- 期刊
- Ahead-of-Print
糖尿病遊民對疾病知識、社會支持與自我照顧行為之相關性
The Association between Disease Knowledge, Social Support and Self-Care Behaviors in Homeless People with Diabetes
摘要
目的：台灣極少糖尿病遊民健康議題，需剖析糖尿病遊民之疾病特性、知識、社會支持與自我照顧現況與差異性。方法：本研究採橫斷式相關研究，立意取樣於北市第2型糖尿病遊民共73位。SPSS 20.0統計軟體進行分析，以獨立樣本t檢定、單因子變異數分析遊民不同人口學特質在疾病知識、社會支持以及自我照顧之差異。結果：多數為男性（91.8％），平均年齡62.63歲，平均飯前血糖236.0mg/dl；平均糖化血色素9.87mg/dl。疾病知識答對率36.5％、醫療社會支持31.1％及執行自我照顧26.6％。有固定居所遊民其知識、社會支持和自我照顧優於無住所者。有居所、接受糖尿病衛教、規則測量血糖、有就醫意願、定期就醫及運動習慣者，其自我照顧行為較好（p＜.05）。結論：遊民之自我照顧明顯低於一般糖尿病病患，有固定居所、曾接受衛教等的遊民，其自我照顧較佳。研究結果提供醫護團隊未來照顧此類族群及未來在職教育訓練及照護依據，及提供關注遊民健康議題、照護糖尿病患者之醫護、社工等提供適切衛教照護參考。
並列摘要
Purpose: To discuss the rarely mentioned health issues of vagrants with diabetes in Taiwan, it is necessary to dissect the current status and differences of their disease characteristics, knowledge, social support, and self-care status. Methodology: This cross-sectional correlational study used purposive sampling to enroll a total of 73 vagrants with type 2 diabetes in Taipei City. It applied SPSS 20.0 statistical software to perform analysis, independent sample t-test, and one-way ANOVA to examine the differences in disease knowledge, social support, and self-care caused by different demographic characteristics of the vagrants. Results: Most participants were men (91.8%). The mean age, fasting blood glucose, and hemoglobin A1C were 62.63 years old, 236.0 mg/dl, and 9.87 mg/dl. Besides, the rate of answering questions about disease knowledge correctly was 36.5%, that of medical social support was 31.1%, and that of self-care implementation was 26.6%. Homeless people with a fixed residence exhibited superior knowledge, social support, and self-care behavior than did those without. Superior self-care behavior was also observed among those who lived in fixed residences, received health education, regularly tested their blood sugar, demonstrated the intention to seek medical support, and had regular medical treatment and exercise habits. Conclusion: The findings show that the self-care quality of vagrants is significantly lower than that of the general patients with diabetes, but the vagrants with a fixed residence who had received health education have better self-care quality. The research results provide a basis for medical and nursing teams to take care of such populations in the future and to receive in-service educational training, and implement a care program for them. Moreover, the results may also serve as a reference for medical and nursing personnel, social workers, and others who primarily focus on the health issues of vagrants and who take care of the patients with diabetes.