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동기이론과 자기결정이론을 활용한 성인 제2형 당뇨 환자 중재연구의 최근 동향 고찰 KCI 등재

A Review of Recent Trends in Intervention Studies for Adults with Type 2 Diabetes Using Motivational Theory and Self-Determination Theory

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  • URLhttps://db.koreascholar.com/Article/Detail/443294
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대한질적연구학회지 (Korean Association for Qualitative Research)
대한질적연구학회 (Korean Association for Qualitative Research)
초록

Purpose: Despite being preventable, diabetes is a major non-communicable disease with a steadily increasing premature mortality rate. Diabetes can cause various complications if not properly managed; therefore, it is necessary to consistently implement management strategies, such as diet and exercise. However, in reality, there are several difficulties. Among these, a lack of motivation, which is a psychological factor, is a major barrier. Therefore, this study aimed to analyze intervention studies based on motivational and self-determination theories for patients with type 2 DM to seek solutions and present future directions. Methods: We searched and analyzed studies utilizing motivational and self-determination theories from 2013 to 2023 using the PubMed database. Results: One study applied Motivational Theory only, whereas the other two applied self-determination theory only. Most studies have utilized theories other than motivational and self-determination theories. As an intervention method, there were many studies that used group sessions of 4~6 or more times and used communication devices such as cell phones to convey, check, or encourage implementation of the mediation content. Among the quantitative studies, only 10 applied Motivational Theory to measure physiological variables. Nine of these studies tested HbA1c levels and reported effective results. In addition, four studies measured physical activity (three reported that it was effective) and seven studies measured socio-psychological variables, reporting that it improved diabetes knowledge and self-efficacy and reduced depression. Conclusion: According to the results of this study, it is beneficial to develop programs in the future by incorporating theories that have been confirmed to be significant, in addition to motivational and self-determination theories. Furthermore, the newly developed intervention program should be structured to increase implementation by providing four to six small group education sessions and forming networks between educators and subjects, as well as providing continuous management through communication tools such as social media and fostering a solid psychological foundation through religious and spiritual experiences so that patients can actively manage themselves(diet control and exercise management).

목차
서 론
1. 연구의 필요성
2. 연구목적
연 구 방 법
    1. 연구설계
    2. 연구 절차
연 구 결 과
    1. 적용된 근거이론의 분석
    2. 중재 내용의 분석
    3. 연구참여자 분석
    4. 연구의 측정변수와 중재 효과 변수 분석
논 의
결 론 및 제 언
REFERENCES
저자
  • 장미란(삼성서울병원 연구원) | Jang Mi Ran (Researcher, Samsung Medical Center, Seoul, Korea)
  • 이준엽(약산애한방병원장) | Lee Jun Yeop (Director, Yaksanae Oriental Hospital, Ansan, Korea) Corresponding author
  • 김미지(한마음한의원장) | Kim Mi Ji (Director, Oriental Medicine, Hanmaeum Oriental Medicine Clinic, Anyang, Korea)
  • 김종훈(김종훈치과원장) | Kim Jong Hoon (Director, Kim Jonghoon Dental Clinic, Seoul, Korea)
  • 김주현(강원대학교 간호대학 명예교수) | Kim Joo Hyun (Emeritus Professor, College of Nursing, Kangwon National University, Chuncheon, Korea)