A Study of Predisposing and Enabling Factors among Diabetes Mellitus Patients during Discharing Periods and Inspecting the Results of Referrals

　　The purposes of this study were to investigate the predisposing and enabling factors of Diabetes Mellitus( DM) patients during discharing periods and inspecting the results of referrals. A total of 50 DM patients who met the sampling criteria were interviewed by way of a questionnaire. The crosssectional survey method was used and the survey period was from Dec.1, 1993 to July.31, 1994. The findings were as follows : (1) Subjects of the study showed that 66﹪had DM over 6 years, 80﹪ had other kind of chronic diseases, 68﹪ were the first-time inpatients, 60 ﹪ had relatives who had DM. (2) All the subjects obtained health education about DM, over 90﹪ of them had recent experiences when hospitalized this time, nurses and nutritionists played the major role as instructors. (3) The rate of correctly answered about DM knowledge was 80﹪.(4)　Almost 80﹪ of the subjects were refered to district health centers, 80﹪ of those referrals were visited by the centers, over 60 ﹪ of the cases were accepted for futher management, only 40﹪ of those visits were done by public health nurses within one week.(5) Most of the doctors and nurses made referrals, the referral sheets written about patients' health needs, did help public health nureses in continuity care. 院期間糖尿病患者的素質因素及使能因素, 在病人出院時進行轉介,並追蹤轉介結果 。樣本來自某醫學中心近日內將出院之糖尿病患者共50名,採橫斷式調查研究法, 問 卷調查期間自82年12月 1日起至83年7月31日止。 結果發現: (1) 研究對象罹患 糖尿病至今超過六年以上者共佔66﹪, 八成的人患有其他慢性病, 68﹪的人是初次住 院,六成的人有親友罹患糖尿病。(2) 全部對象都曾接受有關糖尿病的衛生教育, 九 成以上的人最近的一次的經驗是在本次住院時, 護士與營養師是最主要的教導者。(3 ) 糖尿病知識的答對率為80﹪: 血糖控制的答對率最低, 自我照顧及糖尿病相關因素 的答對率次之, 糖尿病的症狀與低血糖認知及其處理﹑有關合併症的認知答對率最高 。(4) 近八成的個案被轉介至當地衛生所, 八成的轉介被接受, 地段護士能在一週內 訪到個案者僅佔四成, 訪視結果,六成以上的個案被收案。(5 )大多數的醫護人員均 能支持轉介服務,記載糖尿病人需要的轉介單,能引導地段護士繼續追蹤服務的方向。 #2342#