| 당뇨병 환자의 당뇨병 교육 순응도와 당뇨병 지식 -일 병원 당뇨병 교육 거부 환자를 중심으로 |
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심강희, 왕보람, 노진원, 이문규, 권영대 |
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| Diabetes Education Compliance and Knowledge among Diabetes Patients: Analysis of Patients Who Refuse Diabetes Education at an Academic Medical Center. |
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Kang Hee Sim, Bo Ram Wang, Jin Won Noh, Moon Kyu Lee, Young Dae Kwon |
1Diabetes Education Unit, Samsung Medical Center, Seoul, Korea.
2Catholic Institute for Healthcare Management, the Catholic University of Korea, Seoul, Korea.
3Department of Healthcare Management at Eulji University, Seongnam, Korea.
4Department of Internal Medicine, Samsung Medical Center, Seoul, Korea.
5Department of Humanities and Social Medicine, College of Medicine and Catholic Institute for Healthcare Management, the Catholic University of Korea, Seoul, Korea. snukyd1@naver.com |
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| Abstract |
BACKGROUND
By determining the reasons why patients with diabetes did not take diabetes educationand by analyzingthe characteristics of these patients, this study aimed to provide baseline data to improvediabetes education participation rates. METHODS: A survey was conducted in 56 patients who had been hospitalized for diabetes treatment and who had refused to take the prescribed diabetes education. The reasons for refusing diabetes education and the level of diabetes knowledge were evaluated. Medical records were also reviewed to determine the subjects' hemoglobin A1c test results. RESULTS: The most common reason for rejecting diabetes education was 'previous experiencewith diabetes education.' The subjects also refused diabetes educations due to cost and an impression that they already have sufficient diabetes knowledge. The patients who refused the education due to expenses were among the lower income group, and 80 percent of patients who had received diabetes educationin the past declined the education because of their previous experience. CONCLUSION: In order to increase the participation rates of diabetes education, it is important that patients recognize the significance of ongoing diabetes education. Furthermore, to eliminate the cost problems, national efforts are required such as promoting National Health Insurance coverage to includediabetes education as well as expanding the patients' opportunities for receiving qualified diabetes education with systematic and standardized education materials for free. |
| Key Words:
Diabetes education, Compliance, Knowledge, Diabetes |
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