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題名 | The Effects of Self-Efficacy and Self-Perceived Health Status on Glycemic Control and the Use of Adult Preventive Health Examinations=自我效能、自覺健康、血糖控制和健康篩檢的關係 |
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作者 | 張美燕; 呂筑韻; 黃瓊玉; 江純瑛; Chang, Mei-yen; Lu, Chu-yun; Huang, Chiung-yu; Chiang, Chun-ying; |
期刊 | 品質學報 |
出版日期 | 20150200 |
卷期 | 22:1 2015.02[民104.02] |
頁次 | 頁3-14 |
分類號 | 415.668 |
語文 | eng |
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; |
中文摘要 | 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。 |
英文摘要 | 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. |
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