Purpose This study aimed to identify the prevalence of chronic diabetic complications in patients with type 2 diabetes mellitus.
Methods Data for adults aged over 30 years, who were diagnosed with type 2 diabetes mellitus and who had at least one claim for the prescription of antidiabetic medication were extracted from the National Health Insurance Service-National Health Screening Cohort in Korea from 2002 to 2015. Statistical analyses were performed using R version 3.5.1.
Results In total, 1,407 patients with type 2 diabetes mellitus without complications were extracted from the database. Patients were observed for an average of 10.43 years. The prevalence of chronic diabetic complications was 84.7% and was significantly higher for patients who were older women, who lived in the capital, and had diabetes mellitus for a longer time. The prevalence of eye disease was the highest at 42.4%, and cerebrovascular disease was the lowest at 15.1%. Cardiovascular disease, peripheral vascular disease, neuropathy, and foot ulcers often occurred between two and four years, and eye disease and nephropathy often occurred over eight years after the diagnosis of diabetes. Prior to the occurrence of nephropathy, microvascular complications such as neuropathy, peripheral vascular disease, and eye disease occurred.
Conclusion These findings provide compelling evidence of the prevalence of chronic diabetic complications based on a national database. Since a high incidence of diabetic complications occurs within a short period of time after the diagnosis of diabetes, aggressive interventions are required to prevent diabetic complications in the early stages after diagnosis.
Citations
Citations to this article as recorded by
Optimal Management of Diabetic Kidney Disease Jae-Han Jeon The Journal of Korean Diabetes.2025; 26(1): 1. CrossRef
Impact of smoking on diabetes complications: a secondary analysis of the Korean National Health Insurance Service-health screening cohort (2002–2019) Seonmi Yeom, Youngran Yang Journal of Korean Academy of Nursing.2025; 55(2): 222. CrossRef
Development and Effectiveness of a Pattern Management Educational Program Using Continuous Glucose Monitoring for Type 2 Diabetic Patients in Korea: A Quasi-Experimental Study Seung-Yeon Kong, Mi-Kyoung Cho Healthcare.2024; 12(14): 1381. CrossRef
Consistency of 1-day and 3-day average dietary intake and the relationship of dietary intake with blood glucose, hbA1c, BMI, and lipids in patients with type 2 diabetes DaeEun Lee, Haejung Lee, Sangeun Lee, MinJin Lee, Ah Reum Khang Journal of Korean Biological Nursing Science.2023; 25(1): 20. CrossRef
Factors Associated with Diabetic Complication Index among Type 2 Diabetes Patients: Focusing on Regular Outpatient Follow-up and HbA1c Variability Haejung Lee, Gaeun Park, Ah Reum Khang Asian Nursing Research.2023; 17(5): 259. CrossRef
Development and Validation of Simultaneous Quantitative Dissolution Analysis for the Two Active Pharmaceutical Ingredients in Dapagliflozin
Propanediol Monohydrate-sitagliptin Phosphate Monohydrate Multi-layered Tablets Ji-Hye Shin, Joo-Eun Kim Current Pharmaceutical Analysis.2023; 19(10): 776. CrossRef
Factors related to undiagnosed diabetes in Korean adults: a secondary data analysis Bohyun Kim Journal of Korean Biological Nursing Science.2023; 25(4): 295. CrossRef
Inverse Association of the Adequacy and Balance Scores in the Modified Healthy Eating Index with Type 2 Diabetes in Women Hye-Jeong Yang, Min-Jung Kim, Haeng-Jeon Hur, Dai-Ja Jang, Byung-Kook Lee, Myung-Sunny Kim, Sunmin Park Nutrients.2023; 15(7): 1741. CrossRef
The Mediating Role of Acceptance Action and Self-Care in Diabetes Self-Stigma’s Impact on Type 2 Diabetes Quality of Life: A Cross-Sectional Study Kawoun Seo Behavioral Sciences.2023; 13(12): 993. CrossRef
Evaluating the effect of the COVID-19 pandemic on hypertension and diabetes care in South Korea: an interrupted time series analysis Boram Sim, Sunmi Kim, Eun Woo Nam BMC Public Health.2023;[Epub] CrossRef
Analysis of the Association between Metabolic Syndrome and Renal Function in Middle-Aged Patients with Diabetes Yoonjin Park, Su Jung Lee International Journal of Environmental Research and Public Health.2022; 19(18): 11832. CrossRef
