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研究生: 黃靜儀
Huang Ching-I
論文名稱: 糖尿病衛教人員與病人自覺衛教需求的差異研究-以北市糖尿病人保健推廣中心為例
A Study of difference between the needs diabetic educators and patients about Diabetes education in 4 Taipei diabetes education centers
指導教授: 鄭惠美
Jeng, Huey-Mei
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
畢業學年度: 86
語文別: 中文
中文關鍵詞: 糖尿病衛教學習需求
論文種類: 學術論文
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  • 糖尿病高居我國十大死因的第五位。衛生教育是糖尿病照護的一個重要角色。為了瞭解糖尿病衛教人員與病人對糖尿病人衛教需要評估的一致性,而進行本研究。本研究選取北市成立糖尿病人保健推廣中心的四所醫院為研究地點,分別是三軍總醫院、台大醫院、馬偕醫院、榮民總醫院。每家醫院隨機抽取五十名第二型糖尿病患者進行問卷調查,共計取得病人樣本200人。並以此四所醫院全部的糖尿病衛教人員,共15名為研究對象。本研究的重要結果如下:一、 研究對象(衛教人員與糖尿病人)都認為糖尿病人(新病患與老病患)對這些衛教內容有中度以上至高度的需求。二、顯著影響糖尿病人評估自覺需要衛教內容的背景因素,在各糖尿病衛教內容不一,但年齡是主要的影響變項,年齡愈大需求愈低。三、衛教人員與新病患對53個衛教內容需求評估的一致性為.425,而與老病患評估的一致性為.387。四、衛教人員與新病患對六大衛教單元需求評估的一致性為-.491,非但不一致且呈相反現象,以「運動」和「足部護理」的排序相差最大。而衛教人員與老病患評估的一致性為.43,以「糖尿病總論」的排序相差最大。

    Diabetes is the 5th leading cause of death in our country. Diabetes education plays a very important role in diabetes care. To evaluation the differences between the needs of diabetic educators and diabetic patients about Diabetic education, we performed the following study.Studies were carried out in 4 diabetes education centers in Taipei area, including national Taiwan University hospital, Taipei Veterans general hospital, Tri-Service general hospital and Ma-Key memorial hospital. After inform concert, we enrolled 50 type 2 diabetic patients from each diabetes education centers. And all of the diabetic educators who work in the 4 diabetes education centers were asked to fill out thequestionnaire.The main results of the study were as follows:1. Both diabetic educators and diabetic patients think these educational contents will be highly needed for type 2 diabetic patients.2. Results indicate that diabetic patients evaluate the learning needs are significantly related to their personal demographic data, especially the variable of age: the elder needs the less.3. When diabetic educators and new type 2 diabetic patients evaluate the learning need on fifty-three items of diabetic education in this study, Spearman's rank-order correlation coefficient is 0.425. Diabetic educators and old diabetic patients' coefficient is 0.387.4. The fifty-three items of diabetic education were organized under six major categories. When diabetic educators and new type 2 diabetic patients evaluate the learning need in six major categories of diabetic education, Spearman's rank-order correlation coefficient is -0.491. The order of the categories of "exercise" and "foot care" are very different. Diabetic educators and old patients' coefficient is 0.43 and the order of the categories of "diabetes overview" is very different.

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