醫師權威對第二型糖尿病患者血糖控制之影響分析
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2019
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全世界高達4.25億人深受糖尿病所苦，到2045年，糖尿病患甚至將會到達6.29億人。本研究認為糖尿病醫療團隊的努力，糖尿病醫師及衛教師的衛教能夠改變病患的認知，幫助病患做好血糖管理，控握信念裡醫師權威是醫病管理很重要的指標依據，可增加病患的認同感並促進病患之生活品質。
首先，本研究目的設定於探討第二型糖尿病患者控握信念與糖化血色素之相關性及人格特質與醫師權威之相關性研究。探討不同人格特質的人對醫師權威的認知是否會影響第二型糖尿病患者血糖控制。
其二，將研究數據進行整理，得到以下實證結果:(1)外向開放人格不傾向遵循醫師的醫囑 (2)神經型人格不傾向遵循醫師的醫囑 (3)友善性人格有顯著性傾向遵循醫師的醫囑 (4)審慎性人格有顯著性傾向遵循醫師的醫囑 (5)血糖控握信念的醫師權威有顯著影響病患的血糖控制 (6)有工作者顯著傾向遵循醫師的醫囑。 (7)罹病年數、社經地位及慢病有無、工作有無等因素顯著傾向降低血糖控制。
最後，綜合本研究調查結果，並根據糖尿病疾病預防與發展、血糖控握信念與疾病控制、人格特質理論與相關研究探討及糖尿病患遵醫囑行為等文獻觀點，整理後提出糖尿病病患血糖控管及醫師權威相關管理意涵，如下:
1. 良好的運用醫師權威性，為病人控制血糖帶來根本利基
2. 罹病年數、社經地位、慢性病及工作都有可能是血糖控管不佳的重要因子，政府機關可針對國民健康給予政策上的方案，提升我國整體國民健康水平。
3. 針對外向開放性人格及神經型人格特質之病患，需給予更多藥品使用的衛教與支持。
As many as 425 million people in the world suffer from diabetes, and by 2045, diabetes will reach 629 million. This study believes that the efforts of the diabetes medical team, the health education of diabetes doctors and health teachers have changed the patient's cognition, helped patients to manage blood sugar, and the authority of physicians is a very important indicator of medical management. It can increase a patient's identity and improve the quality of life of the patient. First, the purpose of this study was to investigate the relationship between the control of the second-type diabetes patients and glycated hemoglobin and the relationship between personality traits and physician authority. Exploring the perception of physician authority by people with different personality traits will affect glycemic control in patients with type 2 diabetes. Second, the research data was collected, and the following empirical results were obtained: (1) outgoing open personality does not tend to follow the doctor's advice (2) neurotic personality does not tend to follow the doctor's advice (3) friendly personality has a significant tendency to follow the doctor's advice (4) prudence personality has a significant tendency to follow the doctor's advice (5) the authority of physicians has significantly affected the patient's blood sugar control (6) patients who are in employment significantly tend to follow the doctor's advice. (7) Factors such as the number of years of illness, socioeconomic status, with chronic diseases and employment have a significant tendency to reduce glycemic control. Finally, the following management implications are proposed. 1. Good use of physician authority, providing a fundamental basis for patients to control blood sugar 2. The number of years of illness, socioeconomic status, chronic diseases and employment are important factors in blood sugar control. If necessary, the government should propose some policies for national health and improve the overall national health. 3.For the patients with outgoing open personality and neurotic personality traits, give assistance in the management of medicine.
As many as 425 million people in the world suffer from diabetes, and by 2045, diabetes will reach 629 million. This study believes that the efforts of the diabetes medical team, the health education of diabetes doctors and health teachers have changed the patient's cognition, helped patients to manage blood sugar, and the authority of physicians is a very important indicator of medical management. It can increase a patient's identity and improve the quality of life of the patient. First, the purpose of this study was to investigate the relationship between the control of the second-type diabetes patients and glycated hemoglobin and the relationship between personality traits and physician authority. Exploring the perception of physician authority by people with different personality traits will affect glycemic control in patients with type 2 diabetes. Second, the research data was collected, and the following empirical results were obtained: (1) outgoing open personality does not tend to follow the doctor's advice (2) neurotic personality does not tend to follow the doctor's advice (3) friendly personality has a significant tendency to follow the doctor's advice (4) prudence personality has a significant tendency to follow the doctor's advice (5) the authority of physicians has significantly affected the patient's blood sugar control (6) patients who are in employment significantly tend to follow the doctor's advice. (7) Factors such as the number of years of illness, socioeconomic status, with chronic diseases and employment have a significant tendency to reduce glycemic control. Finally, the following management implications are proposed. 1. Good use of physician authority, providing a fundamental basis for patients to control blood sugar 2. The number of years of illness, socioeconomic status, chronic diseases and employment are important factors in blood sugar control. If necessary, the government should propose some policies for national health and improve the overall national health. 3.For the patients with outgoing open personality and neurotic personality traits, give assistance in the management of medicine.
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醫師權威, 控握信念, 病患人格特質, 第二型糖尿病患, 血糖控制