| Summary: | 碩士 === 國防醫學院 === 護理研究所 === 97 === Abstract
The purpose of this study was to identify the self-management behaviors and related factors of metabolic syndrome in adults. In advance, this study determined the predicability of health literacy on self-management behaviors.
The study was a cross-sectional design. The subjects were recruited from Taipei`s Neihu district using purposive sampling. The structured questionnaires including demographic characteristics, disease characteristics, the Chinese version of functional health literacy in adults, disease knowledge scale, disease attitude scale, Medical outcomes Study-MOS Social Support Survey, self-efficacy scale and self-management behavior scale were used for data collection. The data were analyzed by the descriptive analysis for distributions of variables and univariate analysis including independent t-test, one-way ANOVA and Pearson`s product-moment correlation for exploring the relationships between variables using the computer software SPSS 14.0 for Windows. In addition, Generalized Linear Models method was used to identify the predictors of self-management behavior, as well as the predictability of health literacy for self-management behavior. p<.05 was the statistically significant level.
Major findings were as follows: 1)There were significant differences in scores of self-management behaviors by age, disease duration, number of treatment modalities and comorbidity. Metabolic syndrome adults with better self-management behaviors tended to be elder, having longer disease duration, more treatment modalities and living with more chronic disease, 2)The averaged scores of self-management behaviors of Metabolic syndrome adults were about 49.93(±10.446) which was moderate level, 3)The relationships among disease attitude, social support, self-efficacy and self-management behaviors were significantly positive. Health literacy was significantly negative correlated with self-management behaviors. In other words, metabolic syndrome adult with more positive disease attitude, strong social support, better self-efficacy, and more appropriate health literacy usually had higher involvement in self-management behaviors; 4) Age, social support and self-efficacy were the significantly important predictors for self-management behaviors in metabolic syndrome adults and explained 31.6% total variation.
The results will be the reference for the health care system to develop self-management program in the future.
Keywords: metabolic syndrome, health literacy, self-management behavior
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