Factors Related to the Occurrence and Number of Chronic Diabetic Complications in Patients with Type 2 Diabetes Mellitus: Utilizing The National Health Insurance Service-National Health Screening Cohort in Korea, 2002~2015 Haejung Lee, Misoon Lee, Gaeun Park, Ah Reum Khang Journal of Korean Gerontological Nursing.2022; 24(1): 22. CrossRef
The Development of Automated Personalized Self-Care (APSC) Program for Patients with Type 2 Diabetes Mellitus Gaeun Park, Haejung Lee, Ah Reum Khang Journal of Korean Academy of Nursing.2022; 52(5): 535. CrossRef
PURPOSE Delirium is a common symptom among heart surgery patients, and its prevalence is reported to range from 16.0~73.0%. As patients with delirium exhibit multiple negative prognoses, it is important to identify and prevent the risk factors for delirium. However, little research has been conducted to identify the prevalence of delirium and its risk factors among patients who have undergone heart surgery in Korea. Therefore, the aim of this study is to explore the prevalence of delirium and its risk factors in heart surgery patients in the Intensive Care Unit (ICU). METHODS This is a retrospective descriptive correlational study. From 623 patients who entered the ICU after heart surgery in a tertiary referral hospital from September 2016 to August 2017, 421 were selected for this study. Data were collected using electronic medical record. Delirium was evaluated using the Korean Nursing Delirium Screening Scale (Nu-DESC). RESULTS A total of 63 participants (15.0%) were diagnosed with delirium. Multivariate logistic regression analysis of the variables identified that complex surgery (Odds Ratio [OR]=7.24, 95% Confidence Interval [CI]= 2.80~18.74, p<.001), aortic aneurysm surgery (OR=3.30, 95% CI=1.40~7.77, p=.006), creatinine (OR=2.32, 95% CI=1.17~4.60, p=.016), and ICU length of stay (OR=1.72, 95% CI=1.48~1.99, p<.001) were associated with delirium after heart surgery. CONCLUSION The prevalence of delirium after heart surgery in Korean ICU patients is similar to that reported by the American Heart Association study. Type of surgery, lab data, ICU length of stay should be considered in the prevention and management of delirium in heart surgery patients in Korea.
Citations
Citations to this article as recorded by
Prevalence and risk factors of delirium of older adults after cardiac surgery at the intensive care unit: A retrospective study Jeong-Ok Ryu, Gwi-Ryung Son Hong Journal of Korean Gerontological Nursing.2024; 26(1): 113. CrossRef
Risk factors for postoperative delirium in patients with cardiac surgery Min-Song Kim, Sang-Hee Kim Science Progress.2024;[Epub] CrossRef
Investigation of Delirium Occurrence and Intervention Status in Intensive Care Unit at a Hospital and Perception of Delirium by Medical Staff Yi-Seul Kang, Soon-Hee Kim, Min-Jeoung Lee, Hyo-Jin Lee, Oak-Bun Lim, Sang-Bum Hong, Hye-Ran Choi Journal of Korean Critical Care Nursing.2023; 16(1): 71. CrossRef
Incidence and Risk Factors of Postoperative Recovery Room Delirium in Elderly Patients after Surgery under General Anesthesia Eunjung Choi, Ye-Eun Seo, Hyun-Sook Yoo, Dong Yeon Kim Korean Journal of Adult Nursing.2022; 34(2): 215. CrossRef
A Systematic Review and Meta-analysis on the Effect of Delirium Prevention Intervention in Korean Intensive Care Units Jiyeon Kang, Min Jeong Choi Journal of Korean Critical Care Nursing.2021; 14(3): 141. CrossRef
Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review Angela María Henao-Castaño, Laura Elizabeth Pachón Cetina, Juan David Monroy Rodríguez Aquichan.2020; 20(4): 1. CrossRef
