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題名 | 糖尿病患者自我效能與情緒困擾之相關因素=Correlation between Self-Efficacy and Psychological Distress among Patients with Diabetes |
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作者 | 吳淑芳; 梁淑媛; 李玉嬋; 李梅琛; 余仁龍; Wu, Vivienne Shu-fang; Liang, Shu-yuan; Li, Yu-chan; Lee, Mei-chen; Yu, Jeng-lung; |
期刊 | 北市醫學雜誌 |
出版日期 | 20130600 |
卷期 | 10:2 2013.06[民102.06] |
頁次 | 頁120-131 |
分類號 | 415.668 |
語文 | chi |
關鍵詞 | 糖尿病; 自我效能; 情緒困擾; Diabetes; Self-efficacy; Psychological distress; |
中文摘要 | 本研究為探討糖尿病患者自我效能與情緒困擾的相關性。方法:採橫段式調查法,以立意取樣於三所區域教學醫院糖尿病門診共收案201人;問卷包括糖尿病管理自我效能量表及糖尿病情緒困擾量表。結果:本研究發現年紀輕、獨居、未婚、未接受糖尿病衛生教育、有合併症等其情緒困擾程度較高(p<.05)。情緒困擾與接受治療種類總和(r=-.04, p<.01)負相關;情緒困擾與自我效能總量表(r=-.38, p<.01)及次量表之營養(r=-.41, p<.01)、運動與體重控制(r=-.28, p<.01)、藥物治療(r=-.29, p<.01)及血糖及足部檢查(r=-.17, p<.05)等呈負相關。年齡、身體質量指數、有無接受衛教、自我效能總表為情緒困擾之預測因子,總解釋量為19.5%(p<.05);其中自我效能總表為重要解釋因子,可單獨解釋11.9%之變異量。結論:糖尿病患者之自我效能高則情緒困擾就較少,故照護人員應重視評估患者心理困擾症狀,進一步轉介心理相關專業的可能性。自我效能提升方案應定期在臨床實務舉行,執行糖尿病患者心理議題研究以促進醫療照護系統的改變。 |
英文摘要 | The purpose of this study was to investigate the correlation between self-efficacy and emotional distress among patients with diabetes. Methods: This study used a cross-sectional design and purposive sampling to enroll 201 individuals who were attending outpatient clinics at three regional teaching hospitals. The questionnaires used included the Diabetes Management Self-Efficacy Scale and the Diabetes Distress Scale. Results: The results showed that patients who lived alone, were unmarried and had failed to receive diabetes health education, which was provided by medical and nursing personnel, suffered from a higher level of emotional distress (p<0.05). There was a significant positive correlation between emotional distress and the type of treatment received by the patients (r=-0.04, p<0.01). Emotional distress was negatively correlated with the self-efficacy total scale (r=-0.38, p<0.01), nutrition (r=-0.41, p<0.01), exercise and weight control (r=-0.28, p<0.01), medication (r=-0.29, p<0.01), and blood glucose and foot examination (r=-0.17, p<0.05) sub-scales. A total of 19.5% of the variance in emotional distress could be explained by age, BMI, patient education and self-efficacy (p<0.05). It is significant to note that self-efficacy is the most important predictor of emotional distress (11.9% of variance). Conclusion: Emotional distress is a common symptom among patients with diabetes. If the self-efficacy of patients with diabetes can be strengthened, their emotional distress can be improved, which enhances their disease control. Clinical medical and nursing personnel taking care of diabetes patients should pay close attention to their emotional distress symptoms and should refer them to relevant psychological professionals when necessary. Self-efficacy enhancing programs should be held regularly at clinical practices. Further psychological research on diabetes will help drive policy and healthcare system change. |
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