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Song: Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes
Original Article

Journal of Korean Academy of Nursing 2016; 46(3): 443-453.

Published online: 30 June 2016

DOI: https://doi.org/10.4040/jkan.2016.46.3.443

Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes

Youngshin Song

College of Nursing, Chungnam National University, Daejeon, Korea.

Address reprint requests to: Song, Youngshin. College of Nursing, Chungnam National University, 266 Munwha-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-580-8334, Fax: +82-42-580-8309, yssong87@cnu.ac.kr

Received 20 October 2015       Revised 17 December 2015       Accepted 30 March 2016

© 2016 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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.

Keywords: Diabetes mellitus, Psychological factors, Insulin resistance

Figures and Tables

Table 1

Literature regarding Attributors of Psychological Insulin Resistance (N=26)

jkan-46-443-i001
Table 2

Demographics of Participants (N=19)

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Table 3

Domains, Attribute, and Indicators of Psychological Insulin Resistance in Literature Review and Field Study

jkan-46-443-i003
Table 4

Domains, Attribute, and Indicators of Psychological Insulin Resistance in Final Stage

jkan-46-443-i004

Notes

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP)(NRF-2015R1A2A2A01002394).

CONFLICTS OF INTEREST The author declared no conflict of interest.

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