- 期刊
高齡糖尿病病人自我管理及其相關因素研究
A Study of Self-management and Associated Factors among Older Patients with Diabetes
摘要
糖尿病是全球關注的議題之一，穩定的控制血糖，減少併發症的產生是需要糖尿病病人長期的自我管理。本研究旨在了解高齡糖尿病病人自我管理及其相關因素。採橫斷性、描述性研究設計，研究對象為北部某醫學中心新陳代謝科門診65歲以上之糖尿病病人，共計160位，以結構式問卷進行資料蒐集。研究工具包括社會人口學與疾病特性問卷、糖尿病自我管理量表、糖尿病情緒困擾量表、糖尿病社會支持量表。以描述性統計、t檢定、單因子變異數分析、皮爾森積差相關及多元迴歸等統計進行分析。結果顯示：糖尿病自我管理總分平均為28.81分（總分40分），情緒困擾總分平均為8.83分（總分80分），社會支持總分平均為43.88分（總分65分）。自覺健康狀況與糖尿病自我管理呈顯著中度正相關（r=.314, p<.001），情緒困擾與糖尿病自我管理呈低度負相關（r=-.172, p=.030）。高齡糖尿病自我管理的預測因子為自覺健康狀況，解釋變異量為9.3%。本研究結果可以提供臨床醫護人員參考，在照顧上除了著重血糖的控制及自我照護能力外，瞭解影響高齡糖尿病自我管理因素是非常重要的。
並列摘要
Diabetes is an important issue in the world. Diabetic patients need long term self-management for good blood sugar control and reduction of complication rate. The purpose of this study was to understand the self-management of older diabetic patients and associated factors. This was a cross-sectional, descriptive study design. Patients were enrolled from the metabolism department of a medical center in northern Taiwan, and we collected data by structural questionnaire. This study had a total of 160 diabetic patients over 65 years old. Research tools included social-demographics, disease characteristics, the Perceived Diabetes Self-Management Scale (PDSMS), Chinese Version of the Problem Areas in Diabetes Scale (PAID-C), and Diabetes Social Support Scale. Descriptive statistics, t-test, one-way analysis of variance, Pearson's product-moment correlation analysis, and multiple regression analysis were applied to conduct statistical analyses. The findings are as follows. The mean score of Diabetes self-management Scale was 28.81 points (total score 40 points); the Problem Areas in Diabetes Scale averaged 8.83 points (total score 80 points); and the mean Social Support Scale score was 43.88 points (total score 65 points). The correlation between self-perceived health status and diabetes self-management was significant moderately positive correlation (r = .314, p< .001). The correlation between diabetes-related distress and diabetes self-management also showed a significant low negative correlation (r = -.172, p = .030). The predictor of diabetes self-management is self-perceived health status, indicating that this result is predictive with an explained variation of 9.3%. The results of the study can provide reference for clinical medical staff that the care of diabetic patients should not only focus on blood sugar control and self-care ability. It is important to understand the factors that influence diabetes self-management in older patients with diabetes.