| 研究生: |
蘇海托 Sugiharto, |
|---|---|
| 論文名稱: |
糖尿病自我照顧月曆對第二型糖尿病病人自我照顧活動遵從性與血糖控制之成效 Effects of Diabetes Self-Care Calendar on Self-Care Activities Adherence and Glycemic Control among Patients with Type 2 Diabetes Mellitus |
| 指導教授: |
許玉雲
Hsu, Yu-Yun |
| 學位類別: |
博士 Doctor |
| 系所名稱: |
醫學院 - 護理學系 Department of Nursing |
| 論文出版年: | 2018 |
| 畢業學年度: | 107 |
| 語文別: | 英文 |
| 論文頁數: | 109 |
| 外文關鍵詞: | diabetes self-care activities adherence, diabetes self-care calendar, glycemic control, type 2 diabetes mellitus |
| 相關次數: | 點閱:101 下載:7 |
| 分享至: |
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Background - Diabetes self-care is a complex regimen that requires self-management to accomplish with it. An appropriate reminder tool is demanded to satisfy the self-care activities. The appropriate self-care reminder tool should be customized based on those patients’ culture, conditions, and needs.
Purposes - The study aimed to examine the effects of diabetes self-care calendar (DSCC), a self-care reminder tool, on diabetes self-care activities adherence, diabetes knowledge levels, social support, and glycemic control among patients with type 2 diabetes mellitus in Indonesia.
Method - A randomized controlled trial design was used in this study. A total of 124 subjects who met the inclusion criteria participated in this study. Three community health centers were randomly assigned to either intervention or control groups. Moreover, proportionate stratified sampling was used to select potential subjects. The DSCC provided as an intervention, which is held over four months. The control group was treated with usual care without using any reminder tool. The Summary of Diabetes Self-Care Activities (SDSCA), the Diabetes Knowledge Questionnaire (DKQ), the Multidimensional Scale Perceived Social Support (MSPSS), and HbA1c were used as measurements. For the short-term and long-term effects were analyzed using descriptive analysis, independent t-test, the Mann-Whitney U-test, and repeated measurement ANOVA.
Results - Overall, the average age of the subjects was 55 (SD = 7.3) ranging from 32 to 78 years old. The average duration of diabetes from diagnosis was 4.9 years (SD = 5.2) ranging from 0.6 to 40 years. Of the subjects, 68% were females and 32% had no formal education level and 30% had a primary school. The results show that diabetes self-care calendar could enhance self-care activities including general diet, specific diet, exercise, self-monitoring blood glucose, foot care, and taking medication, all p-value < .05. The diabetes knowledge levels in the intervention group were significantly greater than that in control group p-value < .001. In term of social support, the results show that only on friends subscale was affected by using diabetes self-care calendar p-value < .01. There is no changed (p-value > .05) neither subscales of family nor healthcare providers. The HbA1c level in the intervention group was significantly lower than that in the control group (p-value < .01).
Conclusions - The Diabetes Self-Care Calendar could significantly improve self-care activities adherence, diabetes knowledge, social support, especially in friendship support, and improve blood sugar control.
Implications and Recommendations – An accessible self-care reminder is needed to those who with diabetes. As the implications, the diabetes educators can apply the self-care calendar into their educational program to improve patient’s self-care adherence. The DSCC can be as a diabetes self-care reminder tool. Future studies should examine the effects of the self-care calendar on patients with type 1 diabetes mellitus and measure include other metabolic and psychosocial outcomes.
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