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題名：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
書刊名：護理雜誌
作者：王璟璇／王瑞霞 引用關係／林秋菊 引用關係
作者(外文)：Wang, J. S.／Wang, R. H.／Lin, C. C.
出版日期：1998
卷期：45:2
頁次：頁60-74
主題關鍵詞：自我照顧行為；自我效能；社會支持；非胰島素依賴型糖尿病；Self-care behaviors；Self-efficacy；Social support；Non-insulin-dependent diabetes mellitus
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(10) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:10
  • 共同引用共同引用:27
  • 點閱點閱:105
　　　　　本研究為一相關性研究，其目的在於瞭解門診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。 採立意取樣， 於民國 85 年 12 月 10 日至 86 年 2 月 26 日，以結構性問卷量表，對高雄地區某醫學中心新陳代謝、內分泌內科門診的糖尿病患進行 資料收集，共取得 130 份有效問卷。研究結果發現：（ 1 ）在各項自我照顧行為中，以高 、低血糖的預防及處理自我照顧行為的得分百分比最低，僅 49.88%。（ 2 ）社會支持、自 我效能均與自我照顧行為呈顯著正相關。 （ 3 ）以逐步複迴歸分析，自我照顧行為的最佳 預測因素為自我效能，解釋變異量為 74.0%。根據本研究結果，可作為將來糖尿病衛生教育 的參考，並提供未來研究方向的建議。
　　　　　The purpose of this correlational study was to understand self-care behaviors and related factors in outpatients newly diagnosed with non-insulin-dependent diabetes mellitus (NIDDM). Data were collected by purposeful sampling from 130 outpatients with NIDDM in a Kaohsiung medical center from December 10 1996 to February 26 1997. the results indicated: (1) the preventing, treating high and low blood sugar reactions subscale of self-care behaviors, which had the lowest proportional scores, was only 49.88%; (2) social support and self-efficacy scores correlated significantly with self-care behaviors; (3) according to a multiple stepwise regression analysis, self-efficacy was found to explain 74.0% variance of self-care behaviors. The results of this study could be used as a reference for further diabetes health education and as a suggestion for future research.
期刊論文
1.Sherbourne, C. D.、Stewart, A. L.(1991)。The MOS Social Support Survey。Social Science and Medicine，32(6)，705-714。  new window
2.Strecher, V. J.、DeVellis, B. M.、Becker, M. H.、Rosenstock, I. M.(1986)。The Role of Self-Efficacy in Achieving health Behavior Change。Health Education Quarterly，13(1)，73-91。  new window
3.Anderson, R. M.、Fitzgerald, J. T.、Oh, M. S.(1993)。The relationship between Diabetes-related attitudes and patients' self-reported adherence。The Diabetes Educator，19(4)，287-292。  new window
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。new window  延伸查詢new window
5.Wooldridge, K. L.、Wallston, K. A.、Graber, A. L.、Brown, A. W.、Davidson, P.(1992)。The relationship between health beliefs, adherence, and metabolic control of diabetes。The Diabetes Educator，18(6)，495-500。  new window
6.張峰紫、林秋菊(19970600)。以自我效力評估胰島素依賴型糖尿病患者之自我照顧情形。The Kaohsiung Journal of Medical Sciences，13(6)，351-359。  延伸查詢new window
7.Tilden, V. P.、Weinert, C.(1987)。Social support and the chronically ill individual。Nursing Clinics of North America，22(3)，613-620。  new window
8.Baker, C.、Stern, P. N.(1993)。Finding meaning in chronic illness as the key to self-care。Canadian Journal of Nursing Research，25(2)，23-36。  new window
9.戴東原(19930600)。老年人糖尿病的治療。臺灣醫界，36(6)，25-27。  延伸查詢new window
10.詹惠敏(19831000)。臺北市立某醫院糖尿病患者居家治療情形及其相關因素之探討。公共衛生，10(3)，256-272。  延伸查詢new window
