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Journal of the Korean Academy of Family Medicine 1996;17(3):223-231.
Published online March 1, 1996.
Knowledge & practice about diet & exercise in NIDDM patients.
Hyun Soo Ye, Jong Deuk Jun, Hye Soon Park
인슐린 비의존성 당뇨성 환자의 식이 및 운동요법에 대한 지식 , 실천 조사
예현수, 전종득, 박혜순
경희대학교의과대학 가정의학교실 국군수도병원
Abstract
Background
: Not only the drug therapy. But also diet & exercise therapy have to be done in the control for NIDDM patients. But the control of DM is dependent on how much the patients practice it. Therefore authors surveyed knowledge & practice about DM diet & exercise of NIDDM patients.

Methods : We serveyed 104 NIDDM patients who visited family medicine outpatient offices of two tertiary hopital & internal medicine outpatient office of one secondary hospital located in Seoul from June, 1994 through september, 1994. The questionnaire consisted of the patient's general charac-teristics, family environment, attitude toward DM management, exercise, diet education knowledge and degree of practice.
Result : The patients consisted of 58(55.7%) men and 46(44.2%) women. The mean age of men patients was 53 years, and that of women patientswas 56 years. The average duration of the disease was 4.4 year. The number of patients who had participated in DM education was 56(53%). The number of patients who thought the diet therapy was important was 86(85%) The patients who thought it was not important was 4(3.9%). Those who didn't think about it was 11(10%). The number of patients who thought the exercise was important was 92(90%). The patients who thought it was 7(6.8%) The number of patients who practiced diet therapy well was 13(12%). The patients who didn't practice it well was 89(88%). The most common reason why they didn't practice was that it was too hard to practice actually. The number of patients who exercised well was 36(34%), and who didn't exercise well was 67(64%). the most common reason why they didn't practice it was that it was too bothersome to exercise. In the cases of family members concerned to the patients management, the patients practiced diet well. But it was not related with DM education, knowledge about DM and academic background of patients. In the cases of family members' concern with the patients management and in the cases of men, the patients patients practiced exercise.

Conclusion : Nearly half of NIDDM patients never participated in DM education. The patients knew well about how immportant DM diet & exercise was, but they didn't practice it. therfore reinfor-cement in education programs for behavior modification is needed. support from family menbers is needed because their role in managment of DM patient is important.
초록
연구배경 : 인슐린 비의존성 당뇨성 조절에 있어서 약물요법 외에도 식이요법, 운동요법이 강조되고 잇는데 이들을 환자 스스로 얼마나 실천하고 있으냐가 중요하다. 이제 저자들은 당뇨병 환자에서 식이 및 운동요법에 대한 지식 및 실천에 대해 알아보고자 본 연구를 시행하였다.

방법 : 1994년 6월1일부터 1994년 9월까지 서울 시내 3차 병원(2곳) 가정의학과 외래와 2차 병원 내과 외래를 방문한 인슐린 비의존성 당뇨병 환자 중 104명을 대상으로 조사를 시행하였다. 설문지 내용은 조사 대상자의 일반적 특성, 가정 환경, 당뇨병 관리태도, 운동.식이요법 교육 여부, 지식, 실천 정도를 알아보는 것으로 구성되었다.

결과 : 조사 대상자의 성별 분포는 남자가 58명(55.7%) 여자가 46명(44.2%)이었다. 평균 연령은 남자 53세, 여자 56세였고 평균 유병기간은 4.4년이었다. 당뇨병에 대한 교육을 받은 경우가 56명(53%)이었다. 당뇨 관리에서 식이요법이 중요하다고 생각하는 경우가 86명(85%)이었고, 운동이 중요하다고 생각하는 경우가 92명(90%)이었다. 식이요법을 잘 하고 있는 경우가 13명(13%), 잘 안한다가 89명(87%)이었고, 안하는 이유로는 실제적으로 실행하기 어려워서가 가장 많았다. 운동을 잘 하고 있는 경우가 36명(34%), 잘 안한다가 67명(13%)이었고, 안하는 이유로는 귀찮아서가 가장 많았다. 가족들이 관심을 갖고 치료를 도와주는 환자는 식이요법을 잘 실천하고 있었으며, 당뇨교육 여부, 당뇨에 대한 지식, 학력과는 무관하였다. 가족이 환자의 질병에 관심을 가지고 있는 경우와 남자 환자에서 운동요법을 잘 실천하고 있었다.

결론 : 인슐린 비의존성 당뇨병 환자가 식이요법, 운동요법에 대한 교육을 받은 경우가 적었고, 식이, 운동이 당뇨 조절에 중요하다는 것을 알면서도 실천하는 정도가 낮아 행동을 교정할 수 있는 구체적인 교육 및 강화가 필요하다고 생각한다. 당뇨병 관리에 환자 가족의 역할이 중요하므로 이에 대한 지지가 필요하다
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