自我照顧行為、自我效能和社會支持對初期非胰島素依賴型糖尿病患者血糖控制之影響

Self-Care Behaviors, Self-Efficacy, and Social Support Effect on the Glycemic Control of Patients Newly Diagnosed with Non-Insulin-Dependent Diabetes Mellitus

王璟璇(Jing-Shiuan Wang) ； 王瑞霞(Ruey-Hsia Wang) ； 林秋菊(Chiu-Chu Lin)

《The Kaohsiung Journal of Medical Sciences》 14卷12期 (1998/12) Pp. 807-815

https://doi.org/10.6452/KJMS.199812.0807

摘要

本研究目的乃在探討門診診斷初期非胰島素依賴型糖尿病患者的血糖控制情形及其影響因素。在高雄地區某一醫學中心內科門診，以立意取樣的方式針燇130位糖尿病患進行資料的收集。研究結果發現：(1)個案的糖化血色素平均值為7.12%，血糖控制有63.1%屬於控制尚可至良好的情形。(2)男性的糖化血色素值明顯較女性為低，無宗教信仰者的糖化血色素值明顯較有宗教信仰者為低。(3)自我照顧行為、自我效能、社會支持均與糖化血色素值呈顯著負相關。(4)宗教信仰、自我照顧行為為糖化血色素值的顯著預測因子，解釋變異為10.9%。根據本研究結果，可作為早期糖尿病衛生教育介入的重要參考。

並列摘要

The purpose of this study was to explore the glycemic control and influencing factors in outpatients newly diagnosed with non-insulin-depen-dent diabetes mellitus (NIDDM). By purposeful sampling, data were collected from 130 outpatients with NIDDM at one medical center in Kaohsiung. The results indicated: (1) the mean value for HbA1C was 7.12%; and 63.1% of the patients belonged to moderate to well controlled group; (2) male patient’s HbA1C value was significantly lower than female patient’s; patients with no religious belief also had a lower HbA1C value than patients with a religious background; (3) there were strongly negative correlations between self-care behaviors, social support, and selfefficacy and HbA1C; (4) using a multiple stepwise regression analysis, religious belief and self-care behaviors were found to explain 10.9% variance of HbA1C level. The results of this study could be used as a reference for diabetes health education program.

並列關鍵字

non-insulin-dependent diabetes mellitus ； glycemic control