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系統識別號 U0026-2801201413322200
論文名稱(中文) 與慢性病共存:影響印尼社區糖尿病患自我照顧行為之因素探討
論文名稱(英文) Living with chronic illness: Factors associated with Self-Management Behavior among Community Diabetes Patients in Indonesia
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 102
學期 1
出版年 103
研究生(中文) 雷瑄渝
研究生(英文) Henik Tri Rahayu
學號 T26017048
學位類別 碩士
語文別 英文
論文頁數 86頁
口試委員 指導教授-陳靜敏
召集委員-吳淑芳
口試委員-林秋菊
中文關鍵字 自我管理行為  糖尿病  糖尿病認知 
英文關鍵字 self-management behavior  diabetes  diabetic knowledge 
學科別分類
中文摘要 背景:糖尿病是一種長期和需要持續治療之慢性疾病。由於糖尿病患人數逐年攀升,造成世界各國照護成本負擔持續增加,為降低照護負擔,糖尿病患者需要執行自我管理行為。
目的:本研究的目的是為了描述糖尿病自我管理的行為並找出影響印尼糖尿病患者自我管理行為的相關因素。
方法:採橫斷與描述相關性的設計,以非隨機配額抽樣,從印尼城、鄉的八間公共衛生中心募集192位第二型糖尿病成年患者,以具信效度之DSMI-35量表來評估糖尿病患者之自我管理的行為,而DKQ則用來評估患者對糖尿病的認知。
結果: 受訪者多數僅偶爾或通常會執行糖尿病自我管理的行為(平均=2.83, 標準差=1),且對糖尿病的認知亦不高(平均=9.06, 標準差=3.58)。 影響糖尿病自我管理行為的因素包括:糖尿病認知 (r=.23, p<0.01)、職業(F=2.92, p<0.05)、與性別(t=-2.39, p<0.05)。認知較低、農民、較高收入、和男性其糖尿病自我管理較差。 逐步迴歸模型的結果是DSM = 81.769 + 2.192糖尿病知識 – 12.651農民的職業 - 7.343男性
結論:本研究顯示影響糖尿病自我管理行為的重要因素。本研究強調提升糖尿病個案照護知識的重要性以期改善印尼糖尿病患者的自我管理行為
英文摘要 Background: Diabetes mellitus is one common chronic illness that needs continuing treatment. The number of diabetes sufferers continues to rise every year. It caused the cost burden is escalating around the world. In order to reduce the diabetes effects, diabetes patients need self-management.
Aims: The purpose of this study was to describe the diabetes self-management behaviors and to identify factors associated with self-management behavior among community diabetes patients in Indonesia.
Methods: A cross-sectional, descriptive correlation design using a quota sampling technique was used to Indonesian adults with type 2 diabetes recruited from eight Public Health Centers in Indonesia from urban and rural areas. The valid and reliable of DSMI-35 was used to assess the diabetes self-management behavior and DKQ was used to assess the patient’s diabetes knowledge.
Results: 192 diabetes patients were included. The most of the subjects reported occasionally-usually or less than optimal of performing diabetes self-management behavior (mean=2.83, SD=1) and with low level of diabetes knowledge (mean=9.06, SD=3.58). The significant factors associated with diabetes self-management were diabetes knowledge (r=.23, p<0.01), occupation (F=2.92, p<0.05) and gender (t=-2.39, p<0.05). Those with lower knowledge level of diabetes, farmer, higher income and male were higher risk for poor self-management behavior. Stepwise linear regression model was DSM = 81.769 + 2.192diabetes knowledge – 12.651occupation as farmer - 7.343Male
Conclusion: The study showed the important factors associated diabetes self-management behavior. It highlights the importance of enhancing the patients’ diabetes knowledge as a crucial way to improve better self-management among diabetes patients in Indonesia.
論文目次 Table of Content

Chinese Abstract iii
English Abstract iv
Acknowledgement v
Table of Content vi
List of Table ix
List of Figure x
Table of Appendix xi
Chapter 1 INTRODUCTION 1
1.1 Background of the study 1
1.2 Purpose of the study 4
1.3 The expected outcomes 4
1.4 Conceptual framework 5
1.5 Definition of terms 5
Chapter 2 LITERATURE REVIEW 10
2.1 Problems of People with Diabetes 10
2.1.1 Prevalence of Diabetes 10
2.1.2 Seriousness of Diabetes 11
2.1.3 Treatments 13
2.2 Self-Management 14
2.2.1 Definition 14
2.2.2 Factors associated with self-management 16
2.2.3 Diabetes Self-Management Instrument (DSMI) 18
Chapter 3 METHODS 20
3.1 Research Design 20
3.2 Population and sampling 20
3.3 Instrument development and psychometric testing 23
3.4 Data Collection Methods and Ethical Considerations of the study 27
3.5 Data Analysis 29
Chapter 4 RESULT 33
4.1 Result of Data Collection 33
4.2 Respondents’ Characteristics 33
4.3 The diabetes knowledge 35
4.4 The diabetes self-management behavior 36
4.5 Hypotheses testing 39
4.5.1 Association between Socio-Demographic characteristics and Diabetes Self-management behavior 39
4.5.2 Association between health status and diabetes self-management behavior 40
4.5.3 Association between diabetes self-management behavior among diabetes Indonesian community and diabetes knowledge 41
4.6 Predicting factors of diabetes self-management behavior 42
Chapter 5 DISCUSSION 44
5.1 Summary of Results and Interpretation 44
5.2 Research Limitation 47
5.3 Implication for Practice and Education 48
REFERENCES 51
Appendix 59

List of Table

Table 1 List of Chosen Public Health Center 21
Table 2 The results of power analysis of propose sample size 22
Table 3 Reliability testing of instrument 26
Table 4 Demographic characteristic of Respondents 34
Table 5 Self-management behavior 38
Table 6 Association between setting, socio-demographic characteristics, health status,
diabetes knowledge and diabetes self-management behavior 41
Table 7 Regression Analysis 43

List of Figure

Figure 1 Conceptual framework 5
Figure 2 The path of data analysis 29


Table of Appendix

Appendix 1 The permission from author 1 59
Appendix 2 The permission from author 2 60
Appendix 3 Translated and Back-translated DSMI-35 Instrument 61
Appendix 4 The list of expert reviewers 70
Appendix 5 The Experts Review Form 71
Appendix 6 Content validity Index (CVI) Results 79
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