金門地區糖尿病個案行為遵從與相關影響因素研究

目的：糖尿病為全球重視的健康議題，台灣於2002年全面推動「糖尿病共同照護計畫」，期望能提升糖尿病照護品質。糖尿病病人之自我照顧行為對於預防併發症的產生，提升糖尿病人生活品質非常重要，本研究係分析金門地區糖尿病個案之糖尿病行為遵從分布情形與影響因素。方法：採用橫斷性研究法，以2020年01月至12月於金門縣某衛生所參加糖尿病共同照護網病人為研究樣本，共300人，利用結構型問卷進行訪談，以獨立樣本t檢定、單因子變異數分析以及線性複迴歸分析進行資料之推論性統計分析。結果：有效樣本數為215份，研究樣本糖尿病行為遵從得分平均值為29.27±6.10分，教育程度、是否罹患高血壓、高血脂與每週運動次數為影響糖尿病個案之糖尿病行為遵從得分之重要因素。相較於國小以下之研究對象，教育程度為國中樣本之迴歸係數估計值（B）值分別為2.977（95％CI＝0.581～5.373），未罹患高血壓及高血脂者與僅罹患高血壓者，相較於兩者均罹患之個案，（B）值分別為3.897（95％CI＝1.751～6.043）及2.536（95％CI＝0.430～4.642），每週運動次數≧3次／週，相較於無運動習慣個案，（B）值為4.923（95％信賴區間為2.440～7.406）。結論：建議針對高齡者、教育程度較低民眾加強有關糖尿病自我照顧相關宣導，並強化有關高血壓、高血糖、高血脂之合併症與自我照顧方案之設計與推廣，以提升社區民眾慢性病預防與健康促進相關知能。

關鍵字

糖尿病共同照護網；糖尿病自我照顧行為；金門

並列摘要

Purposes: The aims of this study were to analyze the distribution and correlated factors of Adherence to Self-Care Behaviors of the Diabetes Cases in Kinmen. Methods: A cross-sectional research was performed in one health station of Kinmen County. We recruited 300 cases who joined the Diabetes Shared Care Network from Jan to Dec 2000 as study sample. A self-administered constructed questionnaire was employed to gather the study data, the independent samples t-test, ANOVA and multiple regression analysis were conducted for inferential statistical analysis. Results: The effective sample size is 215, results exhibited the mean scores of adherence to self-care behaviors of diabetes among the study sample are 29.27±6.10. People whose educational level are 7-9 years have significantly higher scores of adherence to self-care behaviors compared with cases are ≦6 years, the estimated regression coefficients is 2.977 (95% CI=0.581~5.373). Compared to the patients with hypertension and hyperlipidemia, the higher scores of adherence to self-care behaviors are found in people without the above diseases (B = 4.184, 95% C.I. = 1.963~6.405), or just with hypertension (B = 2.862, 95% C.I. = 0.680~5.044). The sample with taking exercise ≧3 times per week were significantly higher than those whose not exercising regularly, the estimated regression coefficients (B=4.923, 95% CI=2.440~7.406). Conclusions: It is important to design the effective propagation programs of self-care of the diabetes for the elders or low educational level, to enhance the knowledge of deterrence for complication of three-hypers and strengthen the ability for health promotion and chronic disease prevention of the general public.

並列關鍵字

Diabetes Shared Care Network ； Diabetes Self-Care Behavior ； Kinmen

主題瀏覽