| 음악감상이 2형당뇨병 환자의 자기관리, 우울 및 스트레스에 미치는 효과 |
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이정화1, 정인경1,2, 한가영3, 문혜경4 |
1강동경희대학교병원 내분비대사내과
2경희대학교 의과대학 내분비내과학교실
3창신대학교 음악학과
4호서대학교 간호학과 |
| The Effects of Music Therapy on Self-Management, Depression, and Stress in Patients with Type 2 Diabetes Mellitus |
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Jung-Hwa Lee1, In-Kyung Jeong1,2, Ga-Young Han3, Heakyung Moon4 |
1Department of Endocrinology and Metabolism, Kyung Hee University Hospital at Gangdong, Seoul, Korea
2Division of Endocrinology and Metabolism, Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul,Korea
3Department of Music, Chang Shin University, Changwon,Korea
4Department of Nursing Science, Hoseo University, Asan, Korea |
Correspondence:
Heakyung Moon,
Email: hkyung486@hoseo.edu
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Received: 26 July 2024 • Accepted: 26 August 2024 |
| Abstract |
Background
Among type 2 diabetes patients hospitalized for blood sugar control, stress and depression are high and have a negative effect on blood sugar control. Therefore, this study sought to determine whether listening to music helps reduce stress and depression and affects blood sugar control.
Methods
This is a randomized, controlled, pre- and post-design study conducted from April 2017 to September 2019 in patients with type 2 diabetes hospitalized for blood glucose control at Kyung Hee University Hospital at Gangdong. After diabetes education was provided to both the control and experimental groups, the experimental group listened to music for 30 minutes a day with a tablet PC and the control group was prohibited from listening to music during the study period. Stress was evaluated using the PAID (Problem Areas in Diabetes) scores, depression using the CES-D (Center for Epidemiologic Studies Depression) scale, and self-management using the SDSCA (Summary of Diabetes Self-Care Activities) questionnaire.
Results
A total of 59 patients (41.5 ± 12.6 years, 75.0% male) were enrolled and randomized into the control group (n = 28) and experimental group (n = 31). Music therapy had no statistically significant relationship with blood sugar (P = 0.887), depression (P = 0.248), stress (P = 0.994), or self-management (P = 0.959). However, in both groups, blood glucose control, stress, and self-management were all significantly improved at discharge compared to at the beginning of hospitalization (P = 0.031).
Conclusion
It was confirmed that intensive medical treatment and diabetes education for hospitalized patients with type 2 diabetes improved not only blood glucose control but also depression, stress, and self-management, regardless of listening to music. |
| Key Words:
Depression, Diabetes mellitus, type 2, Music therapy, Self-management, Stress, psychological |
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