| Summary: | 碩士 === 美和科技大學 === 健康照護研究所 === 101 === Diabetes is the most challenging non-infectious chronic disease (NCDs) in the 21st century. It highly consumes the medical resources regardless of age and nationality. Thus, there is a vital concern to understand the factors that may infleuence self-care behaviors among diabetic patients.The purpose of this study was to investigate the relations of illness perception and resilience to self-care behaviors among patients with Type 2 Diabetes.
It applied cross-sectional study design and a structure questionnaire with statistics for investigating, analyzing and finding out its key relevant factors. Three hundred and thirty eight patients with Type 2 Diabetes were recruited from a metabolism outpatient department in northern Taiwan. Three instruments were applied for data collection including (1). Illness Perception scale (IPS), (2). Resilience Scale (RS), and (3). Self-Care Behaviors Scale (SCBS). Cronbach's α for each scale ranged from .74 - .92 which means these instruments are reliable.
Results: (1) In properly taking medicine: the explanatory power of duration, emotional expression, proactive, being clearly informed with diabetes, knowing glycated hemoglobin (HbA1c) is 21.3%. (2) In blood glucose testing: the explanatory power of duration,proactive, problem-solving is 26.7%. (3) In foot care: the explanatory power of proactive, problem solving, personal control, smoking behavior is 13.6%.iv(4) In health behavior: the explanatory power of proactive, problem-solving, personal control, smoking behavior is 35%. (5) In the overall self-care behavior: the explanatory power of personal control, proactive, problem-solving, smoking behavior, knowing glycated hemoglobin is 37.4%.
Conclusions and recommendations: It is found that personal control, proactive, problem-solving, smoking behavior, knowing glycated hemoglobin (HbA1c) are important predictors of self-care behaviors. It is recommended that (1) use health educator effectively to guide patients’ health self-management concepts in order to improve the skills of self-care skills. (2) To assist in patients’ self-adjustment ability to repair and their disease awareness and resilience, in order to delay or reduce complications.
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