Analysis of self management , Self-efficacy and treatment Compliance in after CABG under diabetic mellitus.

• Main Authors: Lien, Ru-Yu, 連如玉
• Other Authors: Heng-Hsin Tung RN, FNP, PhD Associate professor
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/88125848286345092065

碩士 === 國立臺北護理健康大學 === 護理研究所 === 99 === Objectives：The purpose of this study is to understand the diabetes after coronary artery bypass graf and view their health needs to enhance self-management, Self-efficacy and treatment Compliance of associated with impact predictors factor. and to understandof self-management factor between Mediation effect. Background：Cardiovascular disease is the first cause of death worldwide, accounting for 29% of all deaths. Coronary artery heart disease is the second leading of cardiovascular disease in Taiwan. Diabetes after coronary artery bypass graf patients prone to complications and poor prognosis, control Related factors can reduce complications, to understand their disease self-management for control of such long-term care patients is important issues. However, no researches for self-management, self-efficacy and treatment compliance analysis of the relationship in diabetes after coronary artery bypass graf. Study Design：A Integrated cross-sectional study method and convenience sampling in the study. Quantitative component:Three instrument were self-management scale, self-efficacy scale and the treatment compliance scale related investigations, and a demographic questionnaire,. Investigate the two medical centers, one regional teaching hospital in northern, 166 patient diabetic coronary artery bypass graf surgery. Qualitative component :semi-structured interviews in which seven patients with the most concerned about health problems and health needs. The data analyzed by Content analysis for group of health problems and needs, Quantitative parts by descriptive statistics shows the basic attributes and patient self-management, self-efficacy, Treatment compliance situation, using the Pearson correlation, independent samples T test, one way ANOVA analyzed of relevance, Regression analysis for predictors of self-management , and the Multiple mediation script to detect the variables mediating influence. Findings：The results showed that patients with an average of 67.5 years, and 80.1% males, patient age, gender and education et al variables are reaches significant meaning with self-management, self-efficacy or treatment compliance. self-efficacy and treatment compliance showed a significant negative correlation in self-management (r =-. 618, p = <.001; r =-. 549, p = <.001), the stepwise regression analysis showed that age, education, carers, professional level, smoking, drug side effects, other diseases, systolic blood pressure, and self-efficacy and treatment compliance have 67.4% explained, are important predictors factors of self-management, while the mediating effect, treatment compliance was statistically significant 18.5% significance (95% CI = -. 0472 ~ -. 0115) in self-efficacy on the explanatory power of self-management. Qualitative analysis found that patients with health problems and needs, may affect in self-management, self-efficacy and compliance of treatment. Conclusion：The results of this study can provide nurses to understand patients with diabetes after coronary artery bypass graft in the self-management, Self-efficacy and treatment compliance of the case, as well as the continuity between them, in order to enhance the patients discharged as a self-management, self-efficacy and treatment compliance, to enhance the continued relevance of health behavior and control the disease relevant factors and reduce the complication, improve long-term quality of life.