糖尿病病人之健康促進生活型態相關因素探討──以新北市某區域教學醫院為例

The survey of diabetic patients' health promotion lifestyle and its related factors for a regional teaching hospital in New Taipei City

本研究主旨在探討新北市某區域教學醫院之糖尿病病人健康促進生活型態相關因素，研究工具為糖尿病認知、心理壓力調適、健康促進生活型態量表。主要以診斷糖尿病之門診病人為研究對象，進行面對面訪談問卷收集資料，有效樣本共得239份。研究結果如下：一、本研究糖化血色素（≦7）占42.3％，血糖控制情形算普通。二、糖尿病的認知，總答對率為75.38％，30－49歲、教育程度較高、已婚、有運動習慣者，優於70－79歲、教育程度較低、喪偶、無運動習慣病人。三、糖尿病造成心理壓力調適的程度尚可，研究對象對壓力的調適是趨於正向的，而運動情形及治療方式對心理壓力調適有顯著差異。四、研究對象的健康促進生活型態（HPLP）屬於尚可，以生命欣賞得分最高，運動行為與減少風險得分較低，表示研究對象對個人的自信很好但運動習慣不足。五、研究對象其糖尿病的壓力調適越好，疾病認知越好，健康生活型態也越佳。六、預測健康促進生活型態（HPLP）的變項有「抽菸」、「飲食狀況」、「每週運動」、「罹病時間」、「血糖自我監測」、「糖尿病認知」、「心理壓力調適」等七個變項達顯著影響力，可解釋總變異量56％。七、迴歸分析結果顯示「健康促進生活型態」可有效預測血糖控制情形，可解釋總變異量的9.7％。 The purpose of this study were to understand diabetic patients' health promotion lifestyle and its related factors for a regional teaching hospital in New Taipei City The questionnaires surveyed paitents diabetes awareness, psychological pressure adjustment, health-promoting lifestyle through face to face interviews. The main hospital outpatients were the objects of the study. A total of 239 valid samples was obtained. The results o f the study were as follows: 1. The percentage of HbA1C (≦ 7) was 42.3 %. The blood sugar were controlled at normal levels. 2. The percentage of correct answers for diabetes awareness was 75.38%. The percentage of correct answers for 30-49 years old, higher education levels, married, and having sports habit were better than the percentage for 70-79 years old, less educated, widow, and no exercise habits. 3. The degree of psychological stress caused by diabetes adjustment was at acceptable level. The stress adaptation was positive. Sports babits and way of treatments made significant differences for pychological pressures. 4. The subjects healthy promoting lifestyle (HPLP) was at normal levels.The score of enjoying life was the highest. The score of exercise behavior and the risk reducing were low. The subjects were with good faith bat were lack of exercise habits. 5. The better of pressure adjustment, and disease awareness, the better of healthy lifestyle. 6. Smoking, diet situation, weekly exercising, time for diabetes, self-monitoring of blood glucose, awareness of diabetes, adjustment of pressure could explain 56% of the variance for healthy lifestyle. 7. Health promotion lifestyle (HPLP) could significantly predict the variance of blood sugar controlling by 9.7%.