糖尿病患者出院期間素質因素與使能因素之評估及轉介結果之初步探討

A Study of Predisposing and Enabling Factors among Diabetes Mellitus Patients during Discharging Periods and Inspecting the Results of Referrals

陳滋茨(Z. T. Chen) ； 蕭淑貞(S. J. Shiau) ； 張媚(M. Chang)

《護理研究》 3卷3期 (1995/09) Pp. 267-277

https://doi.org/10.7081/NR.199509.0267

摘要

本研究的目的在探討出院期間糖尿病的素質因素及使能因素，在病人出院時進行轉介，並追蹤轉介結果。樣本來自某醫學中心近日內將出院之糖尿病患者共50名，采橫斷式調查研究法，問卷調查期間自82年12月1日起至83年7月31日止。
結果發現：(1)研究物件罹患糖尿病至今超過六年以上者共占66%，八成的人患有其他慢性病，68%的人是初次住院，六成的人有親友罹患糖尿病。(2)全部物件都曾接受有關糖尿病的衛生教育，九成以上的人最近的一次的經驗是在本次住院時，護士與營養師是最主要的教導著。(3)糖尿病知識的答對率為80%：血糖控制的答對率最低，自我照顧及糖尿病相關因素的答對率次之，糖尿病的症狀與低血糖認知及其處理、有關合併症的認知答對率最高。(4)近八成的個案被轉介至當地衛生所，八成的轉介被接受，地段護士能在一周內訪到個案者僅占四成，訪視結果，六成以上的個案被收案。(5)大多數的醫護人員均能支援轉介服務，記載糖尿病人需要的轉介單，能引導地段護士繼續追蹤服務的方向。

關鍵字

繼續性照護 ； 轉介 ； 素質因素 ； 使能因素

並列摘要

The purposes of this study were to investigate the predisposing and enabling factors of diabetes mellitus (DM) patients during discharing periods and inspecting the results of referrals. A total of 50 DM patients who met the sampling criteria were interviewed by way of a questionnaire. The crosssectional survey method was used and the survey period was from Dec.1, 1993 to July 31, 1994.
The findings were as follows: (1) Subjects of the study showed that 66% had DM over 6 years, 80% had other kinds of chronic diseases, 68% were the first-time inpatients, 60% had relatives who had DM. (2) All the subjects obtained health education about DM over 90% of them had recent experiences when hospitalized this time; nurses and nutritionists played a major role as instructors. (3) The rate of correct answers about DM knowledge was 80%. (4) Almost 80% of the subjects were referred to district health centers; 80% of those referrals were visited by the centers; over 60% of the cases were accepted for further management; oney 40% of those visits were done by public health nurses within one week. (5) Most of the doctors and nurses made referrals; the referral sheets written about patients’ health needs did help public health nurses in continuity care.

並列關鍵字

continuity of care referral ； predisposing factors ； enabling factors