A study of Self-monitoring Blood Glucose Behavior and Related Factors in persons with Diabetes

• Main Authors: Jia-huei Lin, 林佳慧
• Other Authors: none
• Format: Others
• Language: zh-TW
• Online Access: http://ndltd.ncl.edu.tw/handle/58421717081402776084

碩士 === 慈濟大學 === 護理研究所 === 95 === The purpose of this research is to understand the self-monitoring of blood glucose (SMBG) of Diabetic patients and explore the correlation influence factors. This study adopted a cross-sectional correlated design, and selected patients from the Network of Shared Care of Diabetes Mellitus in a certain teaching hospital in the east by random. This study conducted a questionnaire survey. The questionnaire can be categorized into four parts: Self-monitor of blood glucose knowledge, healthy belief, society support, and self-monitor behavior of blood glucose. The inner consistency of questionnaire is measured by Cronbach,s α, and they respectively are 0.85、0.89、0.92、0.98. A survey was conducted from 2007/4/15 to 2007/6/13, the questionnaires were given to 153 diabetes. The results indicated： Among those 153 subjects, 146(95.4%) know that they have to examine their blood glucose at home. However, there are 7 (4.6%) subjects do not know that. 136 (88.2%) subjects get the information from doctors and nurses. The number of subjects that executes actual blood glucose monitor is as following: 67 (43.8%) subjects examined their self-blood glucose regularly. However, 86 (56.2%) didn’t do that at all, including 52 (34%) subjects never examined their blood glucose, 23 (15%) didn’t do that regularly and 11 (7.2%) subjects did that only once. The average time of examination of 37 (58.7%) is one to two times a week. The primary factor of why subjects don’t examine their blood glucose at home is that 16 (30.7%) subjects think there is no necessary to do that. 12 (23%) think the costs of blood glucose machine and indicator paper are too high. 7(13.4%) subjects don’t know how to operate the blood glucose machine and the other 7(13.4%) do not know they have to monitor the blood glucose at home. The result showed that the behavior of the subject of blood glucose self-monitor at home is insufficient. When the subject felt uncomfortable, he or she will carry out the behavior of the blood glucose self-monitor. However, when the subject is busy in working or goes out for traveling, he or she is unable to carry out the behavior of blood glucose self-monitor. Social support: The result showed that most subjects obtain high support in the society while executing the behavior of blood glucose self-monitor. The origin of support mostly comes from the doctors and nurses (88.9%). They provide more informational and emotional support, and less substantive one, like the assistance of operation of the blood glucose self-monitor or correlative expense. In different basic attribute of each subject, the significant difference variable of the behavior of blood glucose self-monitor behavior has the significance difference variables are as following: the work hours, the working environment, insurance, smoking habits, drinking habits, the ways of treatment, the experiences of being hospitalized and the healthy education of accepting the blood glucose self-monitor in recent years. The healthy belief, the social support and the behavior of blood glucose self-monitor show obviously relation (r=0.70; p<0.05), (r=0.70; p<0.05). It means that the better of healthy belief or society supports, the better the behavior of blood glucose self-monitor will be. The important predictive operator of behavior of blood glucose self-monitor and its explanation of variance height are as following: the society support (49.7%), the healthy belief (11.4%), the method of treatment (2.2%), insurance (1.8%), the effects of working hours on blood glucose monitor (1.6%) and monthly income of each family (1.1%). The total amount of variance is 66.6%