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外文摘要
引文資料
題名:
The Effects of Self-Efficacy and Self-Perceived Health Status on Glycemic Control and the Use of Adult Preventive Health Examinations
書刊名:
品質學報
作者:
張美燕
/
呂筑韻
/
黃瓊玉
/
江純瑛
作者(外文):
Chang, Mei-yen
/
Lu, Chu-yun
/
Huang, Chiung-yu
/
Chiang, Chun-ying
出版日期:
2015
卷期:
22:1
頁次:
頁3-14
主題關鍵詞:
自我效能
;
自覺健康
;
血糖控制
;
健康篩檢
;
Self-efficacy
;
Perceived health status
;
Diabetic management
;
Preventive health examination
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:0
點閱:3
糖尿病是慢性疾病的一種,除了需要長期的控制,也需要固定執行健康篩檢了解健康情形,減少合併症。目的:本研究目的旨在探討糖尿病個案基本特性、自我效能、自覺健康對於血糖控制與健康篩檢的相關情形。方法:本研究採橫斷性相關分析,從南部某教學醫院的門診糖尿病個案收案131名。問卷分為三個部分:基本資料、健康行為自我效能量表、及自我健康評量表,以統計軟體SPSS17.0來進行描述性統計分析與羅吉式迴歸分析(logisticregression)。結果:受訪者平均齡65歲(標準差11.3歲);男性68人(51.9%);教育程度以國(初)中(含以下)為主,58人(44.3%);已婚者102人(77.9%);有子女者122人(93.1%)。受訪者經醫師診斷有糖尿病時間0.5至40年,平均9.8年(標準差7.7年),三個月平均血糖(HbA1C)平均為8.08%,其中血糖控制正常HbA1C小於7%以下者有39人(29.8%)。利用羅吉式迴歸檢視個案基本資料、健康行為自我效能、與自覺健康對血糖控制的關係。自覺健康狀態好,增加血糖控制正常的勝算比1.14倍(OR = 1.14, p = 0.033)。利用羅吉式迴歸檢視個案基本資料、健康行為自我效能、自覺健康、與血糖控制對健康篩檢的關係。結果顯示僅年齡與糖化血色素(HbA_1C)對健康篩檢使用有顯著關係,OR分別為1.07倍(p=0.002)與0.77倍(p=0.04)。討論與貢獻:糖尿病患者的血糖控制情形多數不良,應推廣健康篩檢的使用促進了解其健康狀態。
以文找文
Diabetes mellitus (DM) is a type of chronic disease that requires lifelong self-care management. Regular health examinations or monitoring (i.e., adult preventive health examinations) are recommended for improving health awareness and preventing complications. Objectives: The purpose of the present study was to examine the relationship between participants’ characteristics, self-efficacy, self-perceived health status and glycemic control and the use of adult preventive health examinations. Methods: A cross-sectional, correlational design was used. A total of 131 participants with type 2 diabetes mellitus (T2DM) were recruited from a teaching hospital in southern Taiwan. Data including demographic information, the Self-Rated Abilities for Health Practices Scale (SRAHP), the Self-Perceptions of Health Scale (SPHS), glycemic control and the use of adult preventive health examinations, were collected. Descriptive statistics, bivariate analyses, and logistic regression were performed using SPSS 17.0. Results: The average age of participants was 65 years old (standard deviation, SD = 11.3), 68 were male (51.9%), and the majority graduated from junior high school or less (n = 58, 44.3%), were married (n = 112, 77.9%), and reported having children (n = 122, 93.1%). The average duration of diabetes was 9.8 years (SD = 7.7, range 0.5 ~ 40). The average value of HbA1C was 8.08% (SD = 1.80, range 5.6 ~ 15.8), in which 39 participants (29.8%) demonstrated effective glycemic control (HbA1C < 7%). A logistic regression model showed that only self-perceived health status was a significant predictor of effective glycemic control (odds ratio, OR = 1.14, p < 0.05). A final logistic regression model showed that age (OR = 1.07, p < 0.05) and HbA1C values (OR = 0.77, p < 0.05) were significant predictors of having adult health preventiveexaminations. Discussion and conclusion: Regular preventive health examinations should be encouraged in people with T2DM to raise awareness regarding their health conditions.
以文找文
期刊論文
1.
Cherrington, A.、Wallston, K. A.、Rothman, R. L.(2010)。Exploring the relationship between diabetes self-efficacy, depressive symptoms, and glycemic control among men and women with type 2 diabetes。Journal of Behavioral Medicine,33(1),81-89。
2.
