洗腎病患參與國外旅遊阻礙之研究

A Study of the Constraints on the Participation of Dialysis Patients in Overseas Travel

巫正美(Cheng-Mei Wu)

指導教授 ： 石岳峻

國立高雄餐旅大學/觀光學院/旅遊管理研究所在職專班/碩士(2012年)

https://doi.org/10.6825/NKUHT.2012.00032

摘要

血液透析﹙俗稱洗腎﹚為國內末期腎功能衰竭病患（End Stage Renal Disease, ESRD）大多數選擇的治療方式，由於每週需定期洗腎，洗腎病患之生活作息、飲食、工作及旅遊休閒活動等皆會受到影響，本研究目的主要為探討血液透析病患實際參與國外洗腎旅遊團之旅遊阻礙的重要因素。
本研究主要使用網路線上問卷為主，並以滾雪球抽樣收集個案，問卷採取李克特五點量表設計，再搭配質性訪談與資料觀察，交叉驗證不同資料觀點的一致性程度。共計回收台灣腎友之有效問卷59份，及外國腎友的有效問卷5份。
研究發現影響洗腎病患參與國外旅遊之最主要的阻礙因素為「結構性因素」，進行因素分析發現尤以「飲食擔憂」為最主要，其餘依序為「旅遊行程」、「口碑推薦」、「體力考量」、「專業經驗」、「醫療衛生」、「自覺勝任」與「家人支持」因素。
研究結果顯示不論國內外之洗腎病患對於參加國外旅遊後的感受，普遍對於和正常人相同可享有一般生活與繼續享受出國旅遊的權利、增廣見聞和休息等，都有較高之評價，若是腎友自覺身體狀況良好，通常較能掌控自我的病情且參與旅遊活動。而59名問卷調查之國內腎友，有高達94.6%之腎友，皆願意再次參加國外洗腎旅遊活動，此研究認為洗腎旅遊應是個值得深入開發的旅遊市場。根據研究結果希望對政府、醫療相關單位與旅遊產業業者，提出促進洗腎病患在旅遊活動規劃上的具體建議方向。

關鍵字

洗腎病患 ； 血液透析 ； 洗腎旅遊 ； 旅遊阻礙 ； 旅遊特性

並列摘要

Hemodialysis is the usual treatment for most of the patients with End Stage Renal Disease (ESRD) in Taiwan, and the required weekly dialysis affects patient’s lifestyle, diet, work, as well as travel and leisure activities. The objective of this research is to investigate the important factors causing constraints for the actual participation of hemodialysis patients in overseas travel for dialysis.

This research adopts on-line questionnaire and collects cases through snowball sampling. The questionnaire is set up according to the Likert five-point scale. The consistency of information is gained through a cross-analysis of the acquired data from the questionnaire, public webpage analysis and the qualitative interview. Fifty-nine valid questionnaires are obtained from dialysis patients in Taiwan, with additional five from foreign dialysis patients.

In summary, this study indicated that the “structural factor” is the main constraint for dialysis patients to participate in overseas travel. The factor analysis reveals that the “concern for diet” is the primary factor, following with “traveling schedule,” “public reputation and recommendation,” “physical consideration,” “professional experience,” “medical hygiene,” “self-awareness of competence,” and “family support.”

The Research result shows that the joy and continuity of joining overseas travel, the same right to a usual life as ordinary people and traveling abroad like a normal person, as well as resting and obtaining new knowledge to broaden one’s horizon, both domestic and foreign dialysis patients give higher agreement after they participated in overseas travel. Dialysis patients who feel that their physical condition is good can usually control their medical condition and participate in overseas travel for dialysis. According to the questionnaire, 94.6% of the domestic dialysis patients are willing to join again overseas travel for dialysis. The result shows that overseas travel for dialysis is a tourism market worthy of further development. Based on the result of this research, the government, medical institutions, and operators in the tourism industry should devise certain practical suggestions and directions to improve the planning of tourism activities for dialysis patients.

並列關鍵字

Dialysis Patients ； Hemodialysis ； Holiday dialysis ； Travel Constraints ； Travel Characteristics

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