11.Glasgow, R. E.、Toobert, D. J.(1988)。Social environment and regimen adherence among type II diabetic patients。Diabetes Care，11(5)，377-386。  new window
12.Connelly, C. E.(1993)。An empirical study of a model of self-care in chronic illness。Clinical Nurse Specialist，7(5)，247-253。  new window
13.Connelly, C. E.(1987)。Self-care and the chronically ill patient。Nursing Clinics of North America，22(3)，621-629。  new window
14.Bloom Cerkoney, K. A.、Hart, L. K.(1980)。The relationship between the health belief model and compliance of persons with diabetes mellitus。Diabetes Care，3(5)，594-598。  new window
15.Mechanic, D.、Cleary, P. D.(1980)。Factors associated with the maintenance of positive health behavior。Preventive Medicine，9，805-814。  new window
16.Irvine, A. A.、Saunders, J. T.、Blank, M. B.、Carter, W. R.(1990)。Validation of scale measuring environmental barriers to diabetes-regimen adherence。Diabetes Care，13(7)，705-711。  new window
17.Hurley, C. C.、Shea, C. A.(1992)。Self-efficacy: Strategy for enhancing diabetes self-care。The Diabetes Educator，18(2)，146-150。  new window
18.Hubbard, P.、Muhlenkamp, A. F.、Brown, N.(1984)。The relationship between social support and self-care practices。Nursing Research，33(5)，266-270。  new window
19.Haynes, R. B.、Wang, E.、Gomes, M. D.(1987)。A critical review of interventions to improve compliance with prescribed regimens。Patient Education and Counseling，10，155-166。  new window
20.Skelly, A. H.、Marshall, J. R.、Haughey, B. P.、Davis, P. J.、Dunford, R. G.(1995)。Self-efficacy and confidence in outcomes as determinants of self-care practices in inner-city, African-American women with non-insulin-dependent diabetes。The Diabetes Educator，21(1)，38-46。  new window
21.Polly, R. K.(1992)。Diabetes health beliefs, self-care behaviors, and glycemic control among older adults with non-insulin-dependent diabetes mellitus。The Diabetes Educator，18(4)，321-327。  new window
22.Peveler, R. C.、Davies, B. A.、Mayou, R. A.、Fairburn, C. G.、Mann, J. I.(1993)。Self-care behaviour and blood glucose control in young adults with type I diabetes mellitus。Diabetes Medicine，10(1)，74-80。  new window
23.Wilson, W.、Ary, D. V.、Biglan, A.、Glasgow, R. E.、Toobert, D. J.、Campbell, D. R.(1986)。Psychosocial predictors of self-care behaviors (compliance) and glycemic control in non-insulin-dependent diabetes mellitus。Diabetes Care，9(6)，614-622。  new window
24.盧美秀、林秋香(19911200)。比較團體衛教和個別衛教對糖尿病病人知識態度、行為和血糖變化的影響。護理雜誌，38(4)，101-112。new window  延伸查詢new window
25.蕭淑貞、陳月枝、蔡世澤、林瑞祥、李燕晉、宣立人、戴東原(19940600)。胰島素依賴型糖尿病病患自我照顧之情形及對糖尿病控制之影響。中華公共衛生雜誌，13(3)，276-284。new window  延伸查詢new window
26.Bandura, Albert(1977)。Self-efficacy: Toward a unifying theory of behavioral change。Psychological Review，84(2)，191-215。  new window
學位論文
1.Crabtree, M. K.(1986)。Self-efficacy and social support as predictors of diabetic self-care(博士論文)。University of California，San Francisco。  new window
圖書
1.林憲(1978)。社區心理衛生。台北：水牛。  延伸查詢new window
2.Orem, D. E.(1991)。Nursing: Concepts of practice。St. Louis：Mosby-Year Book, Inc.。  new window
 
 
 
 
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