Chiu, C. J.、Wray, L. A.(2011)。Gender differences in functional limitations in adults living with type 2 diabetes: biobehavioral and psychosocial mediators。Annals of Behavioral Medicine,41(1),71-82。
3.
Gao, J.、Wang, J.、Zheng, P.、Haardörfer, R.、Kegler, M. C.、Zhu, Y.、Fu, H.(2013)。Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes。BMC Family Practice,14,66。
4.
Huang, C.-L.、Chen, S.-F.、Tang, S.-M.、Tai, Y.-K.(2006)。Effects of different diabetes education programs on knowledge, attitude, practice glycemic control in type 2 diabetic patients。Formosa Journal of Healthcare,2(1),28-35。
5.
Huang, C.-W.、Huang, K.-C.、Yang, W.-S.(2010)。Clinical practice recommendation of diabetes treatment from American Diabetes Association 2010。Family Medicine & Primary Medical Care,25(8),298-304。
6.
Li, J.-C.、Fu, C.-C.、Wu, D.-A.(2006)。Diagnosis and treatment of diabetes mellitus。Tzu Chi Medical Journal,18(Suppl. 1),1-9。
7.
Lin, S.-C.(2010)。New strategies of diabetes treatment。Taiwan Medical Journal,53(9),458-465。
8.
Shi, Q.、Ostwald, S. K.、Wang, S.(2010)。Improving glycaemic control self-efficacy and glycaemic control behaviour in Chinese patients with type 2 diabetes mellitus: randomized controlled trial。Journal of Clinical Nursing,19(3/4),398-404。
9.
Stewart, A. L.、Hays, R. D.、Ware, J. E., Jr.(1988)。The MOS short-form general health survey. Reliability and validity in a patient population。Medical Care,26(7),724-735。
10.
Wang, C. M.、Inouye, J.、Davis, J.、Wang, C. Y.(2013)。Diabetes knowledge and self-management effects on physiological outcomes in type 2 diabetes。Nursing Forum,48(4),240-247。
11.
吳立偉、江昇達、高東煒、陳韋良、王鐘慶、周稚傑、高森永、羅慶徽(20101200)。以全民健保資料回溯性分析臺灣糖尿病患者之心血管合併症。臺灣家庭醫學雜誌,20(4),168-180。
延伸查詢
12.
Wu, S.-F.、Li, Y.-C.、Chang, J.-R.、Courtnery, M.、Chang, Y.-L.(2007)。The application of selfefficacy counseling skills to health education in patients with diabetes。The Journal of Nursing,54(1),70-77。
13.
Xu, Y.、Toobert, D.、Savage, C.、Pan, W.、Whitmer, K.(2008)。Factors influencing diabetes selfmanagement in Chinese people with type 2 diabetes。Research in Nursing & Health,31(6),613-625。
14.
American Diabetes Association(2010)。Standards of medical care in diabetes--2010。Diabetes Care,33(Suppl. 1),S11-S61。
15.
李尹暘、林麗娟(20080600)。醫病信任、結果預期及自我效能於糖尿病患自我照顧應用。北市醫學雜誌,5(3),304-319。
延伸查詢
16.
羅旭宜、李選(20061200)。更年期婦女症狀困擾與健康行為自我效能之研究。中山醫學雜誌,17(2),153-168。
延伸查詢
17.
Becker, H.、Stuifbergen, A.、Oh, H. S.、Hall, S.(1993)。Self-Rated Abilities for Health Practices : A health self-efficacy measure。Health Values,17(5),42-50。
18.
Liu, M. Y.、Tai, Y. K.、Hung, W. W.、Hsieh, M. C.、Wang, R. H.(2010)。Relationships between emotional distress, empowerment perception and self-care behavior and quality of life in patients with Type 2 diabetes。The Journal of Nursing,57(2),49-60。
學位論文
1.
李春香(2007)。社區老人日常生活功能、自覺健康狀態、憂鬱狀態與自殺意念之相關性探討(碩士論文)。輔英科技大學,高雄。
延伸查詢
圖書
1.
Health Promotion Administration Ministry of Health & Welfare(2007)。2007 Follow-Up Survey of the Prevalence of High Blood Pressure, Hyperglycemia, High Blood Lipid。Taipei, Taiwan:Health Promotion Administration, Ministry of Health & Welfare。
其他
1.
Ministry of Health & Welfare。Cause of death statistics,http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=2747, 2013/11。
2.
National Health Insurance Administration, Ministry of Health and Welfare。To understand the meaning of adult prevention health examination,http://health99.hpa.gov.tw/educZone/edu_detail.aspx?Catid=21689, 2013/11。
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