PURPOSE This study was conducted to assess the prevalence rate of, and the risk factors for pressure ulcers in critical patients at the time of intensive care unit (ICU) admission. METHODS We reviewed the electronic medical records of 2,107 patients who were admitted to the intensive care units in D university hospital between January 1 and December 31, 2012. The collected date were analyzed by chi2-test, t-test, and multi-variate logistic regression with forward stepwise selection using the SPSS program version 21. RESULTS The prevalence rate of pressure ulcers at the ICU admission was 23.7%. Risk factors significantly affecting pressure ulcers carrying were the age of 80 years or older (OR=3.70, 95% CI: 1.80~7.60), body weight less than 50 kg (OR=2.82, 95% CI: 1.74~4.56), sedated consciousness (OR=6.10, 95% CI: 3.57~10.40), use of ventilator (OR=1.60, 95% CI: 1.02~2.49), use of vasopressors (OR=1.53, 95% CI: 1.09~2.14), ICU admission via operation room (OR=0.49, 95% CI: 0.29~0.85), and hospital admission from nursing homes (OR=13.65, 95% CI: 3.02~61.72). CONCLUSION The findings of this study suggested that the prevention efforts for pressure ulcers should be given in prior to ICU admission. Further research is necessary for developing nursing interventions for preventing pressure ulcers in the pre-ICU stage.
Citations
Citations to this article as recorded by
Factors aggravating the stage of pressure injury in dyspneic patients Jung Eun Hong, Mi-Ock Shim, Heejung Choi, Yeongju Been, Seungmi Park Journal of Tissue Viability.2025; 34(3): 100898. CrossRef
Aetiology, risk factors and treatment of typical and atypical pressure ulcers in patients with traumatic brain injury: A narrative review Mohammadreza Dehghani, Hossein Pourmontaseri International Wound Journal.2024;[Epub] CrossRef
The effect of support surface on the prevention of pressure injury in acute care settings: A multi-center prospective observational study Mi-Ock Shim, Chul-Gyu Kim, Ja Kyung Min, So Yeon Kwak, Hyunhee Ghil, Seungmi Park Journal of Tissue Viability.2024; 33(4): 652. CrossRef
Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha Korean Journal of Adult Nursing.2024; 36(3): 191. CrossRef
Evaluating the Knowledge Levels and Attitudes Regarding Pressure Injuries among Nurses in Turkey Seda Şahan, Sevil Güler Advances in Skin & Wound Care.2024; 37(9): 1. CrossRef
Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit Seung-yeon Lim, Young-min Jeong, So-young Jeong Journal of Acute Care Surgery.2023; 13(2): 47. CrossRef
Risk Factors Associated With Pressure Ulcers in Patients With Traumatic Brain Injury Admitted to the Intensive Care Unit Jeong Eun Yoon, Ok-Hee Cho Clinical Nursing Research.2022; 31(4): 648. CrossRef
Factors Associated with Pressure Injury Among Critically Ill Patients in a Coronary Care Unit Eunji Ko, Seunghye Choi Advances in Skin & Wound Care.2022; 35(10): 1. CrossRef
Differences in Associated Factors according to the Time of Occurrence of Pressure Ulcers in Intensive Care Unit Patients Mijung Lee, Eunjeoung Seo, Miok Kim, Jeongok Park, Seonmi Lee, Hyunkyung Shin, Ilsim Yun, Mina Cho, Youngcha Cho, Bomi Kang, Hyunmi Seo, Misoon Lee, Sira Lee, Hyejoo Jang, Hyunsuk Jung, Jeong-Ah Ahn Journal of Korean Critical Care Nursing.2021; 14(3): 26. CrossRef
The effect of uncoated paper application on skin moisture, risk of pressure injury and incidence of pressure injury in neurologic intensive care unit patients: A randomized controlled trial Yoo‐Hyung Choi, Sung Reul Kim International Journal of Nursing Practice.2021;[Epub] CrossRef
Risk Factors of Medical Device-Related Pressure Ulcer in Intensive Care Units MiJee Koo, YoungA Sim, InSoon Kang Journal of Korean Academy of Nursing.2019; 49(1): 36. CrossRef
Use of prophylactic silicone adhesive dressings for maintaining skin integrity in intensive care unit patients: A randomised controlled trial Yun J. Lee, Jung Y. Kim, Woo Y. Shin International Wound Journal.2019; 16(S1): 36. CrossRef
Medical device‐related pressure ulcer (MDRPU) in acute care hospitals and its perceived importance and prevention performance by clinical nurses Jung Yoon Kim, Yun Jin Lee International Wound Journal.2019; 16(S1): 51. CrossRef
Factors Predicting the Interface Pressure Related to Pressure Injury in Intensive Care Unit Patients Ji Seon Shine, Soo Jin Kim, Ji Hyun Lee, Mi Yu Journal of Korean Academy of Nursing.2017; 47(6): 794. CrossRef
