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研究生: 黃久美
Houng, Chiu-Mei
論文名稱: 糖尿病患者家庭支持、醫病關係、疾病壓力與遵醫囑行為之相關研究
A Correlation Study of the Family Support, Doctor-Patient Relationship, Illness-related Stress and Compliant Behaviors of Diabetic Patients
指導教授: 吳就君
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: 82
語文別: 中文
論文頁數: 114
中文關鍵詞: 糖尿病家庭支持
論文種類: 學術論文
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  • 本研究之目的在探討糖尿病患者家庭支持、醫病關係、疾病壓力與遵醫囑行為之間的相關研究。以自擬之結構性問卷,對臺北某教學醫院之新陳代謝科門診的非胰島素依賴型糖尿病患者進行訪談,共得有效問卷93份。
    研究工具內容包括:糖尿病患者之家庭支持、醫病關係、疾病壓力與遵醫囑行為四種量表。研究資料以SPSS/PC+電腦套裝軟休進行描素性統計、單因子變異數分析、皮爾遜積差相關及複回歸等統計法分析之。得重要結果如下:
    一、糖尿病患者之疾病壓力感受程度在「不曾」與「稍微」之間,以不確定感壓力程度最高,社會人際壓力程度最低。
    二、糖尿病患者自陳遵醫囑行為的情形以用藥最好,運動最差。
    三、在四種類型的疾病壓力與三種遵醫囑行為中,只有社會人際壓力與飲食控制行為有顯著正相關(R=0.33,P<0.01)。
    四、空腹血糖高者其疾病壓力也較高,然與遵醫囑行為無顯著相關。
    五、家庭支持程度愈高其疾病壓力愈高,而醫病關係與疾病壓力無顯著相關。
    六、在用藥行為方面,男性較女性好,已婚較□寡好。年長及胰島素注射者其飲食控制行為較好,家庭支持、醫病關係均與飲食控制行為呈顯著正相關。未發現與運動行為有關之因素。
    七、家庭支持程度愈高、空腹血糖值愈高,相對地壓力程度也愈高,兩者的總變異解釋量為16.7%。
    八、醫病關係愈好、年齡愈長、家庭支持程度愈高,其整體遵醫囑行為愈好,三者的總變異解釋量為20.6%。

    The purpose of this study was to investigate the relationship of family support, doctor-patient relationship, illness-related stress and compliant behaviors of diabetic patients. Data was collected by means of interviewing and questionnaire at one metabolic outpatient department. Ninety-three questonnaires were completed in this study.
    The questionnaire was consisted of Family Support Scale, Doctor-Patient Relationship Scale, uness-Related Stress Scale and Compliant Behaviors Scale. Descriptive statistics, One-way ANOVA, Pearson's correlation and Multiple regression were used through SPSS/PC+ computer program to analysis the data collected.
    The main findings of the study were as followings:
    1. The results showed that uncertain stress was the most threatening stressor of diabetic patients' illness-related stress. The last threatening stressor was from interpersonal stress.
    2. Among three compliant behaviors of diabetic patients, drug compliance was better than diet and exercise behaviors.
    3. The higher score of interpersonal stress was reported by diabetic patients, the higher score of diet behavior was correlated.
    4. The higher fasting plasma glucose the higher score of illness-related stress was correlated.
    5. The higher score of family support the higher score of illness-related stress was correlated.
    6.Male and married diabetic patients reported better drug compliance than female and widowed. Older and insulin-injection patients reported better diet behavior than younger and oral-medicine. The score of family support and doctor-patient relationship postively related to the score of diet behavior.
    7.Diabeic patients who had the higher score of family support and higher fasting plasma glucose revealed higher score of illness-related stress.
    8. The higher score of doctor-patient relationship, family support and older patients revealed higher score of compliant behaviors. These three factors explained 20.6% variance of compliant behaviors.

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