過敏性鼻炎兒童醫療遵從行為及其相關因素之研究

Factors Related to Adherence Behavior in Children with Allergic Rhinitis

詹靜惠(Ching-Hui Chan)

指導教授 ： 姜逸群

國立臺灣師範大學/教育學院/健康促進與衛生教育學系在職進修碩士班/碩士(2011年)

摘要

本論文研究目的在探討過敏性鼻炎兒童醫療遵從行為與其相關因素。以中部某醫學中心過敏性鼻炎兒童及其父母為研究對象，共得有效樣本136人。主要結果如下：
一、兒童醫療遵從行為，在兒童自我報告及其父母協同報告整體得分皆偏高且兩者具一致性。而在鼻阻力改善率方面，有改善只佔29.4％，疾病治療結果上改善不明顯。
二、過敏性鼻炎兒童父母疾病認知偏高。自我效能偏正向，其中「依醫囑用藥自我效能」把握程度高於「居家生活控制自我效能」。醫病互動關係亦偏正向。
三、影響過敏性鼻炎兒童醫療遵從行為相關因素為：年齡、父母親教育程度、家庭社經地位、父母疾病認知、父母自我效能及父母醫病互動關係。年齡小、父母專科大學以上、中高社經地位其醫療遵從行為較佳。父母疾病認知、自我效能、醫病互動與醫療遵從行為呈顯著正相關。
四、年齡、父母親教育程度、家庭社經地位、父母疾病認知、父母自我效能及父母醫病互動關係對過敏性鼻炎兒童「整體醫療遵從行為」的預測力為35％，其中「自我效能」是最有力的預測因子。

關鍵字

醫療遵從行為 ； 過敏性鼻炎 ； 兒童

並列摘要

The purpose of this study was to explore the medical adherence behavior and associated factors of children with allergic rhinitis. Purposive sampling was used to recruit 136 allergic rhinitis children and their parents from the outpatient department of hospitals in central Taiwan. The main results are as follows:
1.About level of medical adherence behavior of allergic rhinitis children self reports and their parents reports were high. And both showed significant positive correlation. For treatment outcome survey, there was only 29.4% Improvement in Nasal resistance (nPEFR).
2.Allergic rhinitis children’s parents in knowledge score were in high level. They had positive self-efficacy, the more confidence in medicine adherence than life style adherence. They client-professional interaction also tend to positive.
3.The factors associated with the children adherence behavior were age,parents education status, family's social/economic status, parents allergic rhinitis knowledge, self-efficacy and client-professional interaction. The subjects has better adherence behavior when subject’s age under 9 years,parents education level above collage, middle-to-high family's social/economic status. Parents allergic rhinitis knowledge, self-efficacy and client-professional interaction with adherence behavior had positive correlation.
4.「age」、「parents education status」、「family's social/ economic status」、「parents allergic rhinitis knowledge」、「parents self-efficacy」、「parents client-professional interaction」can explain 35% of variance of allergic rhinitis children’s overall adherence behavior, and「self-efficacy」was the best prediciting factor.

並列關鍵字

Adherence Behavior ； Allergic Rhinitis ； Children

參考文獻

洪翠双(2006)。恐懼訴求等多項因素對青光眼患者點眼藥遵醫囑行為影響之研究。未出版碩士論文，淡江大學，台北。

徐世達(2009)。過敏性鼻炎治療準則。台灣氣喘衛教學會通訊，14，13-18。

何青吟(2001)。鼻炎的治療A過敏性鼻炎的治療：3.免疫療法。中華民國耳鼻喉科醫學雜誌，36(5)，25-26。

許志宏(2001)。鼻炎的治療A過敏性鼻炎的治療：1.過敏原的避免2.藥物治療。中華民國耳鼻喉科醫學雜誌，36(5)，23-24。

謝昌成、陳建甫、劉鎮嘉(2006)。過敏性鼻炎。基層醫學，21(12)，346-351。