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題名:
與公衛護士互動關係感受、疾病知識、疾病態度與糖尿病自我照顧行為的關係
書刊名:
臺灣公共衛生雜誌
作者:
林冠品
作者(外文):
Lin, Kuan-pin
出版日期:
2004
卷期:
23:6
頁次:
頁479-486
主題關鍵詞:
非胰島素依賴型糖尿病
;
自我照顧行為
;
互動關係感受
;
知識
;
態度
;
Non-insulin-dependent diabetes mellitus
;
NIDDM
;
Self-care behaviors
;
Perception of interaction
;
Knowledge
;
Attitude
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
6
) 博士論文(
1
) 專書(0) 專書論文(0)
排除自我引用:
5
共同引用:
20
點閱:93
目標:本研究目的為探討社區非胰島素依賴型糖尿病個案對與公衛護士互動關係感受、疾病知識和態度與自我照顧行為的相關性。方法:本研究為橫斷式研究設計,以高雄市八區衛生所列管之非胰島素依賴型糖尿病個案為對象,共計收取有效樣本143人,並利用結構式問卷收集資料,包括自我照顧行為量表、對與公衛護士互動關係感受量表、糖尿病知識量表、糖尿病態度量表。結果:個案自我照顧行為標準化得分為62.37,其中以飲食自我照顧行為得分最高,而足部護理自我照顧行為得分最低;對與公衛護士互動關係感受、疾病知識、疾病態度均與自我照顧行為呈現正相關;對與公衛護士互動關係感受、疾病知識是自我照顧行為的重要預測因子,總解釋變異量有29.00%。結論:由研究結果建議公衛護士應與管理的糖尿病個案建立良好互動關係,尤其應該鼓勵個案參與疾病的決定控制,並賦權給個案做決定,同時增強個案相關的疾病知識,以促進個案自我照顧計劃的執行和改善自我照顧行為。
以文找文
Objectives: The purpose of this study was to understand the relationships among perceptions of interactions with public health nurses (PHNs), knowledge of disease, attitude toward disease, and self-care behaviors among patients with non-insulin-dependent diabetes mellitus (NIDDM). Methods: A cross-sectional study was conducted among 143 community-based NIDDM cases that were cared for by PHNs from eight public health centers in Kaohsiung City, Taiwan. The structured questionnaire included a diabetes self-care scale, perception of interactions with PHNs scale, knowledge of DM scale, and attitude toward DM scale. Results: The results showed that the standardized score for overall self-care behaviors was 62.37. According to each subscale, the diet self-care scale had the highest standardized score, while the foot self-care scale had the lowest standardized score. The perception of interaction with PHNs, knowledge of disease, and attitude toward disease were all significantly positively correlated with self-care behaviors. The perception of interaction with PHNs and knowledge of disease were important predictors of self-care behaviors, and explained 29% of the total variance. Conclusions: According to the findings, PHNs should maintain good interactions with diabetes cases, especially encouraging clients to participate in control over their decisions. PHNs should empower clients to increase decision-making and reinforce the related disease knowledge of clients, so that the clients will comply with self-care plans and improve their overall self-care behaviors.
以文找文
期刊論文
1.
Falk-Rafael, A. R.(2001)。Empowerment as a process of evolving consciousness: A model of empowered caring。Advances in Nursing Science,24(1),1-16。
2.
Szasz, T. S.、Hollender, M. H.(1956)。A contribution to the philosophy of medicine: the basic model of the doctor--patient relationship。AMA Archives of Internal Medicine,97(5),585-592。
3.
Anderson, R. M.、Funnell, M. M.、Butler, P. M.、Arnold, M. S.、Fitzgerald, J. T.、Feste, C. C.(1995)。Patient empowerment: Results of a randomized controlled trial。Diabetes Care,18(7),943-949。
4.
張峰紫、邱啟潤、辛錫璋、蔡瑞雄(19910900)。糖尿病患者的家庭支持與其認知、態度、遵從行為及糖化血色素控制之研究。護理雜誌,38(3),59-69。
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5.
王璟璇、王瑞霞、林秋菊(19980400)。門診診斷初期非胰島素依賴型糖尿病患者的自我照顧行為及其相關因素之探討。護理雜誌,45(2),60-74。
延伸查詢
6.
