인공지능 스마트워치를 활용한 건강코칭 프로그램이 당뇨 노인의 건강에 미치는 효과
- 주제(키워드) 도움말 건강코칭 , 인공지능 , 당뇨병 , 노인
- 발행기관 강릉원주대학교 일반대학원
- 지도교수 도움말 정수용
- 발행년도 2024
- 학위수여년월 2025. 2
- 학위명 박사
- 학과 및 전공 도움말 일반대학원 간호학과
- 실제URI http://www.dcollection.net/handler/kangnung/000000011983
- UCI I804:42001-000000011983
- 본문언어 한국어
초록/요약 도움말
연구목적: 65세 이상 인구의 당뇨병 발병률은 급격한 노화 현상으로 인해 증가 하고 있다. 이러한 경향은 당뇨병 관련 합병증의 유병률에 상당한 영향을 미치고 사망률도 높아졌다. 당뇨병 환자의 합병증 예방과 혈당 수치 조절을 위해서는 영 양가 있는 식습관, 지속적인 약물복용, 규칙적인 신체활동을 포함한 효과적인 자기 관리 전략이 필수적이다. 본 연구는 Cox의 대상자 건강행위 상호작용 모델에 기반 한 인공지능기반 스마트워치를 활용하여 건강코칭 프로그램을 제시하며, 이는 당뇨 병 노인환자를 위한 맞춤형 건강코칭 프로그램(대면 교육 및 비대면 전화상담으로 구성)개발을 통해 그 효과를 확인하고자 시행되었다. 연구방법: 본 연구의 참여자는 경북 안동시 및 의성군 보건소에 등록했거나 진 료를 받은 65세 이상의 당뇨병 노인으로 선정하였으며, 2023년 10월 1일부터 2023 년 12월 17일까지 연구에 참여하기로 동의한 60명을 대상으로 데이터를 수집하였 다. 최종 대상자 수는 실험군 20명과 대조군 24명으로 총 44명이 연구에 참여하였 다. 무작위 대조군 실험설계를 활용하여 프로그램의 효능을 평가하였다. 본 연구는 인공지능기반 스마트워치를 활용한 간호사 주도의 건강코칭 프로그램으로 구성하 였다. 프로그램 시작 전에 연구보조원으로부터 실험군과 대조군에 인공지능기반 스 마트워치와 간이혈당측정기를 제공한 후 사용법에 대한 교육을 개별로 진행하였다. 실험군은 인공지능기반 스마트워치를 활용한 12주간의 건강코칭 프로그램(8주 동안 30분 동안 제공되는 주간 대면 교육과 4주 동안 10분 동안 제공되는 비대면 전화 상담으로 구성)을 받았고 3회의 일반적인 당뇨병 단체교육에 참여하였다. 반면, 대 조군은 일반적인 당뇨병 단체교육 3회만 제공되었다. 또한, 프로그램의 효과를 평 가하기 위해 당뇨병 관리에 대한 생리적 지표(혈액검사를 통해 평가한 공복 혈당 및 당화혈색소)와 함께 당뇨병 관리 지식, 태도, 자기효능감, 자기관리행위를 측정 하는 설문조사를 실시하였다. 이 조사에서 수집된 데이터는 IBM SPSS Statistics 28.0 Program을 활용하여 분석하였다. 연구결과: 반복측정 분산분석을 통해 도출된 결과에 따르면 본 연구에서 개발한 건강코칭 프로그램에 참여한 실험군은 대조군에 비해 당뇨병 관리 자기관리행위점 수에서 통계적으로 유의미한 개선을 경험한 것으로 나타났다. 실험군의 당뇨병 관 리 자기관리행위점수는 사전 17.17±5.32점에서 8주 후 27.17±3.61점으로 크게 증 가했으며, 12주 후에는 27.93±3.57점으로 약간 개선되었다. 하지만, 당뇨병 관리에 관한 지식, 태도, 자기효능감, 공복 혈당, 당화혈색소 수치와 관련해서는 두 그룹 간에 통계적으로 유의한 차이가 나타나지 않았다. 그럼에도 불구하고 앞서 언급한 모든 지표는 시간이 지남에 따라 증가하거나 유지되는 경향을 보였는데, 이는 해당 프로그램이 당뇨병 관리에 긍정적인 영향을 미쳤음을 시사한다. 결론: 정보통신기술의 활용은 현대사회의 요구에 부응하며 보다 체계적이고 효 율적인 의료서비스를 제공하기 위한 촉매제 역할을 한다. 인공지능기반 스마트워치 를 활용하여 간호사 주도 건강코칭 프로그램을 개발한 본 연구의 결과는 자기관리 행위가 눈에 띄게 개선되었다. 이는 정보통신기술과 간호사의 전문지식을 결합하여 개인 맞춤형 의료 분야에서 중추적인 역할을 할 수 있는 프로그램의 잠재력을 잘 보여주었다. 본 연구결과는 디지털 헬스케어 기술의 활용과 간호사 역할 확대를 통한 의료 패러다임의 변화에 중대한 영향을 미쳤다. 성인 및 소아 당뇨병을 비롯 한 다양한 당뇨병 집단에 대한 건강코칭 프로그램을 적용하여 프로그램 효과를 반 복 평가하고, 더 많은 대상자를 모집하여 대규모 연구를 수행하여 지속적인 효과를 확인하기 위한 후속 연구가 시도될 것을 제언한다.
more목차 도움말
Ⅰ. 서 론··································································································1
1. 연구의 필요성··································································································1
2. 연구의 목적·····································································································4
3. 연구가설···········································································································5
4. 용어 정의·········································································································6
Ⅱ. 문헌고찰···························································································14
1. 건강코칭 프로그램·························································································14
2. 노인의 당뇨병 자기관리················································································23
3. 당뇨병 환자 대상의 간호중재 프로그램······················································26
4. Cox의 대상자 건강행위 상호작용 이론
(Interaction Model of Client Health Behavior, IMCHB) ························38
5. 인공지능기반 스마트워치 활용 선행연구 ··················································56
Ⅲ. 연구의 이론적 기틀·········································································58
Ⅳ. 연구방법···························································································65
1. 연구설계·········································································································65
2. 연구대상·········································································································67
3. 연구도구·········································································································71
4. 연구절차·········································································································75
5. 자료분석방법··································································································97
6. 윤리적 고려····································································································98
Ⅴ. 연구결과·························································································100
1. 대상자의 일반적 특성 및 당뇨병 관련 특성에 대한 동질성 검정··········100
2. 대상자의 종속변수에 대한 실험군과 대조군의 동질성 검정···················102
3. 대상자의 종속변수에 대한 실험군과 대조군의 정규성 검증···················104
4. 가설검정·······································································································105
Ⅵ. 논 의······························································································118
1. 간호사 주도의 건강코칭 프로그램의 효과················································118
2. 연구의 의의··································································································139
3. 연구의 제한점······························································································141
Ⅶ. 결론 및 제언··················································································143
1. 결론··············································································································143
2. 제언··············································································································144
참고문헌································································································147
부 록·······························································································162
Summary·······························································································188
