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題名:糖尿病足部潰瘍健康信念量表之發展與測試
書刊名:護理暨健康照護研究
作者:靳燕芬王婉璇楊翠雲黃子庭 引用關係
作者(外文):Chin, Yen-fanWang, Woan-shyuanYang, Tsui-yunHuang, Tzu-ting
出版日期:2012
卷期:8:4
頁次:頁269-277
主題關鍵詞:糖尿病足部潰瘍健康信念量表發展Diabetic foot ulcerHealth beliefScale development
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(0) 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:7
  • 點閱點閱:307
背景:足部潰瘍為糖尿病患者常見之併發症,且傷口癒合不良更可能造成截肢。因此,糖尿病足部潰瘍之防治相當重要。要瞭解糖尿病個案對於足部潰瘍之預防信念及行為,必須發展合適的測量工具。目的:本研究擬發展並測試糖尿病足部潰瘍健康信念量表。方法:於2010年3月至10月共有277位糖尿病併發週邊感覺神經病變患者接受糖尿病足部潰瘍健康信念量表以及糖尿病自我照顧行為量表之足部照護分量表之問卷訪談。結果:主成分因素分析本量表得到三個因素,支持研究者將量表分為「利益信念」、「障礙信念」、以及「威脅信念」三個分量表之構面。各分量表得分與糖尿病自我照顧行為量表之足部照護分量表得分顯著相關,具足部潰瘍住院病史者之各分量表得分與無足部潰瘍住院病史者得分有顯著差異。各分量表之內在一致性、二週後再測信度、以及測試者間一致性良好。結論/實務應用:糖尿病足部潰瘍健康信念量表具信效度,應可用於調查糖尿病患者對於足部潰瘍以及足部潰瘍預防行為之健康信念。
Background: Foot ulcers are a common complication of diabetes, and amputation is a frequent outcome in patients with diabetic foot ulcers (DFU) due to the diabetic-impaired wound healing process. Preventing and promptly treating DFU is thus of primary importance. An instrument is necessary to effectively assess the DFU health beliefs and related behaviors of diabetic patients.Purpose: The authors developed a new diabetic foot ulcer health belief scale (DFUHBS) and tested its psychometric properties.Methods: We recruited 277 diabetic patients with peripheral sensory neuropathy between March and October 2010. Participants completed DFUHBS interviews and the foot-care subscale of the summary of diabetes self-care activity (SDSCA) questionnaire. The DFUHBS comprised the three subscales of perceived threats, perceived benefits, and perceived barriers.Results: Principle components analysis supported the validity of the 3-factor structure. The three DFUHBS subscale scores correlated with SDSCA foot-care subscale scores. Foot ulcer admission history had a significant effect on participant DFUHBS subscale scores. The DFUHBS subscales had good internal consistency, inter-rater reliability, and test-retest reliability over a 2-week period.Conclusions / Implications for Practice: This study provides evidence for the validity and reliability of the three DFUHBS subscales. Clinicians may use this scale to survey the health beliefs of diabetic patients with regard to DFU and DFU preventive behaviors.
