- 期刊
影響接受連續可活動性腹膜透析病人需要之因素探討
An Exploration of the Factors Influncing the Needs for the CAPD Patients
摘要
本研究目的是由接受連續可活動性腹膜透析(CAPD)治療病人的主觀角度，探討其需要，並分析其可能的影響因素。研究者以自擬的CAPD病人需要量表及CAPD認知問卷爲工具，對95位正在接受此治療者進行訪談。 研究對象平均年齡46.34歲，約六成的病人在經濟上是獨立的。CAPD病人平均需要數爲111.86個。所有研究對象都需要：能減輕不適、最新的腎病治療方法、抽血結果、換液步驟、導管出口處的照顧法、造成腹膜炎的原因六項。最不被認爲是其需要的前三名依次爲：手冊字體能加大、院內提供的宗教服務、醫護人員能建議尋求宗教支持。 統計檢定結果發現影響病人需要的變項極廣，逐步回歸分析結果發現年齡、導致尿毒症的原因爲腎炎、期望訓練時每天的上課次數、及執行外口護理的居家活動爲病人需要數的重要變項，可解釋35.46%的變異量。此外，文中亦根據研究結果提出具體改善建議。
並列摘要
The purpose of this interview was to explore the needs for ESRD patients who were receiving CAPD treatment. The self-designed CAPD Needs Inventory (CNI) was used for data collection. After 4 months’ data collection, a total of 95 valid interviews was used for data analysis. All of the sample announced they needed: Relief from discomfort, new treatment for renal disease, result of blood examination, procedure of dialysis, exit-site care, causes of peritonitis. The least frequent need was: Larger words of manual, religious services of hospital, suggestion for searching religious support. Pearrson correlation, t-test, and ANOVA were performed to identify the relationships among selected variables. Stepwise regression was also used to identified the significant predictors for “the amount of needs” The results shown that the significant predictors were: age nephritis as initial disease; expected frequences of nursing instruction per day training; exit site care. A total of 35.46% variances was explained. Several suggestions were made at the same time.