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[患者教育对糖尿病患者患病角色行为依从性的影响]

[The effect of patient teaching on compliance with sick role behavior of diabetic patients].

作者信息

Park O C, Hong M S, So H S, Jang K S

出版信息

Kanho Hakhoe Chi. 1988 Dec;18(3):281-8. doi: 10.4040/jnas.1988.18.3.281.

Abstract

This study examined the effect of patient teaching on Compliance with sick role behavior in diabetic patients. The purpose was to improve diabetic patients Compliance by D.M. patient teaching. The study objectives were to determine the effect of patient teaching on Compliance with sick role behavior, and factors influencing compliance with sick role behavior of diabetic patients. The subjects, consisting of 52 diabetic patients diagnosed in the C. and other hospitals in K. city were divided into experimental and control groups. Data were gathered from July 25th to September 3rd, 1988 through interviews by questionnaires, measurement of blood sugar level by Reflux. D.M. Patient teaching was defined as informational intervention of social support by the nurse. A booklet representing patient education and questionnaires were developed by the investigator, and were tested for Content validity, and reliability by Item Analysis: Cronbachs alpha for any instrument to measure variables was patient Compliance .83, perceived health belief .65, diabetic knowledge .70. Analysis of data were done by paired t-test, t-test, Anova, Pearson correlation, and Stepwise multiple regression. The results of the study may be summarized as follows: 1. The effect of patient teaching on Compliance with sick role behavior, on diabetic Knowledge and health belief was Confirmed by significant differences between the experimental and the control group before and after the experiments. (P = 000 P = 006, P = 004).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究探讨了患者教育对糖尿病患者遵循患病角色行为的影响。目的是通过糖尿病患者教育来提高其依从性。研究目标是确定患者教育对遵循患病角色行为的影响,以及影响糖尿病患者遵循患病角色行为的因素。研究对象为52名在K市C医院及其他医院确诊的糖尿病患者,分为实验组和对照组。1988年7月25日至9月3日,通过问卷调查访谈、用Reflux测量血糖水平收集数据。糖尿病患者教育被定义为护士进行的社会支持信息干预。研究者编制了一本患者教育手册和问卷,并通过项目分析检验了内容效度和信度:测量变量的任何工具的Cronbach's alpha系数,患者依从性为0.83,感知健康信念为0.65,糖尿病知识为0.70。数据采用配对t检验、t检验、方差分析、Pearson相关性分析和逐步多元回归分析。研究结果总结如下:1. 实验组和对照组在实验前后的显著差异证实了患者教育对遵循患病角色行为、糖尿病知识和健康信念的影响。(P = 0.000,P = 0.006,P = 0.004)(摘要截断于250字)

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