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題名:第二型糖尿病年長患者居家自我照顧及相關因素探討
書刊名:健康與建築雜誌
作者:趙櫻花黃冠婷吳長岳張依旻鍾巧婷謝清心
作者(外文):Chao, Ying-huaHuang, Guan-tingWu, Zhang-yueChang, Yi-minChung, Chiao-tingChing, Hsin-hsien
出版日期:2016
卷期:3:1
頁次:頁59-68
主題關鍵詞:第二型糖尿病年長者居家自我照護Type II diabetesSeniorSelf-care activity
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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背景:糖尿病造成病人身心的衝擊及影響生活品質,也構成醫療照護上的沈重負擔。目的:探討人口學特性、罹病狀況、醫療資源對於第二型糖尿病年長患者於居家自我照護的影響。方法:橫斷式研究,隨機抽樣取自北台灣社區第二型糖尿病年長者,共計92人。問卷內容包含基本資料、糖尿病自我照顧活動量表兩部分。結果:糖尿病自我照顧各項得分以足部的護理平均得分最高(5.83),其次是自我照護活動為2.71;年齡與自我照顧活動、自我照顧建議、遵從藥物使用皆有顯著差異(p<.05);職業、婚姻狀況、籍貫、與誰同住、收入與足部護理有顯著差異(p <.05);有無糖尿病合併症、足部合併症、其他合併症與自我照護活動及與自我照顧建議有顯著差異(p <0.05)。衛教時間與自我照護活動有顯著差異;治療方式與自我照顧建議有顯著差異;曾接受糖尿病衛教、衛教時間與藥物使用及足部護理有顯著差異(p<.05)。結論/實務應用:糖尿病患者良好自我照顧活動,如飲食控制、規律運動、減重、血糖自我監測及藥物治療,確實能穩定血糖,維持生活品質。
Background: Diabetes causes physical and psychological impact on the patient and affects the quality of life, but also a heavy burden on health care. Purposes: To investigate the demographic characteristics, diseased condition, medical resources for senior patients with type II diabetes self-care at home. Methods: a cross - sectional study was used, random samples taken from a community in northern Taiwan’s seniors with type II diabetes, totaling 92 people. The questionnaire contains basic information and Summary of Diabetes Self-Care Activity Questionnaire (SDSCA) in two parts. Results: Diabetes self-care in the score with the highest average score of foot care (5.83), followed by selfcare activities 2.71; age and self-care activities, self-care recommendations, compliance with drug use had significant difference ( p <.05); occupation, marital status, place of origin, and who lives with the subject, income and foot care have significant differences ( p <.05); the presence or absence of diabetes complications, foot complications, other complications with self-care and self-care activities and recommendations there was a significant difference ( p <.05).Health education and self-care activities in time have significant differences; there are significant differences between treatment and self-care recommendations; diabetes had received health education, health teaching time have significant differences ( p <.05) with drug use and pedicure. Conclusions: good diabetes self-care activities, such as diet, regular exercise, weight loss, blood glucose selfmonitoring and drug therapy, can indeed stabilize blood sugar, maintain quality of life.
期刊論文
1.王雪鳳、唐婉如、劉雪娥、曾士婷、陳宇嘉、劉麗芳(20080400)。糖尿病患疾病特徵與生活品質相關因素之探討--臺灣中部某區域醫院之報告。中華民國內分泌暨糖尿病學會會刊,21(3)=84,1-15。  延伸查詢new window
2.陳汶均、黃幼蓉、林秋菊(20100400)。應用行為改變策略改善--糖尿病患者糖化血色素之成效。護理雜誌,57(2)(附冊),22-28。new window  延伸查詢new window
3.林素瓊、謝昌勳、陳思羽、張媚(2012)。血糖控制不良住院糖尿病患之自我照顧行為探討。中華民國糖尿病衛教學會會訊,8(3),18。  延伸查詢new window
4.(2015)。糖尿病專刊序言。高醫醫訊。  延伸查詢new window
5.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。Diabetes Care,23(7),943-950。  new window
6.Meetoo, D.(2004)。Clinical skills: Empowering people with diabetes to minimize complications。British Journal of Nursing,13(11),644-651。  new window
7.Egede, L. E.、Michel, Y.(2006)。Medical mistrust, diabetes self-management, and glycemic control in an indigent population with type 2 diabetes。Diabetes Care,29(1),131-132。  new window
8.黃美娟、林麗娟、洪志秀(20080700)。第二型糖尿病患自我照顧行為及其相關因素之探討。長期照護雜誌,12(2),191-201。  延伸查詢new window
9.游雪峰、章淑娟、葉秀真(2012)。台灣東部社區糖尿病患足部評估。中華民國糖尿病衛教學會會訊,8(3),1-4。  延伸查詢new window
10.Weinger, K.、Beverly, E. A.、Smaldone, A.(2014)。Diabetes self-care and the older adult。Western Journal of Nursing Research,36,1272-1298。  new window
11.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
 
 
 
 
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