台北縣貢寮鄕糖尿病人疾病壓力與家庭支持之研究－初步報告

Illness-Related Stress and Family Support of Diabetic Patients in Kung-Liao Community a Preliminary Report

田玫(Mei Tyan) ； 季瑋珠(Wei-Chu Chie) ； 張智仁(Chih-Jen Chang) ； 張珏(Chueh Chang)

《中華民國公共衛生學會雜誌》 8卷3期 (1988/09) Pp. 150-160

https://doi.org/10.6288/JNPHARC1988-08-03-02

摘要

本研究以半結構式問卷，訪問了台北縣貢寮鄉收案管理的42位糖床病患者，探討了由於罹患糖尿病所造成的各項壓力、家庭關懷、及家庭對醫療照顧的參與。並以相關矩陣探討疾病壓力總分與各項可能相關因素的關係。結果發現最大的壓力依次爲「害怕併發症」、「要控制飲食」、「自己打針」、「不會斷根」、「症狀本身」、「定期就醫」，及「每天要吃藥（打針）」等“病人的家庭關懷指數都相當高，平均16.87±3.75。家庭參與以「定期就醫」爲最多，占75.0%，但與居家照顧比較密切相關的「服藥」只占35.0%，「飲食控制」只占42.5%。而疾病壓力總分與「飯前血糖」、「飯後血糖」，和「血紅素AIC(HbA1C)」均有顯著正相關。其中又以「血紅素A1C」爲最高。此外，「家庭參與」也與疾病壓力總分呈較弱（未達顯著意義）的正相關。

並列摘要

In this study, a semi-structured questionnaire interview with observation was performed on 42 diabetic patients in Kung-liao Community to detect their illness-related stress and family support in medical care. The most severe stress was ”fear of complications”, followed by ”diet control”, ”self-injection”, ”chronicity”, ”symptoms”, ”regular visits”, ”regular medication”, etc. The family APGAR Score was high. Family participation of medical care was limited on ”regular visits”, 75.0%, while in ”diet control” only 42.5%, ”medication” only 35.0%. The total score of illness-related stress was positively related to the disease control variables, especially HbA1C, and only weakly (non-significant) related to family participation.

並列關鍵字

diabetes mellitus ； illness-related stress ； family support