以社區導向的基層照護模式提供社區糖尿病友團體整合性服務之前驅性研究

Effectiveness of Integration Service by Applying community-oriented Primary Care to Diabetic Patient Group in Community

胡怡芬(Yi-Fen Hu) ； 李文宏(Wen-Hung Lee) ； 陳珮蓉(Pei-Jung Chen) ； 戴芳楟(Fang-Ting Tai) ； 林為森(Weir-Sen Lin)

《秀傳醫學雜誌》 9卷1&2期 (2009/06) Pp. 9-19

摘要

OBJECTIVE-The purpose of the research was to evaluate the effectiveness of community-oriented primary care for diabetic patients by building a social support system and a healthy lifestyle.
RESEARCH DESIGN AND METHODS-The research sample enrolled 18 patients with type 2 diabetes, from one community in Southern Taiwan. Data was collected from August 2007 to October 2007 and the effectiveness was re-evaluated 6 months later. The intervention model was based on social support theory, application of diabetes self-management and development of situated learning in an educational health program, where it contained three components: organizing health care communities volunteers, organizing diabetic patient groups and integrating these resources by a medical professional team. Data collection included patient's demographic, physical examination, cognition in diabetes, self-management behavior and satisfaction in the education program.
RESULTS-After completing such a program, the score of accuracy in healthcare cognition was raised from 15.2 to 19 points (total score 20 points; p＜0.05). The average score of self- management behavior went from 3.0 to 3.8 points (total score 4 points; p＜0.05).
CONCLUSIONS-Application of community-oriented primary care, intervention of a medical professional team and cooperation of health care community volunteers provide a 'professional' and 'accessible' health service to diabetic patients in the community. Social support groups and situated learning programs let diabetic patients clearly realize the educational subject and actually can apply it to their lives. Our study verified the effectiveness of this intervention program.

關鍵字

社區導向基層照護模式 ； 糖尿病 ； 自我管理

並列摘要

OBJECTIVE-The purpose of the research was to evaluate the effectiveness of community-oriented primary care for diabetic patients by building a social support system and a healthy lifestyle.
RESEARCH DESIGN AND METHODS-The research sample enrolled 18 patients with type 2 diabetes, from one community in Southern Taiwan. Data was collected from August 2007 to October 2007 and the effectiveness was re-evaluated 6 months later. The intervention model was based on social support theory, application of diabetes self-management and development of situated learning in an educational health program, where it contained three components: organizing health care communities volunteers, organizing diabetic patient groups and integrating these resources by a medical professional team. Data collection included patient's demographic, physical examination, cognition in diabetes, self-management behavior and satisfaction in the education program.
RESULTS-After completing such a program, the score of accuracy in healthcare cognition was raised from 15.2 to 19 points (total score 20 points; p＜0.05). The average score of self- management behavior went from 3.0 to 3.8 points (total score 4 points; p＜0.05).
CONCLUSIONS-Application of community-oriented primary care, intervention of a medical professional team and cooperation of health care community volunteers provide a 'professional' and 'accessible' health service to diabetic patients in the community. Social support groups and situated learning programs let diabetic patients clearly realize the educational subject and actually can apply it to their lives. Our study verified the effectiveness of this intervention program.

並列關鍵字

community-oriented primary care ； Diabetes Mellitus ； Self-management