| Summary: | 碩士 === 輔英科技大學 === 護理系碩士班 === 102 === The purpose of this study was not only to explore the relationship among demographic and disease characteristics, relocation stress and glycemic control, but also to investigate the predictors of glycemic control in seniors with diabetes in nursing home. This study used a cross-sectional descriptive correlation design with the purposive sampling method to recruit 88 elderly diabetic patients who had relocated to nursing home within past one year in Kaohsiung. The mean age of the subjects was 77.70 years. The structural questionnaires used in this study include personal and disease characteristics, Relocation Appraisal Scale by a modified Chinese version (RAS) and HbA1C data after relocation to nursing home 90 days, as well as AC Sugar after relocation to nursing home 14 days for data collection. Consequently, SPSS (Window 17.0 version) was the software used for statistical analyses.
The results showed：The mean score of RAS scales was 72.47 (±23.85) and the standardized percentage was 62.47, which accounted for medium degree. The seniors with diabetes who were male(t=4.44, p＜.05), age greater than 86 years(F=1.43, p＜.05), widowed(t=2.83,p＜.05), income by other (t=-2.3,p＜.05), involuntary relocated(t=-2.97, p＜.05), low functional independence (F=2.00, p<.05), and suffer from depression (t=-3.00,p< .05)，had higher relocation stress. In diabetes control, the mean of HbA1C after being admitted in nursing home 90 days was 7.71(±1.42), the mean of AC Sugar after admitted in nursing home 14 days was 221(±81.6). The result showed that diabetes were poor controlled after being admitted to nursing home. These seniors with diabetes who were involuntary relocated (r=.34, p<.05), low functional independence (r= -.66, p<.05), live with family before admitted(r=.26, p<.05), health as poor (r= -.25, p<.05) and depression (r=.25, p<.05), had poor diabetes control. The significant predictors for diabetes control were low functional independence and relocation stress, which accounted for 37.6 percentage of the total variance of diabetes control. The result of this study might be considered as references for the practice of relocation stress and glycemic control in seniors with diabetes and their nursing care in nursing home. Therefore, strengthened communication and discussion between assessment of relocation stress and glycemic control in seniors with diabetes in nursing home were suggested. Future studies were also suggested in order to explore the effectiveness of interventions for diabetes control in seniors with diabetes in nursing home.
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