第2型糖尿病病人自我照顧行為及其相關因素之研究--以台中市某診所病人為例

練淑靜(Shu-Jing Lian)

指導教授 ： 呂昌明

國立臺灣師範大學/教育學院/衛生教育學系在職進修碩士班/碩士(2007年)

摘要

本研究主要目的在於探討台中市某診所之第2型糖尿病病人的自我照顧行為及其相關因素之自我效能、社會支持、與治療團隊成員之互動程度 。收案時間自民國96年7月至96年10月止，以台中市某診所加入糖尿病共同照護且接受治療團隊衛教2次(含2次)以上的第2型糖尿病病人為研究對象， 以自填式問卷方式進行資料收集，共得有效樣本190人。所得資料以單因子變異數分析、皮爾森積差相關和複迴歸等方法進行分析，主要結果如下：
一、研究對象之自我照顧行為尚佳，其中以藥物自我照顧行為得分最高，自我監測血糖行為得分最低。
二、研究對象之自我效能強度尚佳，其中以藥物自我效能得分最高，自我監測血糖自我效能得分最低。
三、研究對象之社會支持程度尚可，其中以情緒性支持得分最高，實質性支持得分最低。
四、研究對象與治療團隊成員互動尚佳，其中與護理師互動最好。
五、在社會人口學特性及疾病狀況方面，年齡較大、已婚者、與家人同住、罹病時間較久、治療方式以注射胰島素者有較好的自我照顧行為。已婚、注射胰島素治療及有相關併發症者，其糖化血色素較低。
六、自我效能、社會支持、與治療團隊成員中護理師互動與自我照顧行為均呈正相關，且達顯著水準。其中自我效能中的飲食效能、運動效能、藥物效能與自我監測血糖效能與相因應的自我照顧行為皆有顯著性相關。
七、糖化血色素數值與自我照顧行為呈負相關，且達顯著水準。將自我照顧行為分為飲食行為、運動行為、藥物行為與自我監測血糖行為四項後，其中只有藥物行為與糖化血色素有顯著負相關。
八、自我照顧行為的最佳預測因子為自我效能。

關鍵字

第2型糖尿病 ； 自我照顧行為 ； 自我效能 ； 社會支持 ； 互動關係 ； 糖化血色素

並列摘要

The purpose of this study was to investigate the self-care behaviors and related factors among Type 2 diabetes patients. By using a purposeful sampling method, 190 adult diabetes patients who attend diabetes sharing care and accept more than two times of health education offer by the heath care providers team were selected to participate in this survey. The data was collected by a self-administrated questionnaire in a Taichung City clinic from July to Oct. 2007. One-way ANOVA, Pearson’s product-moment correlation and multiple regression were used to analyze the data.
The result indicated that：
1.The subjects’ self-care behaviors belonged moderate. In which, the highest score was medication and the lowest score was self-monitor blood glucose.
2.The subjects’ self-efficacy belonged moderate. In which, the highest score was medication and the lowest score was self-monitor blood glucose.
3.The subjects’ social support belonged moderate. In which, the highest score was emotional support and the lowest score was substantial support.
4.The subjects’ had interaction with their health care providers team belonged moderate, They had best interaction with the nurses.
5.Old age, married, lived with family, longer disease duration and use insulin treatment patients had better self-care behaviors. Married, use insulin treatment and with related complications patients had lower HbA1c level.
6.Self-efficacy, social support, interaction between diabetes patients and their health care providers team were significantly associated with self-care behaviors. Including specific items in self-efficacy were significantly correlated with corresponding items in self-care behaviors.
7.Glycosylated hemoglobin （HbA1c）level was negative significantly associated with self-care behaviors.
8.Self-efficacy was the strongest predictor of self-care behaviors.

並列關鍵字

Type 2 diabetes ； self-care behavior ； self-efficacy ； social support ； interaction ； glycosylated hemoglobin （HbA1c）

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