Health Behaviors and Related Factors in People with Chronic Illness

隨著慢性病盛行率的提升，護理人員逐漸關注會影響慢性病處置的健康行為。截至目前為止，少有研究者檢視台灣慢性病患者的健康行為。獲悉影響從事健康行為的因素，將有助於健康促進方案的擬訂。本研究目的乃在探討教育程度、社會性支持、疾病狀態與臨床病況對慢性病患者執行健康行為的影響力。採橫斷面研究設計，以結構式問卷面對面訪談372位門診的成年慢性病患者。以結構等式模式技術來檢定本研究的理論架構。結果發現本模式可以解釋健康行為29.9%的變異量，所確認的影響因素是慢性病患者執行健康行為的實用預測因子。由於本研究模式所設定的變數關係，只能解釋健康行為三分之一的變異量，表示在未來的研究，需添加更多相關變數，方能對健康行為做更完整的詮釋。

關鍵字

健康行為；慢性病

並列摘要

As chronic illnesses become increasingly prevalent, nurses have become more concerned about health behaviors that affect the management of such chronic illnesses. However, few investigators have examined factors related to health behaviors in Taiwanese with chronic illnesses. Determining the factors that influence engagement in health behaviors is key to developing effective health promotion programs. The purpose of this study was to elucidate the effects of education, social support, disease status and clinical status on the performing of health behaviors among people with chronic illnesses. Face-to-face structured interview of a sample of 372 Chinese-speaking adult outpatients who live in Taiwan was used. The theoretical framework of the investigation was tested using structural equation modeling techniques. This model proved to be a fair theoretical framework, explaining 29.9% of variance in health behaviors. The results identify the factors that are useful predictors of health behaviors by people with chronic illness. However, as less than one-third of the variance in health behaviors was explained by the relationships hypothesized in the model, additional variables that could account for more of this variance should be included in future research.

並列關鍵字

health behavior ； chronic illness

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