生活技能介入對提昇糖尿病病友知識、態度及自我管理成效之探討

A Study of the Effectiveness of Life Skills Interventions

邱鈴惠 ； 林麗鳳 ； 鄭惠娟 ； 李淑鈴 ； 王蕍苹 ； 黃景荺

《秀傳醫學雜誌》 10卷1&2期 (2011/06) Pp. 57-68

摘要

The purpose of this study was to explore practical life skills to enhance the effectiveness of diabetic patients’ knowledge, attitude, and self-management. A quasi-experimental research method was adopted and purposive sampling was conducted at the Department of Metabolism in a regional teaching hospital in Central Taiwan. Fifty-three samples fitting the criteria for selection of diabetic patients were collected, 25 of which were in the experimental group and 28 cases in the control group. The experimental group engaged in life skills related to health education activities for 100 minutes every two weeks. Each week, telephone interviews were conducted to track and record the subjects’ self-monitoring of blood sugar, exercise, and amount of staple food intake; the control group on the other hand were only given diabetes and national diabetes health education handbooks. Two questionnaire surveys were conducted: one before and one after the activity that lasted for 8 weeks. The results indicated the experimental group performed better than the control group in terms of knowledge, attitude, and behavior. Comparing the experimental group’s diabetes knowledge, attitude, and behavior before and after the activity, remarkable improvement was observed (knowledge p＜.001, attitude, p＜.001, self-monitoring of blood sugar (behavior) p＜.01, exercise p＜.001, identification of staple food p＜.001); the control group did not show any differences in these measurements. The summarized results show life skills intervention significantly enhanced diabetic patients’ knowledge, attitude, and self-heath management. This study is expected to be applied in clinical nursing care to enhance the quality of life of diabetic patients.

關鍵字

生活技能 ； 糖尿病 ； 自我管理 ； 成效 ； 類實驗研究設計

並列摘要

The purpose of this study was to explore practical life skills to enhance the effectiveness of diabetic patients’ knowledge, attitude, and self-management. A quasi-experimental research method was adopted and purposive sampling was conducted at the Department of Metabolism in a regional teaching hospital in Central Taiwan. Fifty-three samples fitting the criteria for selection of diabetic patients were collected, 25 of which were in the experimental group and 28 cases in the control group. The experimental group engaged in life skills related to health education activities for 100 minutes every two weeks. Each week, telephone interviews were conducted to track and record the subjects’ self-monitoring of blood sugar, exercise, and amount of staple food intake; the control group on the other hand were only given diabetes and national diabetes health education handbooks. Two questionnaire surveys were conducted: one before and one after the activity that lasted for 8 weeks. The results indicated the experimental group performed better than the control group in terms of knowledge, attitude, and behavior. Comparing the experimental group’s diabetes knowledge, attitude, and behavior before and after the activity, remarkable improvement was observed (knowledge p＜.001, attitude, p＜.001, self-monitoring of blood sugar (behavior) p＜.01, exercise p＜.001, identification of staple food p＜.001); the control group did not show any differences in these measurements. The summarized results show life skills intervention significantly enhanced diabetic patients’ knowledge, attitude, and self-heath management. This study is expected to be applied in clinical nursing care to enhance the quality of life of diabetic patients.

並列關鍵字

life skills, diabetes ； self-management ； effectiveness ； quasi-experimental