偏遠地區第2型糖尿病患者自我照顧行為及相關因素之探討

Self-care behaviors and related factors of type 2 diabetes patients in remote region

許曉萍(Hsiao-Ping Hsu)

指導教授 ： 金繼春

高雄醫學大學/護理學院/護理學系研究所/碩士(2010年)

摘要

本研究目的在於瞭解偏遠地區第2型糖尿病患者自我照顧行為及
相關因素之探討。採立意取樣，收案時間自民國98年07月01日至98年11月15日止，以問卷填寫及訪談，對台南縣某鄉群體醫療門診之第2型糖尿病患者進行資料收集，共取得200份有效問卷。問卷內容包括：個人與疾病特性、社會支持、自我效能及自我照顧行為等量表。量表經信度及效度檢定，包括內在一致性、再測信度、專家效度。研究資料以百分比、平均值、標準差、獨立樣本t檢定、單因子變異數分析、皮爾森積差相關與逐步複迴歸分析。
研究結果發現：（一）個案自我照顧行為總量表的平均得分為72.84分，標準化分數為56.03分，其中以運動自我照顧行為得分最高、足部照護行為得分最低。（二）研究對象之社會支持程度平均得分為41.73分，標準化分數為64.15分，其中以情緒性支持得分最高、訊息性支持得分最低。（三）研究對象之自我效能總量表的平均得分為96.05分，標準化分數為73.88分，其中以足部照護自我效能得分最高、運動照護自我效能得分最低。（四）教育程度為總自我照顧質與其各次量表之重要解釋因子，可分別單獨解釋17.5%-29.1%之總變異量。

關鍵字

第2糖尿病 ； 自我照顧行為 ； 社會支持 ； 偏遠地區

並列摘要

Abstract
The purpose of this study was to understand Self-care behaviors and related factors of type 2 diabetes patients in remote region. Data were
collected by purposeful sampling method in a Tainan County certain
country community medical treatment out-patient service from July 01,2009 to November 15, 2009. A total of 200 subjects were collected by questionnaire
and interview.
A constructed questionnaire was established with relevant scales, including demographic data, disease characters, social support, self-efficacy and self-care behavior. The reliability and validity of the questionnaire were evaluated for internal consistency, test-retest reliability, and content validity. Data analysis was performed by using percentage, mean, standard deviation, independent t-test, one-way ANOVA, Pearson’s correlation, and stepwise multiple regression analysis. The results indicated: (1) The standarized score of the self-care behaviors was 56.03. In which, the highest score was behavior of exercise and the lowest score was behavior of foot care. (2) The standarized score of the social support was 64.15. In which, the highest score was emotional support and the lowest score was information support. (3) The standarized score of the self-efficacy was 73.88. In which, the highest score was behavior of foot care and the lowest score was behavior of exercise.（4）Level of education was the most important explanatory factor for the total and each domains of Self-care behaviors and accounted for 17.5%-29.1% of the total amount of variance.

並列關鍵字

type 2 diabetes ； Self-care behaviors ； social support ； remote region

參考文獻

參考文獻:

中文:

王璟璇、王瑞霞、林秋菊(1998)．門診診斷初期非胰島素依賴型糖尿患

者的自我照顧行為及其相關因素之探討．護理雜誌，45(2)，60-73。

王惠玲、江慧玲、莊峻鍠、蔡培癸（2005）．糖尿病中老年患者生活品