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Diabetes Metab J : Diabetes & Metabolism Journal


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Jin Ho Chun  (Chun JH) 2 Articles
Status and Associating Factors of Complementary and Altemative Medicine Among Korean Diabetic Patients.
Yun Sook Kim, Jin Ho Chun, Jeong Hyun Park, Chang II Kang
Korean Diabetes J. 2000;24(1):78-89.   Published online January 1, 2001
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Although it is not clarified the effect of complementary and alternative medicine (CAM), yet it was widely applied to the treatment of many chronic diseases. This study aimed to propose a guide for appropriate use of CAM for the treatment of diabetes mellitus in Korea. METHODS: The study subjects were 192 patients (male 93, female 99), who diagnosed with type 2 diabetes at Pusan Paik Hospital. The status and associating factors of CAM used by the patients were asked from March 1 to 31, 1999. RESULTS: The mean age of the study subjects were 57.0+/-9.6 years, and the mean duration of disease was 8.2+/-6.0 years. Approximately 71% of the subjects experience CAM at least once in past. In total, 132 kinds of CAM had been taken and the average number of CAM taken by one patient was 7.6. Silkworm was used most frequently (80.9%), then followed by ginseng (34.6%), black bean (33.1%), concoction of herbs (18.4%) and pine tree leaves (17,6%). In general, CAM was introduced by their acquaintances(64.7%), of which family relatives and friends was 51.5%, and the information about CAM were gathered from the mass media (25,0%) or health publications (20.6%). Among them, 86.8% simultaneously took CAM with the conventional therapy - diet, exercise and medication. Only 27.9% approved the effect of CAM. In logistic regression, the duration of disease (OR=1.09), contact with the mass media or health publications(OR=4.34) and education(OR=0.33) were detected as the independent factors for the use of CAM. CONCLUSION: Many diabetic patients use the various as-yet-unverified CAM without any guidelines. It is considered that there is no patient's education about CAM and the mass media and various health publications have significant impact on the spread of CAM. Therefore, to lead the appropriate use of CAM for diabetic control, it is necessary to strengthen patient's education and to filter these informations from the mass media and various health publications.
Self-Care and Related Factors in Patients with Diabetes.
Jin Ho Chun, Soo Boon Jung, Hae Sook Sohn
Korean Diabetes J. 1999;23(2):193-206.   Published online January 1, 2001
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In patients with diabetes, self-care might be important for the prevention of complications and the improvement of quality of life. METHODS: To investigate the factors related to self-care in patients with diabetes, a questionnaire study of 128 diabetic patients at three hospitals in Pusan was done from November 1997 to March 1998. The questionnaire included the level of self-care, the knowledge of diabetes, health belief, the support of the family, stresses relating to the disease, personal characteri.;tics, medical history, relationship with medical personnel. The data was analyzed by PC SAS program (version 6.12) with the level of significance (a=0.05). RESULTS: In univariate analysis, the level of self-care was higher in the group with a greater level of knowledge, health belief, the support of family, and it was lower in the group with a greater level of stress (p<0.05). In the multiple regression analysis with the level of self-care as the dependent variable and each characteristic as independent variables, knowledge (9=0.132), health belief (g=0.469), stresses (B=-0.105), body mass index (9=-0.898), regular hospital visit (g=2.318), relationship with the physician (B=3.987) and current smoking habits (B=-5.205) were detected as significant factors (p<0.05), and current drinking factors (B=-3.742) were not significant (p>0.05). The value of R-square was 61%. CONCLUSIONS: To enhance the effectiveness for diabetes control through the enhancement of the patients self-care level, it suggested that self control of weight, smoking and stress would be necessary, and the level of knowledge and health belief should be increased with a good relationship with his physician. And thought it necessary to let them visit a physician regularly through efforts from family members and medical personnel.

Diabetes Metab J : Diabetes & Metabolism Journal
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