- 권한신청
- P-ISSN1013-0799
- E-ISSN2586-2073
- KCI
노인 당뇨병 환자들의 정보행태에 관한 연구
A Study on the Information Behavior of Older Adults with Diabetes
장혜란 (상명대학교)
- 다운로드 수
- 조회수
초록
노인 당뇨병 환자들의 정보행태를 이해하기 위하여 선행연구 고찰을 통해 관련요인을 도출하고 측정도구를 설계하여, B병원에서 치료 중인 60세 이상 당뇨병 환자들을 대상으로 구조화된 면접조사를 수행하였다(N=543). 질환에 대한 인식, 건강정보이해능력, 정보요구, 정보추구, 정보이용, 정보원 이용 애로사항, 선호 정보서비스, 개인적 배경에 대한 기본통계량과 요인간의 관계를 분석하고 가설검증을 통하여 영향요인을 구명하였다. 노인 당뇨병 환자들은 질환에 대한 인식과 건강정보이해능력이 낮으며, 질환에 대한 인식은 정보요구도, 정보이용도와 상관관계가 있고, 건강정보이해능력은 정보이용도와 상관관계가 있다. 교육경험과 유병기간에 따라 정보요구도와 정보이용도에 차이가 있고, 정보환경, 성별, 나이, 학력에 따라 정보이용도에 차이가 있는 것으로 나타났다. 연구결과를 바탕으로 질환인식 캠페인 전개, 정보지원시설 홍보활동, 집단별 정보제공과 서비스 방안 등을 제언하였다.
- keywords
- 노인, 당뇨병 환자, 건강정보이해능력, 정보환경, 정보추구, 정보요구, 정보이용, 정보서비스, older adults, diabetes, health literacy, information environment, information seeking, information need, information use, information service
Abstract
The purpose of this study is to understand information behavior of older adults with diabetes. After reviewing previous research, related factors are identified and a questionnaire was devised. The structured interview was administered to the aged 60 and over in the B hospital (N=543). Data about awareness of the disease, health literacy, information environment, information need, information seeking, information use, information service, and personal background are collected and analyzed descriptively. Relationship between variables are examined and hypotheses are tested to find factors affecting information behavior. The level of the awareness of the disease and health literacy appeared to be low. It is proved that awareness of the disease is a factor affecting information need and information use. Health literacy affects information use. There is a statistical significant difference between information need and information use by disease education and duration. There is also a statistical significant difference between information use among groups divided by information environment, sex, age, and education. Based on the results, campaign to raise disease awareness, marketing promotion about information support facilities, customized information service for older adults are suggested.
- keywords
- 노인, 당뇨병 환자, 건강정보이해능력, 정보환경, 정보추구, 정보요구, 정보이용, 정보서비스, older adults, diabetes, health literacy, information environment, information seeking, information need, information use, information service
참고문헌
건강보험심사평가원. (2014). 2013년 건강보험통계연보. http://www.hira.or.kr/dummy.do?pgmid=HIRAA020045020000.
김혜정. (2009). 지역사회 노인의 대중매체 건강정보에 대한 관심도 및 이용 행태. Korean Journal of Family Medicine, 30(6), 426-439.
대한당뇨병학회. 제2형 당뇨병 진료지침.
문화체육관광부. (2013). 2013년 국민 독서실태조사. 문화체육관광부.
방송통신위원회. (2014). 2014 방송매체 이용행태 조사. 방송통신위원회.
안지현. (2008). 당뇨병 환자에서 자기효능감이 미디어의 건강정보 신뢰도에 미치는 영향.
원앙리. (2013). 헬스 리터러시의 관련 요인 및 건강관리에 미치는 영향 탐색 : 일개 병원의 2형 당뇨 환자를 대상으로.
이미자. (2014). 노인을 위한 공공도서관의 건강정보서비스 개발에 관한 연구.
이현주. (2005). 만성질환 유무에 따른 인터넷 건강정보 이용행태 및 관련요인 비교 : 고혈압·당뇨를 중심으로.
정우식. (2011). 고령층의 자가건강관리 역량강화를 위한 인터넷 건강정보 활용 실태. 한국보건간호학회지, 25(1), 48-60.
진혜경. (2009). 노인 당뇨병환자에서 당뇨병 치료 목적에 관한 자기인식 연구. Diabetes and Metabolism Journal, 33(5), 439-447.
통계청. (2012). 총조사인구총괄(연령별). http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=A.
Association of the British Pharmaceutical Industry & Diabetes UK. The diabetes information jigsaw. http://www.abpi.org.uk/our-work/library/medical-disease/Documents/diabetes_jigsaw.pdf.
Ayers, S. L.. (2007). Chronic illness and health-seeking information on the internet. Health, 11(3), 327-347. http://dx.doi.org/10.1177/1363459307077547.
Baker, L. M.. (2004). Information needs at the end of life : A content analysis of one person's story. Journal of the Medical Library Association, 92(1), 78-82.
Bennett, J. A.. (2009). Differences between older and younger cancer survivors in seeking cancer information and using complementary/alternative medicine. Journal of General Internal Medicine, 24(10), 1089-1094. http://dx.doi.org/10.1007/s11606-009-0979-8.
Broadway, S. C.. (2005). Health information-seeking behaviors on the internet among diabetic and healthy women.
Burke, J. A.. (2006). Patients with diabetes speak: Exploring the implications of patients' perspectives for their diabetes appointments. Health Communication, 19(2), 103-114. http://dx.doi.org/10.1207/s15327027hc1902_2.
Case, D. O.. (2005). Avoiding versus seeking:The relationship of information seeking to avoidance, blunting, coping, dissonance, and related concepts. Journal of the Medical Library Association, 93(3), 353-362.
