頁籤選單縮合
題 名 | 糖尿病與否於冠狀動脈繞道手術後病患自主管理及其預測因子之差異探討=Comparison of Predictors Differences in after CABG under Diabetesor Not Patients Self-Management |
---|---|
作 者 | 連如玉; 施俊哲; 童恒新; 曾千芝; | 書刊名 | 臺灣健康照顧研究學刊 |
卷 期 | 15 2013.09[民102.09] |
頁 次 | 頁37-51 |
分類號 | 419.73 |
關鍵詞 | 冠狀動脈繞道手術; 糖尿病; 自主管理; Coronary artery bypass graft; Diabetic mellitus; Self-management; |
語 文 | 中文(Chinese) |
中文摘要 | 糖尿病(Diabetic mellitus,DM)會增加術後合併症及再發生率,了解冠狀動脈繞道手術(Coronary artery bypass graft,CABG)是否合併DM自主管理的差異,以增進其自主管理,對病人長期生活品質提升是非常重要的,本文即在於比較罹患DM與否於CABG後,病人自主管理情形與預測因子之差異。方法:採橫斷式方便取樣,以北部三家醫院CABG病人為對象,自2010.10~2011.3,研究對象共350位。研究工具包括基本資料問卷、自主管理、慢性病自我效能及治療遵從性量表,以SPSS17.0進行資料建檔與分析。DM組自主管理較無糖尿病組差;自我效能、治療遵從性、收縮血壓及出現藥物副作用為DM組自主管理之預測因子,自我效能首先被納入,達38.5%解釋力,累積解釋自主管理59.4%變異量(F=24.12,p<.001),無DM組自我效能及治療遵從性可共同預測自主管理,達33.1%之解釋力(F=44.82,p<.001)。病人罹患DM與否於CABG後,其自主管理及其預測因子有所差異,醫護人員可依照病人具有預測力之因子特異性,個別性的加強病人自主管理,持續增進相關的健康行為,提升長期之生活品質。 |
英文摘要 | Diabetes affects coronary artery disease mortality, Compare to non-diabetic patients, diabetic patients with CABG had more Complications and recurrence. To reduce complications and poor outcomes , identifying related post CABG risk factors of self-managment, figure out diabetic complications associated factors of better self-managment is essential on patient outcome for long term quality of life. The study to compare differences in predictors of self-management between diabetic and non diabetic patients who underwent coronary artery bypass surgery.Cross-section design with convenience sampling was use and 350 patients were recruited in three medical centers hospital. Instruments, included demographic questionnaire, self-management questionnaire, chronic disease self-efficacy questionnaire, compliance scale , were used. SPSS 17.0 for windows was used to analyze the data.The results showed non DM group, patients had higher self-management. In DM group, self efficacy, compliance, Systolic blood pressure, adverse drug reactions were the predictors of self-management, have 59.4% predictive power (F=24.12, p<.001).In non-DM group, self-efficacy and compliance were the predictors of self-management, have 33.1% predictive power (F=44.82, p<.001).The study results provided valuable information regarding diabetic impact on post CABG patients and the differences in predictors of self-management between diabetic and non diabetic groups. The health care provider can promote healthy behavior and enhance quality of life through characteristics of the patients and factors associated with better self-management from the study results. |
本系統中英文摘要資訊取自各篇刊載內容。