Ruggiero, L.、Glasgow, R.、Dryfoos, J. M.(1997)。Diabetes Self-Management: Self-Reported Recommendations and Patterns in a Large Population。Diabetes Care,20,568-576。
7.
Bohny, B. J.(1997)。A Time for Self-Care: Role of the Home Healthcare Nurse。Home Healthcare Nurse,15,281-286。
8.
Mazzuca, S. A.、Weinberger, M.、Kurpius, D. J.、Froehle, T. C.、Heister, M.(1983)。Clinician Communication Associated with Diabetes Patients' Comprehension of Their Therapeutic Regimen。Diabetes Care,6,347-350。
9.
Paterson, B.(2001)。Myth of Empowerment in Chronic Illness。J Adv Nurs,34,574-581。
10.
Ciechanowski, P. S.、Katon, W. J.、Russo, J. E.、Walker, E. A.(2001)。The Patient-Provider Relationship: Attachment Theory and Adherence to Treatment in Diabetes。The American Journal of Psychiatry,158,29-35。
11.
Kyngas, H.、Hentinen, M.、Barlow, J. H.(1998)。Adolescents' Perceptions of Physicians, Nurses, Parents and Friends: Help or Hindrance in Compliance with Diabetes Self-Care?。J Adv Nurs,27,760-769。
12.
Street, R.、Piziak, V.、Carpentier, W.、Herzog, J.、Hejl, J.(1993)。Provider-Patient Communication and Metabolic Control。Diabetes Care,16,714-721。
13.
Thorne, S. E.(1990)。Constructive Noncompliance in Chronic Illness。Holistic Nurse Practice,5(1),62-69。
14.
Bear, M.、Bowers, C.(1998)。Using a Nursing Framework to Measure Client Satisfaction at a Nurse-Managed Clinic。Public Health Nurs,15,50-59。
15.
Anderson, L. A.(1990)。Health-Care Communication and Selected Psychosocial Correlates of Adherence in Diabetes Management。Diabetes Care,13(Suppl 2),66-76。
16.
Hanson, C. L.、Henggeler, S. W.、Burghen, G. A.(1987)。Model of Associations Between Psychosocial Variables and Health-Outcome Measures of Adolescents with IDDM。Diabetes Care,10,752-758。
17.
Peveler, R. C.、Davies, B. A.、Mayou, R. A.(1993)。Self Care Behavior and Blood Glucose Control in Young Adults with Type I Diabetes Mellitus。Diabet Med,10,179-185。
18.
Anderson, R. M.、Fitzgerald, J. T.、Oh, M. S.(1993)。The Relationship Between Diabetes-Related Attitudes and Patients' Self-Reported Adherence。Diabetes Educator,19,287-292。
19.
Cerkoney, K. A.、Hart, L. K.(1980)。The Relationship Between the Health Belief Model and Compliance of Person with Diabetes Mellitus。Diabetes Care,3,594-598。
20.
Hentinen, M.、Kyngas, H.(1996)。Diabetes Adolescents' Compliance with Health Regiments and Associated Factors。Int J Nurs Studies,33,325-337。
21.
Polly, R. K.(1992)。Diabetes Health Beliefs, Self-Care Behaviors, and Glycemic Control Among Older Adults with NIDDM。Diabetes Educator,18,321-327。
22.
Heszen-Klemens, I.、Kapinska, A.(1984)。Doctor-Patient Interaction: Patients' Health Behavior and Effects of Treatment。Soc Sci Med,19,9-18。
23.
Cox, C. L.(1982)。An Interaction Model of Client Health Behavior: Theoretical Prescription for Nursing。American Nuclear Society,5,41-56。
24.
Howorka, K.、Pumpral, J.、Wagner-Nosiska, D.、Grillmayr, H.、Schlusche, C.、Schabmann, A.(2000)。Empowering Diabetes Out-Patients with Structured Education: Short-Term and Long-Term Effects of Functional Insulin Treatment on Perceived Control Over Diabetes。J Psychosom,48,37-44。
25.
Williams, G. C.、Freedman, Z. R.、Deci, E. L.(1998)。Supporting Autonomy to Motivate Patients with Diabetes for Glucose Control。Diabetes Care,21,1644-1651。
學位論文
1.
蔡玲君(1996)。糖尿病患者之疾病不確定感及其影響因素之研究,高雄。
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