Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes.
10.4040/jkan.2016.46.3.443
- Author:
Youngshin SONG
1
Author Information
1. College of Nursing, Chungnam National University, Daejeon, Korea. yssong87@cnu.ac.kr
- Publication Type:Original Article
- Keywords:
Diabetes mellitus;
Psychological factors;
Insulin resistance
- MeSH:
Blood Glucose;
Delivery of Health Care;
Dependency (Psychology);
Diabetes Mellitus;
Insulin Resistance*;
Insulin*;
Korea;
Psychology
- From:Journal of Korean Academy of Nursing
2016;46(3):443-453
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to define the concept for psychological insulin resistance in the Korean population with diabetes. METHODS: The Hybrid model was used to perform the concept analysis of psychological insulin resistance. Results from both the theoretical review with 26 studies and a field study including 19 participants with diabetes were included in final process. RESULTS: The preceding factors of psychological insulin resistance were uncontrolled blood glucose and change in daily life. The concept of psychological insulin resistance was found to have three categories with 8 attributes such as emotional factors (negative feeling), cognitive factors (low awareness and knowledge, low confidence for self-injection) and supportive factors (economic burden, dependency life, embarrassing, feeling about supporters, feeling of trust in, vs mistrust of health care providers). The 8 attributes included 30 indicators. CONCLUSION: The psychological insulin resistance of population with diabetes in Korea was defined as a complex phenomenon associated with insulin therapy that can be affected by emotional factors, cognitive factors, and supportive relational factors. Based on the results, a tool for measuring psychological insulin resistance of Koreans with diabetes and effective programs for enhancing insulin adherence should be developed in future studies.