PURPOSE The purpose of this study is to investigate the prevalence of metabolic syndrome and its components and to examine the related factors in urban and rural community, South Korea. METHODS The data from the 5th Korea National Health and Nutrition Examination Survey (KNHANES-V) conducted in 2010 were utilized in this study. The subjects were 5,760 adults 20 years or over. The data were consisted with health survey questionnaire and health examination. chi2-test and logistic regression was used for the analysis SAS 9.3 applying sampling weights. RESULTS The prevalence of metabolic syndrome based on the latest definition proposed the joint scientific meeting was 23.4% and 29.0% respectively in urban and rural community. Rural community showed higher prevalence of abdominal obesity (29.9% vs 38.5%), elevated blood pressure (31.3% vs 38.5%), elevated blood glucose (24.3% vs 28.4%) than urban community. The related factors were age, marital status, high risk drinking, obesity in urban community and age, marital status high risk drinking, severe physical activity, obesity in rural community. CONCLUSION This study showed there was difference in prevalence and the related factors of metabolic syndrome and these findings have important implications to prevent and manage metabolic syndrome in public health field.
Citations
Citations to this article as recorded by
Analysis of health behavior changes among residents in depopulation areas in Korea: a cross-sectional study based on Community Health Survey data from 2010 to 2019 Miyong Yon Korean Journal of Community Nutrition.2024; 29(4): 348. CrossRef
Factors Influencing Cardiovascular Disease Preventive Behaviors among Rural Residents Based on a Socio-Ecological Model in South Korea: A Mixed Method Research Bohyun Park, Juhyeon Yang, Youngsoo Kim, Gianpiero Greco Health & Social Care in the Community.2023; 2023: 1. CrossRef
Frequency of steamed food consumption and risk of metabolic syndrome in Korean females: data from Korean Genome and Epidemiology Study Young-Ran Heo, Jeong-Hwa Choi Journal of Nutrition and Health.2022; 55(2): 309. CrossRef
Visual Analysis of Regional Variations in Antidepressant Use and Suicide Rate Ho-Jung Kim, Iyn-Hyang Lee Korean Journal of Clinical Pharmacy.2018; 28(4): 308. CrossRef
The Effect of Community-based Health Intervention Program to Improve Metabolic Disease in Jeju Island Woo Jin Kim, Sang Hoon Kim, Shin Young Park The Korean Journal of Clinical Laboratory Science.2018; 50(3): 297. CrossRef
The Effects of Menopause on the Metabolic Syndrome in Korean Women SoYoun Bang, IlGu Cho Journal of the Korea Academia-Industrial cooperation Society.2015; 16(4): 2704. CrossRef
The Effects of Metabolic Syndrome on Quality of Life So Youn Bang Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 7034. CrossRef
PURPOSE The purpose of this study was to identify the prevalence and risk factors of sleep disturbance among community dwelling adults in Korea. METHODS Data were collected from nine hundred fifty nine adults dwelling in a metropolitan city in Korea. Subjects were older than 45 years, did not take medication for sleep problems on a regular basis, and did not work at night. The Pittsburgh Sleep Quality Index was used to collect data about sleep disturbance. Sociodemographic, life style, and health related factors were included as risk factors. Chi square test and logistic stepwise regression were used to identify the risk factors. RESULTS The prevalence of sleep disturbance was 13.1%. The significant risk factors were being female, age, number of toilet use at night, perceived health, and pain. Risk factors were somewhat different by gender. Emotional and job status were the risk factors only for men and menopausal status were for women. CONCLUSION Prevalence of sleep disturbance in community dwelling adults in Korea was not greater than those dwelling in other countries. Females, older adults, the number of toilet use at night, perceived health, and pain were the most important risk factors for sleep disturbances. Gender was a factor in reported sleep disturbances. It might be useful to investigate the factors that contribute to the number of toilet use at night as this might have some underlying factors that could be corrected.
