient of a University Hospital Endocrine Medicine in Daegu. The survey questionnaire and HbAlc test were administered from these subjects, using SPSS WIN 15.0. Data were analyzed by frequency, percentage, average, standard deviation, Mann-Whitney Test and Kruskal-Wallis Test, and Pearson's Correlation. Result: The mean score of subjects' HbAlc level was 8.83% and subjects' degree of knowledge about insulin injection was found to be low. The mean score of self-care was 68.28 points out of 105, the mean score in each sub-item was 3.25 points out of 5. A high degree of self-care patients were lower levels of HbAlc. Conclusion: The mean score of subjects HbAlc level (8.83%) was higher than the recommended levels (7%) among diabetic patients. Patients' self-care was better, blood glucose control was found to be good and HbAlc level was low. Provision for education on self-care among diabetic patients as well as enhancing their knowledge and skills on insulin management is of prime importance. Furthermore, the establishment and development of effective diabetes education program is highly recommended.