Chaudhuri, S.. (2013). Examining health informationseeking behaviors of older adults. Computers, Informatics, Nursing, 31(11), 547-553. http://dx.doi.org/10.1097/01.ncn.0000432131.92020.42.
Choi, S.. (2014). Strategies for enhancing information, motivation, and skills for self-management behavior changes: A qualitative study of diabetes care for older adults in Korea. Patient Preference and Adherence, 8, 219-226. http://dx.doi.org/10.2147/ppa.s58631.
Coughlin, S. S.. (2007). Breast and colorectal cancer screening and sources of cancer information among older women in the United States: Results from the 2003 health information national trends survey. Preventing Chronic Disease, 4(3), A57-.
Davison, B. J.. (2012). Factors influencing treatment decision making and information preferences of prostate cancer patients on active surveillance. Patient Education and Counseling, 87(3), 369-374. http://dx.doi.org/10.1016/j.pec.2011.11.009.
Flynn, K. E.. (2006). When do older adults turn to the internet for health information? Findings from the wisconsin longitudinal study. Journal of General Internal Medicine, 21(12), 1295-1301. http://dx.doi.org/10.1111/j.1525-1497.2006.00622.x.
Fox, S.. (2013). Health online. http://www.pewinternet.org/2013/01/15/health-online-2013/.
Holmström, I. M.. (2005). Misunderstandings about illness and treatment among patients with type 2 diabetes. Journal of Advanced Nursing, 49(2), 146-154. http://dx.doi.org/10.1111/j.1365-2648.2004.03274.x.
Johnson, J. D.. (2001). A model for understanding and affecting cancer genetics information seeking. Library & Information Science Research, 23(4), 335-349. http://dx.doi.org/10.1016/S0740-8188(01)00094-9.
Jordan, J. E.. (2013). The health literacy management scale (HeLMS): A measure of an individual's capacity to seek, understand and use health information within the healthcare setting. Patient Education and Counseling, 91(2), 228-235. http://dx.doi.org/10.1016/j.pec.2013.01.013.
Lambert, S. D.. (2007). Health information seeking behavior. Qualitative Health Research, 17(8), 1006-1019. http://dx.doi.org/10.1177/1049732307305199.
Lenz, E. R.. (1984). Information seeking: A component of client decisions and health behavior. Advanced Nursing Science, 6(3), 59-72. http://dx.doi.org/10.1097/00012272-198404000-00010.
Loiselle, C. G.. (1995). Self-evaluation and health information-seeking: A study of self-assessment and self-protection motives:University of Wisconsin-Madison.
Longo, D. R.. Health information seeking, receipt, and use in diabetes self-management. Annals of Family Medicine, 8(4), 334-340. http://dx.doi.org/10.1370/afm.1115.
Matsuyama, R. K.. (2011). Education level, not health literacy, associated with information needs for patients with cancer. Patient Education and Counseling, 85(3), e229-e236. http://dx.doi.org/10.1016/j.pec.2011.03.022.
McKenna, K. T.. (2003). Older patients request more information : A survey of use of written patient education matter. Australasian Journal on Ageing, 22(1), 15-19. http://dx.doi.org/10.1111/j.1741-6612.2003.tb00457.x.
Morgan, J. A.. (2013). Socio-economic influences on health information searching in the USA: The case of diabetes. Information Technology & People, 26(4), 324-346. http://dx.doi.org/10.1108/itp-09-2012-0098.
Naidoo, P.. (2012). The information needs and information seeking behaviour of adult diabetic patients at Addington hospital.
OECD. (2012). OECD reviews of health care quality: Korea-raising standards. http://dx.doi.org/10.1787/9789264173446-en.
Peel, E.. (2004). Diagnosis of type 2 diabetes: A qualitative analysis of patients' emotional reactions and views about information provision. Patient Education and Counseling, 53(3), 269-275. http://dx.doi.org/10.1016/j.pec.2003.07.010.
Pinch, W. J.. (1993). The ethics of treatment decision making: The elderly patient's perspective. The vast resources and costs of available technology makes it crucial that we understand what the patient wants. Geriatric Nursing, 14(6), 289-293. http://dx.doi.org/10.1016/s0197-4572(06)80052-2.
Posma, E. R.. (2009). Older cancer patients' information and support needs surrounding treatment: An evaluation through the eyes of patients, relatives and professionals. BMC Nursing, 8, 1-15. http://dx.doi.org/10.1186/1472-6955-8-1.
Rees, C. E.. (2001). Information-seeking behaviors of women with breast cancer. Oncology Nursing Forum, 28(5), 899-907.
Schillinger, D.. (2002). Association of health literacy with diabetes outcomes. Journal of the American Medical Association, 288(4), 475-482. http://dx.doi.org/10.1001/jama.288.4.475.
St. Jean, B. L.. (2012). Information behavior of people diagnosed with a chronic serious health condition: A longitudinal study.
Wilson, T.. (2000). Human information behavior. Information Science, 3(2), 49-55.
Wong, F.. (2000). Men with prostate cancer: Influence of psychological factors on informational needs and decision making. Journal of Psychosomatic Research, 49(1), 13-19.
Wu, L.. (2006). Wiring seniors to quality health information. Journal of Consumer Health on the Internet, 10(2), 11-24. http://dx.doi.org/10.1300/j381v10n02_02.
Zanchetta, M. S.. (2007). Patterns in information strategies used by older men to understand and deal with prostate cancer: An application of the modelisation qualitative research design. International Journal of Nursing Studies, 44(6), 961-972. http://dx.doi.org/10.1016/j.ijnurstu.2006.03.018.
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수