糖尿病人的健康素養是衛教師在衛教糖尿病病人常見的挑戰,其影響衛教的成效、自我管理進而可能影響疾病本身的控制,本研究旨在探究糖尿病患者之健康素養相關因素探討,其健康素養程度影響糖尿病指標及遵從率。研究目的有三,首先探討糖尿病病人健康素養程度及健康素養相關因素之探討,歸納研究結果,提出結論與建議供糖尿病衛教之參考,以達到提昇糖尿病人照護品質。 本研究針對某地區醫院門診個案管理中糖尿病病人為研究對象,針對門診衛教病歷紀錄中個案評估資料包括社會人口學特質 (性別、年齡、教育程度、BMI)、疾病史(罹病年數、家族史、治療方式)、學習經驗(衛教來源、參加病友支持團體)及健康素養程度(血糖管理、運動注意事項、足部照顧、血糖監測、糖尿病認識與照護、糖尿病生活管理、糖尿病計數知能七構面)與糖尿病指標(急性併發症、慢性併發症及糖化血色素、空腹血糖)、遵從率(服藥遵從率、糖化血色素遵從率)等變項,以SPSS 18.0中文版軟體進行敘述性及推論性統計資料分析。使用之研究方法包括敘述性統計分析(次數分配、平均數、標準差、百分比)、獨立樣本t檢定、變異數分析(ANOVA)分析。 結果顯示糖尿病人普遍健康素養偏低,分題之健康素養描述性分析中共有11題低於平均值,佔46%;探討其構面,以「足部照顧」得分最低(1.8分),顯示糖尿病人在足部照顧的健康素養多為差或非常差,最差的單題為「傷口的處理」,有97.6%的病人不知如何傷口處理的知識和技巧;有76.3%的糖尿病人不知自我檢查的重要性及方法,在臨床上為足為參考。構面較差的其次為「糖尿病計數知能」得分僅2.1分,尤以「胰島素的種類、外觀、效能及劑量」此項健康素養差者佔81.3%,顯示糖尿病人不知胰島素的知識及使用技巧。另血糖監測方面的得分為2.4分,有65%~66.3%的病人對於驗血糖的時間及次數及居家自我血糖監測方式的素養不足,此點實為堪慮,可為臨床衛教指引參考。
This study aims to investigate the health literacy of patients with diabetes-related factors. The research has three purposes, first to explore the related factors in diabetic patients the degree of health literacy and health literacy of, summarized the findings, conclusions and recommendations for diabetes care management reference. To join the "diabetes common care plan" out-patient cases Management of diabetes patients for a local hospital the object of study for out-patient health education medical records case assessment of capital data include basic information (gender, age, educational attainment), life patterns (BMI, drinking history, smoking history), morbidity status (number of years of morbidity, family history, history of related diseases, treatment (medication adherence, glycosylated hemoglobin rate of compliance) and the learning experience (education, experience, and to participate in the patient group to participate in activities of patients) and health literacy levels (blood glucose management, exercise precautions, foot care, blood glucose monitoring, diabetes awareness and care, diabetes life management, diabetes count knowledge of seven dimensions), to explore its impact, hoping Based on the results , analyzed and summarized to make a proposal to provide community-based hospital executive diabetes disease wei to teach management reference use to enhance the quality of diabetes patient care. In this study, SPSS 18.0 Chinese version of the software to conduct descriptive and inferential statistical data analysis. The research methods used include descriptive statistics (frequency distribution, mean, standard deviation, percentage), the chi-square test, independent sample t test, analysis of variance (ANOVA), Pearson correlation analysis.