[The effects of problem solving nursing counseling and intensified walking exercise on diabetic self-care, coping strategies, and glycemic control among clients with DM Type II].
OBJECTIVE
The purpose of the study was to identify the effects of problem solving nursing counseling and intensified walking exercise on diabetic self-care, coping strategies, and glycemic control among older adults with DM type II.


METHODS
Ninety nine DM patients who were older than 50 were recruited from DM clinics or public health centers and conveniently assigned into three groups: the Polar (n=41), counseling (n=30) and control groups (n=28). Participants in both Polar and counseling groups attended weekly problem solving nursing counseling for 12 weeks. Polar heart rate monitors were used in the Polar group to intensify walking exercise. Data was collected from November 2003 to August 2004 and analyzed by ANOVA or ANCOVA using the SPSS WIN program.


RESULTS
After a 12 week intervention, participants in both the Polar and counseling groups reported increased diabetic self care behaviors and decreased blood glucose levels, which is significantly different from those in the control group. There were no distinctively different program effects between the Polar and counseling groups.


CONCLUSIONS
Based on the findings, we concluded that problem solving counseling alone could have positive effects on diabetic self care and glycemic controls for older adults with DM. Future research is needed to identify long-term effects of the program.
Lee
Hae-Jung
HJ
Department of Nursing, College of Medicine, Pusan National University, Korea. haejung@pusan.ac.kr
Park
Kyung-Yeon
KY
Park
Hyeong-Sook
HS
Kim
In-Joo
IJ
D000223:Adaptation, Psychological; D000368:Aged; D001786:Blood Glucose / Q000032:analysis*; D003376:Counseling; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000451:nursing* / Q000523:psychology; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011340:Problem Solving; D012648:Self Care; D016138:Walking
D001786:Blood Glucose