title: [Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes].
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: College of Nursing, Chungnam National University, Daejeon, Korea. yssong87@cnu.ac.kr.
authors.forename: Youngshin
authors.initials: Y
authors.lastname: Song
mesh_terms: D000328:Adult; D000368:Aged; D001364:Awareness; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy / Q000523:psychology*; D004467:Economics; D005260:Female; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D007333:Insulin Resistance; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D011788:Quality of Life; D020377:Self Efficacy; D012944:Social Support; D011795:Surveys and Questionnaires
chemical_list: D007328:Insulin
keywords: Diabetes mellitus; Insulin resistance; Psychological factors