- 期刊
健康信念、尿毒症認知和社會支持對慢性血液透析病人遵從行為之影響
Assessing the Effect of Health Belief, Knowledge, and Social Support on Compliance Behaviors in Chronic Hemodialysis Patients
摘要
本研究旨在探討血液透析病患對醫療指示的遵從行為及其影響因素。研究對象係以立意取樣的方式在高雄地區之透析中心，從民國79年12月至民國80年2月共收集330位慢性血液透析病人。研究結果發現： （1）透析病患自評遵從醫療指示之程度：整體遵從率達72.1％，遵從服用降磷藥物的情形（82.5％）較遵從飲食控制（67.6％）及液體限制（68.6％）為佳。 （2）經由因素分析將血液透析病人的健康伺念歸類為「遵從醫療指示的正向動機」與「遵從醫療指示的自覺障礎」二個次概念。 （3）遵從醫療指示的正向動機愈強，對尿毒症認知愈正碇與所獲得的社會支持愈強者，其遵從醫療指示的程度愈高。 （4）預測血液透析病患遵從醫療指示的因素依序為：「遵從醫療指示的正向動機」、「對尿毒症的認知」、「教育程度」、「目前每日尿量」及「年齡」等五項，共可解釋23％的變異量。 （5）究所發展的量表經測試後均有良好的信、效度，因此研究者建議可將本研究之評估工具運用在未來之相關研究上。 本文就上述研究結果進行討論並提出臨床實務之應用。
關鍵字
無資料並列摘要
The purposes of this study were to investigate the effects of hemodialysis patients’ health belief, knowledge on uremia, and social support upon their compliance behavior. The convenience sample of 330 hemodialysis (HD) patients was obtained at HD centers in southern Taiwan. With the use of a questionnaire developed by the researcher, all subjects were interviewed during hemodialysis. Data analyses were processed by a personal computer with SPSS/PC. Pearson correlation, ANVOVA, chi-square, multiple regression and factor analysis were selected as the analysis methods for this study. The results indicated: (1) The average overall rate of compliance was 72.1% by patient self report for fluid limit, diet restriction and taking PBM. (2) Two factors of subject’s health belief were identified by factor analysis. (3) Those who had more positive motivation for compliance with therapeutic regiments, more knowledge on uremia and stronger social support were positively correlated with compliance behaviors. (4) The best predictive variables of compliance behaviors of HD patients included positive motivation, knowledge on uremia, educational level, current daily urine amount and age; these five variables explained 23% of variance in compliance behaviors. (5) The instruments with a satisfactory validity and reliability developed by the researcher could provide a valuable basis for relevant future research. Implications of these findings for nursing practice are also discussed.