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  • 學位論文

自我調節方案對前期糖尿病者自我效能、生活型態與生理指標改變之成效

Effects of self-regulation protocol on the self-efficacy, lifestyle and physiologic measures changes of pre-diabetes

指導教授 : 林秋菊
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摘要


背景:前期糖尿病是糖尿病出現之前的先兆,假如未經適當改善或處置,將在數年之中慢慢惡化進展成真正的糖尿病。 目的:本研究旨在探討「自我調節方案」對前期糖尿病個案自我效能、生活型態與生理指標(空腹血糖、葡萄糖耐量測試、糖化血色素、身體質量指數、腰臀圍比值)之成效。 方法:研究採雙組前、後測之實驗設計;受試者來自南部某醫學中心員工與社區民眾。以抽籤方式隨機分配受試者至實驗組(n=16)與控制組(n=15)。實驗組接受為期四週,每週一次之「自我調節方案」介入;此介入方案係以自我調節理論為根基設計而成;此方案包括四次團體活動及每週兩次的電話追蹤。 結果:研究結果顯示「自我調節方案」介入後的第四週(後測一)與第十二週(後測二),實驗組在自我效能、生活型態與生理指標均顯著改善且優於控制組。 結論 /實務應用:實證數據結果支持,以自我調節理論為根基的教育方案,具有預防前期糖尿病者疾病進展之潛在功效。健康照護者可將之運用於臨床與社區中糖尿病高危險族群。也建議未來研究採用此介入方案施測於大規模樣本,確認其效應,並追蹤自我調節方案對前期糖尿病者之延宕效果。

並列摘要


Background:Pre-diabetes is an early warning sign for diabetes. It may progressively deteriorate and develop into frank diabetes within years if not improved or managed properly. Purpose:The purpose of this study was to explore the effects of a self-regulation protocol on the self-efficacy, lifestyle, and physiological parameters (fasting blood glucose, glucose tolerance test, glycated hemoglobin, body mass index, and waist to hip ratio) in patients with pre-diabetes. Methods:A two-group, pretest-posttest experimental design was used. Subjects recruited included employees of a medical center in southern Taiwan and community people and were randomly assigned to the experimental group (n = 16) or the control group (n = 15) by drawing lots. The experimental group received the intervention of a “self-regulation protocol” derived from self-regulation theory once per week for 4 weeks. This protocol included follow-up phone calls twice per week and four group activities. Results:Results indicated that the self-efficacy, lifestyle, and physiological parameters of the experimental group at the 4th (posttest 1) and 12th (posttest 2) weeks after the intervention of “self-regulation protocol” were significantly improved and better than those of the control group. Conclusions/ Implications for practice:This study provides evidence-based data to support the potential effects of a self-regulation theory based protocol in preventing disease progression in patients with pre-diabetes. Therefore, health care providers may apply it to patients at high risk of developing diabetes in clinical and community care. We also suggest that future studies apply this self-regulation intervention to a large sample size to confirm the effects and follow-up its delayed effects on patients with pre-diabetes.

參考文獻


鍾寶玲(2001).老年糖尿病患健康促進生活型態及相關因素之探討(未發表碩士論文).高雄醫學大學護理研究所。
魏米秀、呂昌明(2005).「健康促進生活型態中文簡式量表」之發展研究.衛生教育學報,24,25-46。
Anderson, E. S., Winett, R. A., & Wojcik, J. R. (2007). Self-regulation, self-efficacy, outcome expectations, and social support: Social cognitive theory and nutrition behavior Annals of Behavioral Medicine, 34(3), 304-312.
Anderson, E. S., Winett, R. A., & Wojcik, J. R. (2007). Self-regulation, self-efficacy, outcome expectations, and social support: social cognitive theory and nutrition behavior. Annals of Behavioral Medicine 34(3), 304-312.
American Diabetes Association, (2010). Diagnosis and classification of diabetes mellitus. Diabetes Care, 33(1), S62-S69.

被引用紀錄


尤翠徽(2015)。不同衛教方案對心臟衰竭病人疾病認知、自我照顧及生活品質之成效〔碩士論文,義守大學〕。華藝線上圖書館。https://doi.org/10.6343/ISU.2015.00213
楊伊蓉(2016)。運用健康信念模式探討糖尿病前期民眾之健康飲食行為和規律身體活動行為〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201610449

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