社區非胰島素依賴型糖尿病患者家庭功能與自我照顧行為

Family Function and Self Management of the NIDDM Patients in the Community

樓美玲(Mei-Ling Lou) ； 李怡娟(I-Chuan Li) ； 葉明珍(Ming-Chen Yeh) ； 張彩秀(Tsai-Shiu Chang)

《長期照護雜誌》 8卷2期 (2004/06) Pp. 195-212

https://doi.org/10.6317/LTC.200406_8(2).0008

摘要

本研究以台北市北投區衛生所「家戶健康管理卡」中60位非胰島素依賴型糖尿病患為研究對象，目為解患者在社區中自我照顧行為之情形及其相關因素。以結構問卷採家庭訪談方式收集資料，研究結果發現，患者自我照顧行為位居中等程度、家庭功能屬中等程度以上。不同家庭型態在飲食、藥物與血糖監測及高、低血糖的預防與處理等自我照顧行為有顯著差異。罹病年數與藥物及血監測、足部自我照顧行為呈顯著正相關。不同治療方式在藥物與血糖監測自我照顧行為上有顯著差異。整體家庭功能與自我照顧行為呈顯著正相關。在家庭功能中之溝通、情感、角色、夫妻、健康照顧、獨立依賴等功能，皆與自我照顧行為呈顯著正相關。整體的家庭功能則可解釋自我照顧行為變異量的24.6%，顯示研究對象之家庭功能對其自我照顧行為，具有重要影響力。根據以上結果，本研究分別針對政策的制定、護理應用、醫療服務及社會大眾等方面，提出建議事項。

關鍵字

非胰島素依賴型糖尿病 ； 家庭功能 ； 自我照顧行為

並列摘要

The aim of this study is to analyze the self management of the NIDDM patients in the community and its related factors. We surveyed sixty patients with “Family’s Health Management Card” from Peitau Health Center. All Data were collected through home-visit questionnaire. The findings show that self management among these patients is in middle-range degree while family function ranges above middle-range degree. Different family types show significant differences in diets, medications, blood glucose monitoring and the prevention of hyperglycemia. The sick years shows significant positive correlation with medications, blood glucose monitoring and foot care. Different treatments show significant differences in medications and blood glucose monitoring. Family functions such as communication, affection, role, couple relationship, modes of health care and degree of dependence shows positive correlation with self management. Family function as a whole explained 24.6% variances of diabetes patients’ self management. Based on the above findings, the study offers some suggestions for policy-making, nursing application, medical system and public service in the community.

並列關鍵字

Non-Insulin-Dependent Diabetes Mellitus (NIDDM) ； family function ； self management