J Korean Acad Nurs.  2016 Jun;46(3):443-453. 10.4040/jkan.2016.46.3.443.

Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes

• Song Y

• KMID: 2413350
• DOI: http://doi.org/10.4040/jkan.2016.46.3.443

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.

Keyword

Diabetes mellitus; Psychological factors; Insulin resistance

MeSH Terms

Adult
Aged
Awareness
Diabetes Mellitus, Type 2/drug therapy/*psychology
Economics
Female
Humans
Insulin/therapeutic use
Insulin Resistance
Interviews as Topic
Male
Middle Aged
Models, Theoretical
Quality of Life
Self Efficacy
Social Support
Surveys and Questionnaires

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