冠心病患者自我照顧行為及其相關因素之探討

To explore self-care behaviors and their related factors in patients with coronary artery disease

陳惠芳(Hui-Fang Chen)

指導教授 ： 戴玫瑰

高雄醫學大學/護理學院/護理學系研究所/碩士(2014年)

https://doi.org/10.6832/KMU.2014.00037

摘要

本研究目的在探討冠心病患者其生理症狀困擾、疾病認知、疾病態度與自我照顧行為，並進一步了解其影響因素。本研究採橫斷式調查法，在南部某一醫學中心心臟科病房，針對住院接受常規心導管檢查之冠心病患者納為研究對象，以結構式問卷進行資料收集，內容包括基本資料表、「主觀生理症狀量表」、「冠狀動脈疾病認知量表」、「冠狀動脈疾病態度量表」及「冠狀動脈疾病自我照顧行為量表」為研究工具；本研究問卷具內容效度檢測，且其內容一致性信度Chonbach’α值介於0.79~0.87，結果以SPSS 17.0統計軟體進行資料分析。結果顯示自我照顧行為與疾病認知、疾病態度有正相關；而自我照顧行為與生理症狀困擾無關。疾病認知程度越高、疾病態度越正向，則自我照顧行為亦越好。以逐步複迴歸分析顯示「疾病態度總分」、「疾病認知總分」、「教育程度」為自我照顧行為之預測因子，可解釋39.3％之總變異量，其中又以「疾病態度總分」最具預測力。期望能透過此研究，探討冠心病患者其個人屬性、生理症狀困擾、疾病認知、疾病態度與自我照顧行為之相關，以作為日後醫護人員在照顧冠心病患者之參考依據，提供患者個別性、適切性之護理指導，降低冠狀動脈血管再阻塞入院治療之機會與心臟病發之死亡率，使有限的醫療成本發揮最大的功效。

關鍵字

冠心病 ； 生理症狀困擾 ； 疾病認知 ； 疾病態度 ； 自我照顧行為

並列摘要

The purpose of this study was to explore the correlations of physical symptom distress, disease knowledge, disease attitude, and self-care behaviors for patients with coronary artery disease. A cross-sectional design was conducted. Participants were diagnosed with coronary artery disease of elective coronary angiography, and be recruited from in a cardiovascular ward of a medical center in the southern Taiwan. A structured questionnaire was administered to guide interview and data collection. It includes demographic variables and scale of subjective physical symptoms, disease knowledge and disease attitude, and self-care behaviors of patients with coronary artery disease. Both content validity and internal reliability were tested, which value of Chonbach’α was between 0.79~0.87. Statistical analysis was performed by using SPSS 17.0 version. The results showed that self-care behaviors were significantly corrected with disease knowledge and attitude. Self-care behaviors have no significant correlation with physical symptom distress. Disease knowledge is the higher, disease attitude more positive, self-care behaviors more perfect. The stepwise multiple regression analysis showed “total disease attitude”, “total disease knowledge”, and “education” explained 39.3% of total variance. Of these, “total disease attitude” was the most predictor of self-care behaviors. This study will plan to test the significant factors which may affect the self-care behaviors among patients with coronary artery disease. The findings will be expected to provide a reference basis of the further suggestions for care these patients population.

並列關鍵字

coronary artery disease ； physical symptom distress ； disease knowledge ； disease attitude ； self-care behaviors

參考文獻

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劉淑娟（1999）．罹患慢性病老人服藥遵從行為及其相關因素之探討．護理研究，7（6），581-593。

中文部份

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王錦雲、陳保羅、高靖秋、楊素月、蔡仁貞（2005）．居家型走運動計畫對心血管疾病危險群婦女危險因子及情緒狀態之影響．實證護理，1（3），185-194。