期刊論文
1.Bell, R. A.、Arcury, T. A.、Snively, B. M.、Smith, S. L.、Stafford, J. M.、Dohanish, R.、Quandt, S. A.(2005)。Diabetes foot self-care practices in a rural, triethnic population。The Diabetes Educator,31(1),75-83。  new window
2.林冠品(20041200)。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。臺灣公共衛生雜誌,23(6),479-486。new window  延伸查詢new window
3.王素玫、陳惠美(20070900)。糖尿病患下肢截肢相關因素之探討。長庚護理,18(3)=59,333-340。new window  延伸查詢new window
4.章淑娟、傅振宗(20041200)。花蓮縣糖尿病照護品質病患成果評估及其預測因子。慈濟護理雜誌,3(4),38-48。  延伸查詢new window
5.Becker, M. H.(1974)。The Health Belief Model and Personal Health Behavior。Health Education Monographs,2(4),324-508。  new window
6.American Diabetes Association(2004)。Preventive foot care in diabetes。Diabetes Care,27(1),63-64。  new window
7.Bakker, K.、Apelqvist, J.、Schaper, N. C.(2012)。Practical guidelines on the management and prevention of the diabetic foot 2011。Diabetes/Metabolism Research and Reviews,28(Suppl)1,225-231。  new window
8.Boulton, Andrew J. M.、Vileikyte, Loretta、Ragnarson-Tennvall, Gunnel、Apelqvist, Jan(2005)。The global burden of diabetic foot disease。The Lancet,366(9498),1719-1724。  new window
9.Li, Xiang、Xiao, Ting、Wang, Yuzhen、Gu, Hongbin、Liu, Zhiguo、Jiang, Yufeng、Liu, Yanjun、Lu, Zuqian、Yang, Xiaopin、Lan, Yin、Xu, Zhangrong(2011)。Incidence, risk factors for amputation among patients with diabetic foot ulcer in a Chinese tertiary hospital。Diabetes Research and Clinical Practice,93(1),26-30。  new window
學位論文
1.邱馨誼(2002)。社區第2型糖尿病患者之自我照顧行為與健康信念關係之研究(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.Waltz, C. F.、Strickland, O. L.、Lenz, E. R.(2005)。Measurement in nursing and health research。New York, NY:Springer Publishing Company。  new window
2.Tabachnick, Barbara G.、Fidell, Linda S.(2007)。Using multivariate statistics。Pearson/Allyn and Bacon。  new window
3.邱皓政(2006)。量化研究與計量分析:SPSS中文視窗版資料分析範例解析。五南。  延伸查詢new window
其他
1.Gonzalez, J. S., Vileikyte, L., Ulbrecht, J. S., Rubin., R. R., Garrow, A. P., Delgado, C., ... Peyrot, M.(2010)。Depression predicts first but not recurrent diabetic foot ulcers。  new window
2.Graziano, J. A., & Gross, C. R.(2009)。A randomized controlled trial of an automated telephone intervention to improve glycemic control in type 2 diabetes。  new window
3.Harvey, J. N., & Lawson, V. L.(2009)。The importance of health belief models in determining self-care behaviour in diabetes。  new window
4.Heitzman, J.(2010)。Foot care for patients with diabetes。  new window
5.Ince, P., Kendrick, D., Game, F., & Jeffcoate, W.(2007)。The association between baseline characteristics and the outcome of foot lesions in a UK population with diabetes。  new window
6.Kav, S., Akman, A ., Dogan, N., Tarakci,Z ., Bulut, Y ., & Hanoglu, Z.(2010)。Turkish validity and reliability of the summary of diabetes self-care activities measure for patients with type 2 diabetes mellitus。  new window
7.National Institute for Clinical Excellence(2004)。Type 2 diabetes: Prevention and management of foot problems。  new window
8.Pham, D. T., Fortin, F., & Thibaudeau, M. R(1996)。The role of the health belief model in amputees’ self-evaluation of adherence to diabetes self-care behaviors。  new window
9.Radford, K., Chipchase, S., & Jeffcoate, W.(2006)。Education in the management of the foot in diabetes。  new window
10.Ribu, L., Birkeland, K ., Hanestad, B. R., Moum, T ., & Roustoen, T.(2008)。A longitudinal study of patients with diabetes and foot ulcers and their health-related quality of life: Wound healing and quality-of-life changes。  new window
11.Sharp, A., & Clark, J.(2011)。Diabetes and its effects on wound healing。  new window
12.Toobert, D. J., Hampson, S. E ., & Glasgow, R. E.(2000)。The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale。  new window
13.Tseng, C. H.(2003)。Prevalence and risk factors of diabetic foot problems in Taiwan。  new window
14.Weinger, K., & Smaldone, A.(2006)。Psychosocial and educational implications of diabetic foot complications。  new window
圖書論文
1.Glanz, K.、Rimer, B. K.、Viswanat, K.(2008)。Theory, research, and practice in health behavior and health education。Health behavior and health education。San Francisco, CA:Jossey-Bass。  new window
2.Champion, V. L.、Skinner, C. S.(2008)。The health belief model。Health behavior and health education: Theory, research, and practice。San Francisco, CA:Jossey-Bass。  new window
 
 
 
 
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