- 期刊
影響群醫門診糖尿病病患疾病認知的因素
An Assessment of Factors That Influence Disease Cognition of Diabetic Patients at GPCs
摘要
群體醫療執業中心設置基層保健站推展居家護理工作，其目的在透過全貴公共衛生護士之努力，為婦幼衛生及中老年高危險群人口提供適當之服務，並增進服務對象健康認知及行為。本研究以三個月時間調查八里、三星、頭城三所群聲中心之糖尿病患者129人，分析其病患健康信念與疾病認知之關係，居家護理衛教對病人疾病認知之影響，居家護理對病人健康信念之影響及定期就醫之健康行為受健康信念因素影響情形。結果發現，居家照顧對糖尿病病人之疾病認知有助益，但對健康信念、及定期就醫之行為無顯著影響；而影響糖尿病病患疾病認知之獨立因素為病患年齡、教育年限、行為利益、行動線索及是否接受居家照顧；影響病患定期就醫之因素為行動利益及行動障礙。本調查顯示居家照護對於病患的疾病認知有幫忙，可以增加病人疾病相關問題之主動發問，但對其疾病可能導致併發症之嚴重性及定期就醫對其疾病之好處仍應加強宣導。另外，本研究亦將健康信念模式之理論架構做部份的調整。
關鍵字
無資料並列摘要
Group Practice Centers (GPCs) and Primary Health Care Units were set up by the government in 1983 to promote maternal and child health and care for older high-risk individuals in rural areas, with provision for full-duty home care nurses. It was supposed that these full-duty nurses would promote patient health cognition and behavior. This study was designed to detect its actual effectiveness for diabetic patients in increasing their disease cognition and to earn whether factors of personal demographic data and health belief models also play a role in disease cognition. We herein collected 129 cases from three GPCs during three consecutive months and analyzed the data using stepwise regression procedures. Results indicate that a patient's disease cognition is significantly related to their personal demographic data (age, educational level), action cues, benefits of action, and the receiving of home care services. Nevertheless, perceived barriers, perceived severity, disease duration, and a patient's presenting health behaviors were not significantly related to disease cognition. Regular clinical follow-up of patients was found to be influenced by benefits of action and perceived barriers of action. In the analysis of the contribution of home care service to a patint's health belief model, no relationship was found; however, it was noted that people cared for by home care services more actively asked questions about their diseases. We suggect some changes in the way home care and patient education are carried out, in order to promote their effectiveness. We also recommend from this study modifications in the theoretic structures of Rosenstock's health belief model.