The Effectiveness of Images Health Education Curriculum for Middle-aged and Elderly diabetes patients

• Main Authors: Yun-Feng Tseng, 曾雲鳳
• Other Authors: Stephanie Yu-Ching Chen
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/50245711407792054159

碩士 === 國立中正大學 === 成人及繼續教育研究所 === 102 === This study was carried out in the mixed method,primary the type of quasi-experimentation research method and the qualitative interview data analysis forstrengthening the results of quantitative data. The goal of this study is to discuss the influence ofImages Health Education Curriculum (IHEC) onmiddle-aged and elderly diabetic patients in the Taiwan network of shared care health education pattern through conscious of the image effects of health literacy, self-managementefficacy and glycemic control, as well as IHEC process learning.Diabetic patients, who joined the Diabetes Shared Care Network for at least one year and over 40 years old, were purposively divided into the interventiongroup (26 patients) and control group (25 patients). The control group, maintaining in original DM-caring education, compares to the intervention group with two topics of the Conversation map courses, Foot Care and Healthy eating and Keeping Active,which were applied 3 hours per week for 2 weeks.A month after the course there were 20 subjects who agreed to accept semi-structuredinterview.The following data were collected at baseline and 3-month follow-up: Health Literacy Scale (HLS), Perceived Diabetes Self-Management Scale (PDSMS), self-designed assessment questionnaire, Glycated Hemoglobin (HbA1c) and fasting plasma sugar level. Results: 1. The mean scores of the HLS and PDSMS are more in the interventiongroup than in the control group, though,without a statistical significance (ANCOVA analysis). While the mean scores of PDSMS and self-designed assessment questionnaire are better in the interventiongroup than in the control group with statistical significant differences. 2. In the ANCOVA analysis, the program resulted in significant reduction in both HbA1c and fasting plasma glucose in the intervention group. 3.Self-managementan administrative act with efficiency gainshigher percentage rate in the experimental group than in the control group. In the Records and self-monitoring of blood glucose in blood glucose, the intervention group was higher than the control group. 4. The IHEC results of the qualitative research process consist of three themes: (1) The IHEC process learning advantages (2) The IHECincrease capacity of self-management (3) Self-regulated and the dilemma of health education and suggestions Conclusions: Being designed according to characteristics and needsof the senior learners, this IHEC program is designed to guide participants (patients) to learn and to practice in their life experiences by the tool, the Conversation Map. Whilemiddle-aged and elderly diabetic patients improve their self-management, motivation, capacity and confidence, and the blood glucose control. Course content analysis of qualitative interview study found that advantages of meaningful-image courses can enhance implementation of self-management behaviors. Participants (patients) proposed restrictions of the shared care model of health education and gap under present DM education statusafter comparing two different kinds of reflective learning experience. Therefore,the IHEC should be introduced to educators in the Diabetes Shared Care Network for proper application.