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題名：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
書刊名：護理研究
作者：陳滋茨／張媚／林豔君
作者(外文)：Chen, Zei-tei／Yeh Chang, Mei／Lin, Yen-chun
出版日期：1998
卷期：6:1
頁次：頁31-43
主題關鍵詞：自我效能；社會支持；自我照顧行為；糖尿病患者；Self efficacy；Social support；Self care behaviors；DM patients
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(21) 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:21
  • 共同引用共同引用:16
  • 點閱點閱:128
　　　　　本研究的目的在探討門診糖尿病病人的自我效能、社會支持、居家自我照顧行 為與血糖控制情況，以及與自我照顧行為有關的重要變項。樣本來自某醫學中心門診糖尿病 患者共 66 名，採橫斷式調查研究法進行。 結果發現：（ 1 ） 53% 的患者體重太重或肥胖，68.2% 的患者有其他慢性病, 87.9% 的患者曾接受有關糖尿的衛生教育。（ 2 ）定期檢驗血糖及規律用藥是研究對象自我效能 最高，也是最能做到的項目；飲食節制及規律運動的自我效能得分最低，也正是個案最不能 做到的項目。（ 3 ）年齡、教育程度、罹患糖尿病年數、糖尿病治療方式等個人屬性會影 響自我照顧行為。（ 4 ）特定的自我效能，與相對應的自我照顧行為均呈顯著正相關，這 樣的結果印證了 Bandura 所言：當個人對執行某項行為的自我效能愈強，愈會去執行該項 行為。（ 5 ）社會支持與自我照顧行為無顯著相關。（ 6 ）定期檢驗血糖及飲食自我照顧 行為與血糖控制呈顯著正相關。（ 7 ）自我效能是預測及解釋自我照顧行為的最強變項。
　　　　　The purposes of this study were to investigate the self-efficacy, social support and self-care behaviors, and variables significantly associated with self-care practices. A total of 66 DM patients who attended the medical clinic as outpatients were interviewed by a questionnaire. The cross-sectional survey method was used. The findings were as follows: (1) Subjects of the study showed that 53% were overweight or obese, 68.2% had other kinds of chronic diseases, 87.9% had obtained health education about DM (2) Subjects had the highest scores in self-efficacy of glucose testing and taking medicine. Also subjects had the highest scores in self-care behavior of glucose testing and taking medicine regularly. Subjects had the lowest scores in self-efficacy of diet control and regular exercise. Also subjects had the lowest score s in self-care behavior of diet control and taking exercise regularly. (3) Self-care practices were related to age, education, duration of DM, treatment of DM. (4) Specific items in self-efficacy were significantly correlated with corresponding items in self-care behaviors. Those results are consistent with Bandura's theory: people tend to avoid tasks they believe exceed their capabilities, but perform activities they judge themselves capable of handling. (5) Social support had no relationship with self-car e behaviors. (6) Glucose testing and diet control behaviors were significantly associated with glycosylated hemoglobin (HbA □ c) level. (7) Self-efficacy was the strongest predictor of self-care behaviors.
期刊論文
1.王瑞霞、邱啟潤(199606)。老年人體能活動參與及其相關因素的探討。The Kaohsiung Journal of Medical Sciences，12(6)，348-358。  延伸查詢new window
2.Parcel, G. S.、Edmundson, E.、Perry, C. L.、Feldman, H. A.、O'Hara-Tompkins, N.、Nader, P. R.、Johnson, C. C.、Stone, E. J.(1995)。Measurement of self-efficacy for diet-related behaviors among elementary school children。Journal of School Health，65(1)，23-27。  new window
3.林文康、江瑾瑜、宣立人(19870100)。糖尿病患者之知識、態度及血糖控制之相關性研究。護理雜誌，34(1)，65-83。new window  延伸查詢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.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
6.郭清輝(19910600)。糖尿病之併發症與胰島素加護治療。臨床醫學，27(6)=162，425-427。new window  延伸查詢new window
7.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
8.楊南屏、李守義、周碧瑟(19900900)。社區性高血壓､糖尿病流行病學的探討--1989年陽明十字軍社區預防醫學計劃成果。中華醫學雜誌，46(3)，134-146。  延伸查詢new window
9.Dilorio, C.、Faherty, B.、Manteuffel, B.(1992)。The development and testing of an instrument to measure self-efficacy in individuals with epilepsy。Journal of Neuroscience Nursing，24(1)，9-13。  new window
10.Casey, C.(1992)。Diabetes complications that can cripple。RN，1992(Aug.)，36-42。  new window
11.Bahru, Y.、Abchlkadir, J.(1993)。Assessment of diabetes education in the teaching hospital, Addis Ababa, Ethiopia。Diabetic Medicine，10(9)，870-873。  new window