PURPOSE The purposes of this study were to investigate the prevalence of insomnia and to compare sleep patterns, demographic characteristics, and obstacles for sleep between women with and without insomnia. METHODS This was a descriptive study. Study participants were 1,679 Korean women aged over 20 years. Information on symptoms of insomnia, sleep patterns, and related factors was assessed by questionnaire. Symptoms of insomnia included difficulties in initiating and maintaining sleep and early morning awakening. RESULTS This study found that 32.0% of the study participants had insomnia, subjects with insomnia had bad sleep patterns compared to comparison group, lower educational level and menopause were closely related to insomnia, and noise, temperature, lighting, presence of bed partner, intake of caffeine, frequent urination, and pain or itching were associated with insomnia. CONCLUSION This study suggests that insomnia is prevalent in women and closely associated with education level and menopausal status.
PURPOSE The purpose of this study was to assess the difference between prevalence and risk factors of the metabolic syndrome(MS) by gender in type2 diabetic patients. METHOD 108 participants(males 69, females 39) were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. MS was defined by a third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(Adult Treatment Panel lll)(ATP lll), and abdominal obesity was determined by Asia-Pacific criteria in waist circumference. RESULTS The prevalence of MS by definition of NCEP-ATPlll and the Asia-Pacific criteria in waist circumference was 39.3% in males and 66.7% in females type2 diabetic patients. The abdominal obesity prevalence was seen in 44.9% of males and in 79.5% of females patients. The prevalence of low HDL-cholesterolemia in serum was 26.2% in male, 52.8% in female type2 diabetic patients. CONCLUSION These results show that nurses should focus on female diabetic patients for preventing MS.
PURPOSE This study was performed to identify the prevalence and type of urinary incontinence (UI) after a stroke, to find the differences in urinary symptoms according to continence or incontinence, and to find the degree of impact of UI on daily life. METHOD For data collection, we had a structured interview with a questionnaire. The subjects were 239 post stroke patients. RESULTS Among the subjects(mean age: 65 +/- 10), 66.1 percent had an infarction, and 25.5 percent had a hemorrhage. And 26.4 percent of subjects were within 2 weeks and 28.9 percent from 1 year to 5 years since their episodes of a stroke. Forty five point six percent of subjects had various types of UI: urge 25.7 percent, stress 14.7 percent, functional 20.2 percent, and mixed 39.4 percent. There were significant differences in frequency, nocturia, decreased stream, and incomplete emptying between the incontinent and continent groups. Subjects reported UI influenced various aspect of daily life, 54.1 percent as cause of distress, 53.2 percent on overall quality of life, and 40.4 percent on sleep. The Mixed UI, including urge UI, had higher impact on daily life than others. CONCLUSION There was a high prevalence of UI, mixed, urge, and functional type as most prevalent, and it had a strong impact on daily life of post stroke patients.
E-SUBMISSION
First
Prev
