第二型糖尿病年長患者居家自我照顧及相關因素探討

Investigation of Self-Care and Related Factors for Senior Patients With Type II Diabetes

趙櫻花(Ying-Hua Chao) ； 黃冠婷(Guan-Ting Huang) ； 吳長岳(Zhang-Yue Wu) ； 張依旻(Yi-Min Chang) ； 鍾巧婷(Chiao-Ting Chung) ； 謝清心(Hsin-Hsien Ching)

《健康與建築雜誌》 3卷1期 (2016/02) Pp. 59-68

https://doi.org/10.6299/JHA.2015.3.1.R8.59

摘要

背景：糖尿病造成病人身心的衝擊及影響生活品質，也構成醫療照護上的沈重負擔。目的：探討人口學特性、罹病狀況、醫療資源對於第二型糖尿病年長患者於居家自我照護的影響。方法：橫斷式研究，隨機抽樣取自北台灣社區第二型糖尿病年長者，共計92人。問卷內容包含基本資料、糖尿病自我照顧活動量表兩部分。結果：糖尿病自我照顧各項得分以足部的護理平均得分最高（5.83），其次是自我照護活動為2.71；年齡與自我照顧活動、自我照顧建議、遵從藥物使用皆有顯著差異(p＜.05)；職業、婚姻狀況、籍貫、與誰同住、收入與足部護理有顯著差異(p ＜.05)；有無糖尿病合併症、足部合併症、其他合併症與自我照護活動及與自我照顧建議有顯著差異(p ＜0.05)。衛教時間與自我照護活動有顯著差異；治療方式與自我照顧建議有顯著差異；曾接受糖尿病衛教、衛教時間與藥物使用及足部護理有顯著差異(p＜.05)。結論/實務應用：糖尿病患者良好自我照顧活動，如飲食控制、規律運動、減重、血糖自我監測及藥物治療，確實能穩定血糖，維持生活品質。

關鍵字

第二型糖尿病 ； 年長者 ； 居家自我照護

並列摘要

Background: Diabetes causes physical and psychological impact on the patient and affects the quality of life, but also a heavy burden on health care. Purposes: To investigate the demographic characteristics, diseased condition, medical resources for senior patients with type II diabetes self-care at home. Methods: a cross - sectional study was used, random samples taken from a community in northern Taiwan’s seniors with type II diabetes, totaling 92 people. The questionnaire contains basic information and Summary of Diabetes Self-Care Activity Questionnaire (SDSCA) in two parts. Results: Diabetes self-care in the score with the highest average score of foot care (5.83), followed by selfcare activities 2.71; age and self-care activities, self-care recommendations, compliance with drug use had significant difference ( p ＜.05); occupation, marital status, place of origin, and who lives with the subject, income and foot care have significant differences ( p ＜.05); the presence or absence of diabetes complications, foot complications, other complications with self-care and self-care activities and recommendations there was a significant difference ( p ＜.05).Health education and self-care activities in time have significant differences; there are significant differences between treatment and self-care recommendations; diabetes had received health education, health teaching time have significant differences ( p ＜.05) with drug use and pedicure. Conclusions: good diabetes self-care activities, such as diet, regular exercise, weight loss, blood glucose selfmonitoring and drug therapy, can indeed stabilize blood sugar, maintain quality of life.

並列關鍵字

type II diabetes ； senior ； self-care activity