是否加入糖尿病共同照護網個人認知與健康行為之探討

A Comparison of Personal Knowledge and Behavior Between Patients who Participated in a Diabetes Shared Care Project and Those Who Did Not

本研究目的在比較個案是否加入糖尿病照護網，在個人認知（包括疾病、病因、醫療認知）與健康行為（包括學習行為、遵從行為、日常照護、運動行為、飲食行為）之差異。本研究採類實驗性研究（Quasi-experimental design）設計，以隨機取樣方式，研究個案為某區域醫院新陳代謝科門診糖尿病病患。問卷設計採面對面訪談方式收集，共收63 份有效問卷，組群1：加入糖尿病共同照護網37 位；組群2：未加入糖尿病共同照護網26 位。加入照護網患者健康行為中：無論學習行為、遵從行為、日常照護、運動行為、飲食行為皆有顯著性改善（p ＜ 0.05）。但個人認知，包含疾病與病因認知、醫療認知則無差異。不過加入照護網患者之糖化血色素7.73±1.59%，顯著低於未加入照護網患者之糖化血色素9.47±1.79%（p ＜ 0.001）。空腹血糖值、膽固醇無論是高密度或低密度膽固醇，中性脂肪，及血壓兩組無差異。本實驗結果顯示，雖在個人認知上無差異，但加入糖尿病共同照護網病人，其健康行為有顯著進步，糖化血色素也明顯改善，糖尿病的控制也較理想。應鼓勵個案加入照護網。

To assess personal knowledge and behavior in diabetics who participated in Diabetes Shared Project or not, two patient populations were recruited in this investigation: 1) participants of a Diabetes Shared Care Project (group 1, n = 37). 2) non-participants of the project (group 2, n = 26). All patients were from the Endocrine and Metabolism Clinic of one regional hospital in central Taiwan. In group 1, HbA1C, health behavior, learning behavior, daily care, exercise and diet habits significantly improved when compared with group 2 (P < 0.05). Of note, HbA1C in group 1 was 7.73 ± 1.59% significantly lower, compared with 9.47 ± 1.79% in group 2 (P < 0.001). The patients who participated in Diabetes Shared Care Project had better sense in achieving better diabetes control. It showed the beneficial effects in those participants of the Diabetic Shared Care Project in this regional hospital.