東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Factors affecting diabetes self-care...

Ouyang, Chung-Mei.

Linked to FindBook

Google Book

Amazon

博客來

Factors affecting diabetes self-care among patients with type 2 diabetes in Taiwan.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Factors affecting diabetes self-care among patients with type 2 diabetes in Taiwan./
Author:	Ouyang, Chung-Mei.
Description:	145 p.
Notes:	Adviser: Johanna Dwyer.
Contained By:	Dissertation Abstracts International69-01B.
Subject:	Health Sciences, Health Care Management. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3300629
ISBN:	9780549450009

Factors affecting diabetes self-care among patients with type 2 diabetes in Taiwan.
Ouyang, Chung-Mei.

Factors affecting diabetes self-care among patients with type 2 diabetes in Taiwan. - 145 p.

Adviser: Johanna Dwyer.

Thesis (Ph.D.)--Tufts University, 2007.

Diabetes is a serious and costly public health problem in the world today. It is the fourth leading cause of death in Taiwan, and its prevalence is still increasing both nationally and worldwide. Diabetes self-care education is an important part of the clinical management of individuals with diabetes. Implementation of and adherence to diabetes self-care recommendations maintains or improves life expectancy and quality of life, particularly among those with other chronic complications. The type and strength of factors affecting diabetes self-care behaviors are still poorly understood.

ISBN: 9780549450009Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

Factors affecting diabetes self-care among patients with type 2 diabetes in Taiwan.
LDR:05724nam 2200337 a 45 001 955192
005 20110622
008 110622s2007 ||||||||||||||||| ||eng d
020 $a 9780549450009
035 $a (UMI)AAI3300629
035 $a AAI3300629
040 $a UMI $c UMI
100 1 $a Ouyang, Chung-Mei. $3 1278652
245 1 0 $a Factors affecting diabetes self-care among patients with type 2 diabetes in Taiwan.
300 $a 145 p.
500 $a Adviser: Johanna Dwyer.
500 $a Source: Dissertation Abstracts International, Volume: 69-01, Section: B, page: 0208.
502 $a Thesis (Ph.D.)--Tufts University, 2007.
520 $a Diabetes is a serious and costly public health problem in the world today. It is the fourth leading cause of death in Taiwan, and its prevalence is still increasing both nationally and worldwide. Diabetes self-care education is an important part of the clinical management of individuals with diabetes. Implementation of and adherence to diabetes self-care recommendations maintains or improves life expectancy and quality of life, particularly among those with other chronic complications. The type and strength of factors affecting diabetes self-care behaviors are still poorly understood.
520 $a My project used three different approaches. The first was to investigate the frequency of patient's performance seven dietary self-care behaviors and to evaluate the effects of demographic, psychological characteristics and environmental factors on performing those behaviors. 185 Taiwanese adult outpatients aged 40 years and older with type 2 diabetes of more than two years duration who had also received at least one individualized nutrition session were studied. They responded to a self-administered survey questionnaire, with interviewer assistance if required. Logistic regression was used to predict performance of dietary self-care behaviors from respondent characteristics. Results showed that 90% of the respondents were prescribed a meal plan by their caregivers and 85% were counseled to have meals that were similar in amount and timing. In contrast, only 22% of the respondents were familiar with the concept of carbohydrate counting and kept a food record. Sex, age and educational level all predicted higher frequencies of performance more than one self-care behavior, but no characteristic predicted all of them. Dietary self-care behaviors were associated with various demographic variables. Of all the psychological and environmental characteristics potentially affecting patient's performance, self-efficacy was the most powerful predictor.
520 $a My second approach involved validating the psychometric characteristics of the Factors Affecting Diabetes Self-Care (FADSC) questionnaire. The FADSC questionnaire was developed validated and the psychometric properties established. It assessed predisposing, enabling and reinforcing factors facilitating or impeding progress in diabetes self-care in 185 Taiwanese adult patients with type 2 diabetes. The FADSC was developed after review of the literature and consultation with experts and consisted of 8 subscales which were knowledge, attitudes, self-efficacy, psychological problems, understanding, environmental barriers, family and medical support. Internal consistency was assessed using Cronbach's a and reliability with Spearman correlations. Concurrent validity was determined by assessing the associations between the FADSC and two generic health-related quality of life questionnaires [the Short Form 8 (SF-8) Physical Component Summary (PCS) and Mental Component Summary (MCS), and the G1 scale of the World Health Organization Quality of Life (WHOQOL)], and also with the Problem Areas in Diabetes (PAID), a diabetes-specific health related quality of life questionnaire.
520 $a The third approach was to assess the influence of background characteristics, reported frequency of performing five diabetes self-care behaviors and their effects on clinical outcomes in 185 Taiwanese adult patients with type 2 diabetes. Patients' self-reported frequency of performing five diabetes self-care behaviors (following a diabetes meal plan, exercising, taking medications, checking blood glucose levels and checking one's feet) was assessed using a 5-point scale ranging from never to always. The predictive ability of patients' demographics and disease-related characteristics on performing the self-care behaviors was assessed with logistic regression. Results showed 79% the patients regularly (often or always) took their medications and over half followed recommended meal plans and exercised, but only 38% preformed foot care and 20% checked their blood glucose regularly. Patients who took their medications and followed their meal plans regularly were more likely to have low HbA1c levels. Those who exercised regularly were more likely to have BMIs in the healthy range. Those who checked their blood glucose levels regularly also had more acute complications of diabetes. Older patients were more likely to exercise regularly than younger patients. Insulin-dependent diabetics were more likely to check their blood glucose levels, although they were less likely to follow their meal plans than those who were non-insulin-dependent. Those who had more diabetes education sessions were more likely to exercise. (Abstract shortened by UMI.)
590 $a School code: 0234.
650 4 $a Health Sciences, Health Care Management. $3 1017922
650 4 $a Health Sciences, Nutrition. $3 1017801
690 $a 0570
690 $a 0769
710 2 $a Tufts University. $b Food Policy & Applied Nutrition. $3 1278653
773 0 $t Dissertation Abstracts International $g 69-01B.
790 $a 0234
790 1 0 $a Dwyer, Johanna, $e advisor
790 1 0 $a Jacques, Paul F. $e committee member
790 1 0 $a Weinger, Katie $e committee member
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3300629