透過您的圖書館登入
IP:34.201.173.244
  • 學位論文

影響第二型糖尿病患糖尿病足自我照顧行為的相關因素探討

The related factors affecting self-care behaviors of diabetic foot in patients with type 2 diabetic mellitus

指導教授 : 郭青萍

摘要


糖尿病足患者常受苦於傷口重複感染而反覆入院,而造成糖尿病患足部潰瘍之影響因素為多層面的。研究指出糖尿病患者的足部自我照護行為能預防足部潰瘍的發生或惡化,而健康信念對其健康行為有顯著影響。所以本研究針對第二型糖尿病人之人口學因素、疾病特徵及糖尿病足潰瘍健康信念與糖尿病足自我照護行為之間的關係進行探討,期待能提供臨床護理糖尿病足患者時,進行衛教指導時之參考。研究採立意取樣,於中部某區域教學醫院內科病房及糖尿病個管中心進行收案。以結構性問卷收集個案基本資料(人口學及疾病特徵)、糖尿病足部潰瘍健康信念及糖尿病足部自我照顧行為資料。共收集98份完整問卷,並以SPSS 20.0版進行資料分析。結果顯示與家人同住、糖尿病足潰瘍利益及障礙信念越高者,可預測其糖尿病足自我照顧行為越好且其行為頻率越高;而利益信念越高者,其糖尿病足部自我照顧行為的每周執行天數越多。另外,較易被忽略的糖尿病足部自我照顧行為為傷口檢視,因此臨床實務上應定期評估病患足部周邊神經與血管病理變化,並讓病患瞭解足部狀況,同時於衛教教材當中,設計加強患者的利益信念、疾病自覺以及障礙信念等元素,藉此強化其自我照顧行為的動機及執行頻率。而從是否與家人同住是個重要預測變項可知,獨居的個案也是未來值得重視的族群。

並列摘要


Patients with diabetic foot often suffer from repeated infection of the wound and repeated admission, but factors causing diabetic foot ulcers are multifaceted. Studies have shown that foot self-care in diabetic patients can prevent the occurrence or deterioration of foot ulcers, and health beliefs have a significant impact on their health behavior. The purpose of this study was to explore the relationship between the demographic factors, the characteristics of the disease and diabetic foot ulcer health beliefs and diabetes foot self-care behaviors of type II diabetes population, when look forward to providing clinical care in patients with diabetic foots the references of health education. Using purposive sampling, 98 subjects were recruited from the medical ward and diabetes case management center of the teaching hospital in Taichung. Structured questionnaires included the basic data sheets (demographic and disease characteristics), Diabetic Foot ulcer Health Belief Scale, and Diabetes Foot Self-Care Behavior Scale to collect data. Data were analyzed by SPSS 20.0 software The results show that living with family, in Diabetic Foot ulcer Health Belief having higher benefit and barrier belief, can predict the better self-care behavior of diabetic foot and the higher frequency of their behavior, and the higher benefit belief can predict the more number of days per week to perform diabetic foot self-care behaviors. In addition, the more easily neglected diabetic foot self-care behavior is wound view, so that we should be regularly assessed the patient foot peripheral nerve and vascular pathological changes during clinical practice, and allow patients to understand the foot condition. While in designing the health education materials, to increase the elements of patients’ benefit beliefs, disease awareness and barriers beliefs, in order to strengthen their self-care behavior motivation and frequency of implementation. And live with their families is an important predictor, so that live alone cases were also worthy of attention study group in the future.

參考文獻


陳美芳(2011)。賦權教育介入方案對第2型糖尿病個案之成效探討。高雄醫學大學護理學研究所,1-324:。
樓美玲、李怡娟、葉明珍、張彩秀(2004)。社區非胰島素依賴型糖尿病患者家庭功能與自我照顧行為。長期照護雜誌, 8(2),195-212。
趙海倫、郝立智、陳宇平(2011)。糖尿病患之身體意象, 健康信念與健康行爲相關因素之探討。醫護科技期刊, 13(2),63-75。
靳燕芬、王婉璇、楊翠雲、黃子庭 (2012)。 糖尿病足部潰瘍健康信念量表之發展與測試,護理暨健康照護研究,8, 269-277。
蔡奉宏、陳清惠、顏妙芬、唐福瑩(2006)。第二型糖尿病患足部潰瘍之相關因素探討。實證護理,2,137-146。

延伸閱讀