| Summary: | 碩士 === 國立臺灣師範大學 === 衛生教育學系 === 94 === The purpose of this study was to explore the condition and association of basic data(demographic variables, characteristics of illness), life adjustment and attitudes towards death of elderly with type 2 Diabetes. Data were collected by using cross-sectional questionnaire survey and purposive sampling was used to interview totally 135 elders in the metabolic outpatient department at Zhongxing Branch of Taipei City Hospital. The data was analyzed by frequency distribution, one-way ANOVA, post Scheff’s examination, Pearson product-moment correlation, and multiple regression analysis.
The main results can be summarized as follows: the majority of the subjects were female, 70-74years old, graduated from elementary school or study in elementary school, had religious belief, married, lived with spouse and children or grandchild, economical dependent, took leisure activities. The most duration of diabetes and medication was below 5 years. The most frequent way of treatment was taking oral hypoglycemic agents. Most subjects had complications and most of their relatives had no diabetes. In the physiological adjustment aspect, the major of the subjects perceived their health status ordinary, got disease below one item, activities of daily living independent. Their psychological adjustment was above the average, and social adjustment was at moderate-inferior degree. In the attitudes towards death aspect, they accepted death peacefully. The life adjustment of the subjects vary significantly with sex, age, educational levels, religious belief, marriage, living arrangement, economical condition, leisure activity and the duration of diabetes and medication, the way of treatment (exercise control), the condition of complication.The attitudes towards death vary significantly with sex, religious belief, the way of treatment (take hypoglycemia by injection), the condition of complication. The relationships between life adjustment and attitudes towards death: the better they perceived their health status, the more they tend to approach acceptance and the less tend to escape acceptance. The more the impact level of disease, the more tend to escape acceptance. The better the psychological adjustment, the less tend to escape acceptance. Social adjustment and attitudes towards death had not significant relationship.
In the scale of life adjustment, the variables of economical condition, leisure activity and the condition of complication explained 21.4％ of the variance of perceiving health status. The duration of diabetes and taking hypoglycemia by injection explained 6.2％ of the variance of the state of illness. Sex, age, exercise control, take hypoglycemia by injection explained 21.6％ of the variance of the impact level and item by illness. Age, marriage, leisure activity, the condition of complication explained 36.6％ of the variance of psychological adjustment. Educational levels, marriage, leisure activity and the condition of complication explained 33.8％ of the variance of social adjustment. In the scale of the attitudes towards death, taking hypoglycemia by injection explained 3.2％ of the variance of fear of death ； religious belief explained 3.7％ of the variance of approach acceptance ； the condition of complication explained 4.6％ of the variance of escape acceptance .
Based on the findings of the study, nine recommendations have been drawn for the purpose of implementing diabetes health education programs and research projects in the future.
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