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題名：影響中老年糖尿病患者自我照顧行為之相關因子
書刊名：護理雜誌
作者：辜美安／李明和／張怡雅／黃志芳／陳尚志／葉月嬌
作者(外文)：Koo, Malcolm／Lee, Ming-ho／Chang, Yi-ya／Huang, Chin-fang／Chen, Shang-chi／Yeh, Yueh-chiao
出版日期：2011
卷期：58:5
頁次：頁43-52
主題關鍵詞：第二型糖尿病；自我照顧行為；生活型態；宗教信仰；Type 2 diabetes mellitus；Self-care behavior；Life-style；Religion
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:61
  • 點閱點閱:98
背景 : 糖尿病其患者維持良好的自我照顧行為，可延緩病程進展及減輕併發症的傷害。因此，有需要持續研究影響其自我照顧行為的因子，以降低醫療開支及減輕社會負擔。 目的 : 探討影響社區糖尿病個案自我照顧行為之相關因子。 方法 : 採用次級資料分析法，以參加嘉義縣梅山鄉複合式健康篩檢及成人健康檢查中，患有糖尿病個案之問卷調查為資料來源。所得資料以描述性統計及線性複迴歸分析影響自我照顧行為量表得分之獨立相關因子。 結果 : 符合研究對象篩選條件及完成調查的第二型糖尿病患者共 97人，平均年齡為 67.1歲，男性佔 37.1%。以線性複迴歸結果發現自我照顧行為較差者為最近半年有喝酒習慣（ p = .001）、最近半年有吸菸習慣（ p = .015）及有宗教信仰者（ p = .003）。 結論／實務應用 : 本研究結果有助於瞭解影響社區中老年糖尿病患者自我照顧行為之相關因素。建議醫療及衛教單位針對糖尿病患者加強提供戒菸及戒酒資訊，並積極瞭解患者的宗教信仰觀念是否與自我照顧行為有所抵觸。
Background: Adequate self-care behavior in diabetic individuals is essential to reduce the progress of the condition and reduce diabetes related complications. Continued research to understand the factors associated with self-care behaviors is needed in order to reduce health care costs and the social burdens associated with diabetes. Purpose: To investigate factors associated with self-care behaviors in individuals with diabetes in the community. Methods: Researchers used secondary data analysis to assess survey data on diabetic individuals obtained from the Community Integrated Screening conducted by the Meishan Township Public Health Center and adult health examinations. Descriptive statistics and multiple linear regression analyses evaluated the independent factors associated with self-care behaviors. Results: A total of ninety-seven individuals with Type 2 diabetes met the inclusion criteria. Mean age was 67.1 years and 37.1% was male. Results from multiple linear regression analysis indicated self-care behavior as poorer in individuals who drank alcohol during the past six months (p = .001), smoked cigarettes during the past six months (p = .015), and / or practiced religious or spiritual beliefs (p = .003). Conclusions / Implications for Practice: Findings from this study can help understand factors affecting self-care behaviors in individuals with diabetes in the community. Medical and public health units should focus on providing effective advice on smoking and drinking cessation to individuals with diabetes. Units should also clarify potential conflicts between individuals’ self-care behaviors and their religious or spiritual beliefs.
期刊論文
1.劉美吟、戴研光、洪薇雯、謝明家、王瑞霞(20100400)。第二型糖尿病個案情緒困擾、賦權感受、自我照顧行為與生活品質關係之探討。護理雜誌，57(2)，49-60。new window  延伸查詢new window
2.周碧瑟、董道興、李佳琳、莊紹源、林敬恆、楊南屏(20020400)。臺灣地區糖尿病流行病學。臺灣公共衛生雜誌，21(2)，83-96。new window  延伸查詢new window
3.陳滋茨、張媚、林豔君(19980200)。自我效能、社會支持與糖尿病病人居家自我照顧行為相關之探討。護理研究，6(1)，31-43。new window  延伸查詢new window
4.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。new window  延伸查詢new window
5.林怡璇、林珊如(20090600)。從老年人獲取資訊與通訊科技（ICT）技能的歷程探討數位落差。圖書資訊學研究，3(2)，75-102。new window  延伸查詢new window
其他
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3.王惠玲、江慧玲、莊峻鍠、蔡培癸Wang, H. L., Chiang, H. L., Juang, J. H., & Tsay, P. K.(2005)。糖尿病中老年患者生活品質及其相關因素之探討Quality of life and its related factors in middle-age and elder patients with diabetes mellitus。  延伸查詢new window
4.行政院衛生署國民健康局Bureau of Health Promotion, Department of Health, Taiwan, ROC.(2004)。糖尿病防治手冊（糖尿病預防、診斷與控制流程指引）Diabetes prevention booklet: Preventing, diagnosing and controlling diabetes。  延伸查詢new window
5.汪鳳葦Wang, F. W.(2003)。非胰島素依賴型糖尿病患者家庭支持、生活滿意度、自我照顧行為與糖尿病控制之研究Research of the relationships among non-insulin-dependent diabetes mellitus patients; family support, life satisfaction, self-care behavior and control of diabetes。  延伸查詢new window
6.周學智、葉淑娟、黃月妍、朱文洋Chou, H. C., Yeh, S. C. J., Huang, Y. Y., & Chu, W. Y.(2005)。長期血液透析病患調適方法之探討Coping methods among hemodialysis patients in Taiwan。  延伸查詢new window
7.黃美娟、林麗娟、洪志秀Huang, M. C., Lin, L. C., & Hung, C. H.(2008)。第二型糖尿病患自我照顧行為及其相關因素之探討Correlates of patients’ self-care behaviors with type 2 diabetes mellitus。  延伸查詢new window
8.辜美安、張怡雅、李明和、黃志芳、陳尚志、葉月嬌Koo, M., hang, Y. Y., Lee, M. H., Huang, C. F., Chen, S. C., & Yeh. Y. C.(2011)。中老年人使用輔助療法之相關因子Factors associated with the use of complementary and alternative medicine in middle-aged adults and elderly。  延伸查詢new window
9.陳敏麗、黃松元Chen, M. L., & Huang, S. Y.(2005)。某社區民眾糖尿病篩檢中血糖值與糖尿病高危險因子及健康促進生活型態之探討The relationship of blood glucose levels high risk factors and health promotion life style in a community diabetes screening program。  延伸查詢new window
10.賴美淑、邱淑媞Lai, M. S., & Chiou, S. T.(2002)。糖尿病共同照護之概念與內涵Concept and content of diabetes shared care。  延伸查詢new window
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