Diabetes Self-Care Behaviors and Disease Control in Support Group Attenders and Nonattenders

參加與未參加糖尿病支持團體糖友的自我照顧行為與疾病控制

邱啟潤(Chii-Jun Chiou)

《The Journal of Nursing Research》 22卷4期 (2014/12) Pp. 231-241

https://doi.org/10.1097/jnr.0000000000000053

摘要

背景　糖尿病的盛行率與死亡率皆在逐年增加中，若控制不佳會帶來洗腎、截肢、心臟病、中風、視網膜病變、血管病變等併發症，對個人、家庭、國家的影響甚鉅。目的　比較有無參加糖尿病支持團體之糖友，其糖尿病的自我照顧行為與疾病控制。方法　本研究利用具信、效度的問卷進行橫斷性調查，由全國已成立兩年之糖尿病支持團體名冊進行隨機抽樣，請團體之輔導員收集該機構「參加」與「未參加」糖尿病支持團體糖友的問卷。實際可配合的團體共10家，回收糖友有效問卷於「參加」支持團體有147位，「未參加」支持團體有93位。結果　「參加」與「未參加」支持團體糖友的年齡、教育程度、罹病年數等變項皆無顯著差異，兩組是可比較的同質性團體。在「參加」支持團體糖友之自我照顧行為、疾病控制分數與糖尿病護照使用比率，皆高於「未參加」支持團體的糖友，兩組皆具統計上顯著差異。結論／實務應用　「參加」糖尿病支持團體糖友，較「未參加」者之糖尿病自我照顧行為和疾病控制是較理想的，建議政府應積極推動糖尿病支持團體的政策。

關鍵字

糖尿病支持團體 ； 自我照顧行為 ； 疾病控制

並列摘要

Background: The prevalence rate and mortality rate of diabetes continue to increase annually. Complications associated with poor control of diabetes include renal dialysis, amputation, heart disease, stroke, retinopathy, and vascular disease, all of which have an impact at the individual, family, and national level. Purpose: This study compares diabetes self-care behavior and disease control efficacy between attenders and nonattenders of a diabetes support group. Methods: We used a questionnaire with good validity and reliability to conduct a cross-sectional survey. Diabetes support groups have been established throughout Taiwan for around 2 years. Participants for this study were recruited randomly from a register of support group participants. Support group instructors were asked to collect questionnaires from those attending and not attending their support groups. Ten groups volunteered to participate in this study. We received 147 valid questionnaires from participants attending support groups (attenders) and 93 questionnaires from participants who did not (nonattenders). Results: There were no statistically significant differences between support group attenders and nonattenders in terms of age, educational level, or time since diagnosis of diabetes. Thus, we assumed these two groups as adequately similar to conduct statistical comparisons. Scores for diabetes self-care behavior, disease control, and use of the diabetes passport were all significantly higher among support group attenders than their nonattender peers. Conclusions/Implications for Practice: Results indicate that people attending diabetes support groups are more likely to have better self-care behavior and disease control than nonattenders. Therefore, we suggest that the government actively promote policies supportive of diabetes support groups.

並列關鍵字

diabetes support groups ； self-care behavior ； disease control

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