糖尿病是我國高盛行率的疾病，需要病人長期執行自我照顧，穩定控制血糖，減少共病症發生，但臨床上及研究發現病人的自我照顧行為不佳，顯示必須找出病人自我照顧影響因素。有研究發現自我烙印會影響自我照顧行為，然而國內尚未有二者的相關研究，因此，本研究目的旨在探討青壯年第二型糖尿病病人自我烙印與自我照顧行為間的相關性。
採橫斷式相關性研究， 採便利取樣及結構性問卷方式於南部某醫學中心之新陳代謝科門診進行收案，研究對象為診斷有第二型糖尿病 (國際疾病分類代碼ICD-9250) 的個案，共收案115位，研究工具包括自我烙印中文版量表與糖尿病自我照顧行為量表，研究資料以描述性統計，包括平均值.標準差、百分比、排序等方式描述各變項的分佈狀況，以推論性統計包括獨立 t檢定、單因子變異數分析、皮爾森積差相關分析法檢測變項間的關係，階層廻歸線性分析檢測自我照顧行為的決定因子。
個案之平均年齡為36.7歲，研究結果顯示自我照顧行為平均得分89.48分，自我烙印平均得分75.93分，自我烙印越嚴重其執行各層面自我照顧行為越差。階層複回歸分析結果顯示工作、自我烙印及糖化血色素數值為自我照顧行為重要解釋因子，總解釋變異量為42.8%。
本研究結果支持青壯年第二型糖尿病病人之自我烙印與自我照顧行為和血糖控制具顯著相關，可提供醫護人員在臨床實務中，評估病人自我烙印之重要參考依據，且提供護理教育和未來相關研究之參考。期望藉由改善病人自我烙印，提升自我照顧行為能力，達到良好的血糖控制。

Summary

Diabetes is a highly prevalent disease in Taiwan. The patients need long-term implementation of self-care so as to keep blood sugar stable and reduce the incidence of comorbidities, but clinical experience and research found that the patients tended to have poor self-care behaviors. This study used a cross-sectional correlation research design, and convenience sampling technique and structured questionnaires were used. A total of 115 patients with T2DM (ICD-9250) from a metabolic outpatient clinic at a medical center in the south of Taiwan were included in the study. The research tools included the Chinese version of Self- stigma Scale and Diabetes Self-care Behavior Scale. Descriptive statistics, including mean, standard deviation, frequency, percentage, and rank were used to describe the distribution of the variables. Inferential statistics consisting of t-tests, one-way ANOVA, Pearson Product-Moment Correlation, and multiple hierarchical regression analysis, were used to examine the relationship between variables.The results showed that the more severe self- stigma perceived, the worse the performance of self-care behaviors at all domains. This study supports that self-stigma of young middle-aged adult with T2DM is significantly associated with self-care behaviors and glycemic control, which can provide medical personnel with important insight to evaluate patients self-stigma in clinical practice, and offer references for nursing education and future related studies.
Key words: type 2 diabetes mellitus, young and middle-aged , self- stigma, self-care behaviors

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