Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 101 === Purpose: To develop diabetes patients with coronary artery bypass surgery of the effectiveness of self-management intervention, and assessment intervention.
Background: Diabetes is the most widely affect the personal lives of all chronic disease harm most human organs, the disease caused by people with disabilities. But diabetes itself is not terrible, it triggered or accompanied by the chronic complications, such as chronic renal failure, cardiovascular disease, blindness, amputation is the cause of death, disability, personal or the main cause of the social and economic burden. Diabetes cardiovascular disease in non-diabetic patients is two to five times, and two-thirds of diabetics cause of death due to cardiovascular disease, cardiovascular disease is the main reason for the premature death of millions of diabetics worldwide. Like two sides of the same coin, diabetes and cardiovascular disease, diabetes and cardiovascular disease, but also a significant increase in cardiovascular disease mortality. Domestic rare for coronary artery bypass surgery sugar in patients with self-management intervention Therefore, this study hopes to enhance its self-management to help improve the quality of life of long-term care has a positive meaning.
Methods: This interventional experimental study in a medical center in Taipei, the subjects were randomly assigned to the experimental group and the control group, a total of 64 person study. Self-management and quality of life scale pretest, and posttest to the same two questionnaires back to the clinic in one month and three months, respectively. The experimental group was given a self-management plan measures, the control group compared with routine care disposal. The expected development for coronary artery bypass surgery of diabetes patients self-management interventions, and evaluate the effectiveness of the intervention measures.
Results: The results of this study found that the part in self-management, either experimental or control group before the intervention and self-management intervention, have reached statistical differences, but the quality of life but did not reach statistical differences. Gender, age, and chronic diseases show a higher chance of suffering from coronary cardiovascular disease, and a higher level of education than willing to accept the self-management intervention.
Conclusions: In this study, explore, it is recommended that should increase the number of patients back to the clinic, and from time to time, the health education staff expressed concern after surgery, in addition to assistance by health behavior and drug control, can achieve remission of the disease, but if you want to improve the living quality, or need from everyday life habits improved, thus maintaining the quality of life.
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