| Summary: | 博士 === 慈濟大學 === 醫學科學研究所 === 104 === As a result of advances in medical science and technology, couples with and changing lifestyle and diet, disease pattern has transformed from contagious disease or acute illness to chronic disease based health problems. Population aging is under way, prevalence of chronic diseases rises, but good control is yet to come.
In view of this, this study made efforts to explore in two parts. Survey research was to study target’s knowledge of disease, self-efficacy of disease, control behavior of disease, acceptance of technology. Experimental study looked into the impact of implementing telecare remote care system towards knowledge of disease, self-efficacy of disease, control behavior of disease, acceptance of technology.
111 samples were selected by purposive sampling from Hualien County residents who were diagnosed with hypertension or diabetes. 56 were randomly assigned to experimental group and 55 to control group. Each one of experimental group was given an educational brochure and received telecare for two months, moreover, this study surveyed each one using questionnaires before and after intervention, with questions covering knowledge of disease, self-efficacy of disease, control behavior of disease, acceptance of technology. The comparison group was given an educational brochure, and received education regarding disease knowledge, personalized management of chronic diseases, and disease control actions. Surveys were conducted before and after intervention. Each one received standard or regular health education and treatment only.
The results are summarized as follows:
Among basic attributes, the level of education affects patients’ behavior the most. Furthermore, experimental group scored significantly higher than comparison group in knowledge of disease and control behaviors of diabetes and hypertension at post test (p <.05). As for experimental group, self-efficacy of diabetes and hypertension, the technology acceptance level were not significantly different at post test (p> .05). The results of this study demonstrated that telecare enhances patients’ knowledge of disease, control behavior of diabetes and hypertension, and lowering of blood pressure and blood glucose level. The results of this study might be helpful for remote care system in empowering patients in the management of chronic diseases.
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