12.Johnson, S. B.(1992)。Methodological issues in diabetes research。Diabetes Care，15(11)，1658-1667。  new window
13.Hurley, C. C.、Shea, C. A.(1992)。Self-efficacy: Strategy for enhancing diabetes self-care。The Diabetes Educator，12(2)，146-150。  new window
14.Holden, G.(1991)。The relationship of self-efficacy appraisals to subsequent health related outcomes: A meta-analysis。Social Work in Health Care，16(1)，53-93。  new window
15.Geest, S. D.、Abraham, I.、Gemoets, H.、Everts, G.(1994)。Development of the long-term medication behavior self-efficacy scale: Qualitative study for item development。Journal of Advanced Nursing，19(2)，233-238。  new window
16.Friedman, L. C.、Nelson, D. V.、Webb, J. A.、Hoffman, L. P.、Baer, P. E.(1994)。Disposional optimism, self-efficacy, and health beliefs as predictors of breast self-examination。American Journal of Preventive Medicine，10(3)，130-135。  new window
17.Kullberg, C. E.、Arnqvist, H. J.(1995)。Good blood glucose control characterizes patients without retinopathy after long diabetes duration。Diabetic Medicine，12(4)，314-320。  new window
18.Kelly, R. B.、Zyzanski, S. J.、Alemagno, S. A.(1991)。Prediction of motivation and behavior change following health promotion: role of health beliefs, social support, and self-efficacy。Social Science and Medicine，32(3)，311-320。  new window
19.Kavanagh, D. J.、Gooley, S.、Wilson, P. H.(1993)。Prediction of adherence and control in diabetes。Journal of Behavioral Medicine，16(5)，509-522。  new window
20.Steil, C. F.、Deakins, D. A.(1992)。What you and your patient need to know oral hypoglycemics。Nursing，1992(Nov.)，34-39。  new window
21.Skelly, A. H.、Marshall, J. R.、Haughey, B. P.、Davis, P. J.、Dmiford, 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
22.Perseghin, G.、Price, T. B.、Petersen, K. F.、Roden, M.、Cline, G. W.、Gerow, K.(1996)。Increased glucose transport-phosphorylation and muscle glycogen synthesis after exercise training in insulin-resistant subjects。New England Journal of Medicine，335(18)，1357-1362。  new window
23.Nagasawa, M.、Finchan, J.(1990)。Meta-analysis of correlates of diabetes patients' compliance with prescribed medicions。The Diabetes Educator，16(3)，192-200。  new window
24.洪建德(19860400)。糖尿病人的營養與運動治療。臨床醫學，17(4)=100，368-377。new window  延伸查詢new window
25.洪百薰、林豐雄、洪美玟、黃明珠、吳聖良(19911000)。社區老人健康狀況與需求評估。公共衛生，18(3)，212-236。  延伸查詢new window
26.McKelvey, Jane、Waller, David A.、North, Alvin J.、Marks, James F.、Schreiner, Barbara、Travis, Luther B.、Murphy, Jayn(1993)。Reliability and Validity of the Diabetes Family Behavior Scale (DFBS)。The Diabetes Educator，19(2)，125-132。  new window
研究報告
1.行政院衛生署(1995)。中華民國83年衛生統計（一）公務統計。  延伸查詢new window
學位論文
1.吳裴瑤(1992)。從行為影響因素探討臺北市某國民中學一年級學生節制飲食的意向及行為(碩士論文)。國立臺灣師範大學。  延伸查詢new window
圖書
1.林瑞祥(1992)。非胰島素依賴型糖尿病醫療指南。台北市：中華民國糖尿病學會。  延伸查詢new window
2.行政院衛生署(1993)。國民保健計畫。  延伸查詢new window
3.洪美玟(1990)。高血壓糖尿病個案管理。新莊：台灣省公共衛生研究所。  延伸查詢new window
4.黃伯超、游素玲(1990)。營養學精要。台北：健康文化事業股份有限公司。  延伸查詢new window
5.Bandura, Albert(1986)。Social Foundations of Thought and Action: A Social Cognitive Theory。Prentice-Hall, Inc.。  new window
圖書論文
1.Cohen, S.、Mermelstein, R.、Kamarck, T.、Hoberman, H. M.(1985)。Measuring the functional components of social support。Social support: Theory, research and application。Martinus Nijhoff Publishers。  new window
2.Kaplan, R. M.(1985)。Social support and social health。Social support: Theory, research and application。Boston：Martinus Nijhoff Publishers。  new window
3.Wilcox, B. L.、Vernberg, E. M.(1985)。Conceptual and theoretical dilemmas facing support research。Social support: Theory, research and application。Boston：Martinus Nijhoff Publishers。  new window
 
 
 
 
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