糖尿病遠距照護介入對第二型糖尿病病人自我照護行為影響因素之探討-以中部某醫學中心為例

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Title:	糖尿病遠距照護介入對第二型糖尿病病人自我照護行為影響因素之探討-以中部某醫學中心為例 Influencing factors of diabetes telecare intervention are explored in self-care behavior of patients with type 2 diabetes: A Case Study of a Medical Center in Central Taiwan 衛福部統計處107年發布，糖尿病是國人十大死因之一，依死因統計結果顯示，糖尿病死亡人數達9374人，但有逐年逐漸下降的趨勢，這表示國人逐漸開始注重自己健康。糖尿病自我管理需包含飲食、水分攝取、藥物遵從性、運動及血糖自我監測，這些自我管理的策略，需要靠醫護團隊、家人的幫助，以及自身的努力，才能達成血糖的有效控制。部份研究發現透過即時性回應的遠距照護模式可有效提升糖尿病病人的血糖控管，因此想探討正在發展的糖尿病遠距照護模式，與傳統的糖尿病一般照護模式，對糖尿病病人自我照顧行為之差異及血糖控制成效為何？研究結果顯示有加入遠距照顧的患者對糖尿病自我照顧行為平均為96.58分，一般照護的患者平均分數為72.8分，表示有加入遠距照顧的自我照顧行為較高；加入遠距照顧的患者對血糖的平均分數為7.35，一般照護為8.21，表示有有加入遠距照顧的血糖控制成效較好。兩種結果比較下來，都是有加入遠距照顧的行為跟血糖控制較好，因此本研究認為，遠距照顧模式對糖尿病患者是有幫助的。 The Department of Statistics of the Ministry of Health and Welfare released in 107 that diabetes is one of the top ten causes of death among Taiwan people. According to the statistics of cause of death, the number of diabetes deaths has reached 9,374, but it has been gradually decreasing year by year. Diabetes self-management needs to include diet, water intake, drug compliance, exercise, and self-monitoring of blood glucose. These self-management strategies require the help of medical teams, family members, and their own efforts to achieve effective blood glucose control. Some studies have found that remote care models with immediate response can effectively improve blood sugar control in diabetic patients. Therefore, I would like to explore the effects of the developing diabetes remote care model and the traditional diabetes general care model on the self-management behavior and blood sugar control of diabetic patients? The results of the study showed that patients who participated in remote care had an average of 96.58 points for their self-care behaviors for diabetes, and the average score of patients in general care was 72.8 points, indicating that the self-care behaviors of patients who joined remote care were higher;The average blood sugar score is 7.35, and the general care is 8.21, indicating that the blood sugar control effect with remote care is better. Comparing the two results, the behavior of joining remote care and blood sugar control is better. Therefore, this study believes that the remote care model is helpful for diabetic patients.
Authors:	林琬婷
Contributors:	醫務管理系洪萬吉
Keywords:	第二型糖尿病糖尿病遠距照顧糖尿病自我照顧行為 Type 2 diabetes diabetes telecare diabetes self-care behavior
Date:	2020
Issue Date:	2022-10-21 10:34:35 (UTC+8)
Relation:	學年度：108， 93頁
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Dissertations and Theses

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