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  • 學位論文

「糖尿病支持團體」之第二型糖尿病患者自我照顧行為及其相關因素探討

Self -Care Behaviors and Related Factors of Type II Diabetes Patients Participating in the Diabetes Peer Support Groups.

指導教授 : 邱啟潤

摘要


背景:糖尿病為國人十大死因第五位,對國人健康威脅及醫療耗用影響甚鉅, 惟有良好的自我照顧行為才能有效控制疾病。而糖尿病共照網對疾病控制的成效有限,傳統的衛教不足以改變行為,故積極推動「糖尿病支持團體」的成立。 目的:探討「糖尿病支持團體」之第二型糖尿病患者的自我照顧行為及相關因素。 方法:採描述性、橫斷式相關研究,以方便取樣在中南部13家成立兩年以上 的「社區型糖尿病支持團體」為研究群體,並邀加入至少半年以上的第二型糖尿病患者為研究對象,有效樣本為144名。以糖尿病支持團體功能、糖尿病增能過程感受、糖尿病管理自我效能、糖尿病自我照顧行為等量表為研究工具,其信度為 .82- .92,量表皆具良好建構效度。 結果:研究結果顯示:(1) 支持團體之第二型糖尿病患者的自我照顧行為指標 分數為74.7;(2)所參加之支持團體的功能指標分數為81;對支持團體核 心幹部之增能過程感受的指標分數為82.6;第二型糖尿病患者之自我效 能指標分數為76.5;(3) 糖尿病支持團體之第二型糖尿病患者自我照顧 行為的重要預測因子,依序為「自我效能」、「支持團體功能」、「增 能過程感受」、「職業」、「加入支持團體年數」,共可解釋64%變 異量,其中自我效能可解釋48 %變異量,為第二型糖尿病患者自我照 顧行為最強的解釋因子;其次為支持團體功能,解釋9%變異量。 結論/實務應用: 自我效能、支持團體功能、增能過程感受可提升支持團體之 第二型糖尿病患者的自我照顧行為,是未來支持團體中專業人員/核心幹部可以繼續加強的部分,亦可做為健康政策推動的參考。

並列摘要


Background: As the fifth major cause of death in Taiwan, diabetes has posed a serious threat to the health of domestic people and the nation’s medical resources. Effective control of diabetes relies on self-care behavior of diabetic patients. As the effectiveness of the diabetes shared care network has been very limited, and traditional health education is not enough for changing the behavior of domestic people, many diabetes support groups have been formed. Objective: This study investigated factors affecting self-care behavior of type-2 diabetic patients in diabetes support groups. Method: A cross-sectional and descriptive study design was adopted. From diabetes support groups located in central and southern Taiwan, 13 groups that have been established for more than two years were selected by convenience sampling. The participants were 144 Type 2 diabetic patients who have been a member for more than six months of any of these 13 support groups. The instruments included Diabetes support groups Functions Scale, Chinese version of the Diabetes Empowerment Process scale, The Chinese version of Diabetes Management Self-Efficacy scale, and Diabetes Self-Care Scale. The reliability levels of these scales ranged between .82~ .92, indicating that all the scales were developed with good construct validity. Results: The main findings were as follows: (1) The diabetic patients in the support groups had a self-care behavior index score of 74.7; (2) The index score for the functions of their support groups was 81; the index score for the empowerment process by leaders in the support groups was 82.6; the patients had a self-efficacy index score of 76.5; (3) The main factors affecting the self-care behavior of type 2 diabetic patients in the support groups were III“self-efficacy”, “functions of Diabetes support group”, “perceptions of the empowerment process”, “occupation”, and “duration of participation in the support group”, all of which explained 64% variance in the self-care behavior of Type-2 diabetic patients. The variance explained by “self-efficacy” was 48%, making “self-efficacy” a dominant factor explaining the self-care behavior of diabetic patients. The variance explained by “functions of Diabetes support groups” was second largest, reaching 9%. Conclusion/Implications: The important predicting factors (self-efficacy, functions of Diabetes support group, perceptions of the empowerment process) of self-care behavior of type-2 diabetic patients in diabetes support groups can be used as a foundation to improve the self-care behavior of diabetic patients and as a reference for professionals, leaders of support groups, and health policy makers.

參考文獻


參考文獻
中文文獻
王秀紅(2000) •自我照顧的概念及其在國內護理研究應用之評析.
護理雜誌,47(2),64-70。
王璟璇(1997) •門診初診斷之非胰島素依賴型糖尿病患者的自我照顧行為、血糖控

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