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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=The Relationship between Self-Efficacy, Social Support and Self-Care Behaviors in Diabetes Mellitus Patients |
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作 者 | 陳滋茨; 張媚; 林豔君; | 書刊名 | 護理研究 |
卷 期 | 6:1 1998.02[民87.02] |
頁 次 | 頁31-43 |
分類號 | 419.73 |
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; |
語 文 | 中文(Chinese) |
中文摘要 | 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。 |
英文摘要 | 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. |
本系統中英文摘要資訊取自各篇刊載內容。