骨科手術病人之健康知能、知覺同理心、術前資訊理解程度與術前焦慮之探討

Correlations among Health Literacy, Understanding Preoperative Information, Perceived Empathy, and Preoperative Anxiety in Orthopedic Patients

朱正一(Cheng-I Chu) ； 曾稼志(Alex Chia-Chih Tseng)

《醫務管理期刊》 12卷3期 (2011/09) Pp. 177-190

https://doi.org/10.6174/JHM2011.12(3).177

摘要

目的：探討骨科手術病人之健康知能、知覺同理心、術前資訊理解程度與術前焦慮間的關係。方法：利用結構式問卷調查法，以南部某醫學中心接受全膝關節或全髖關節置換術之骨科病人為對象，施測過程共發出151份問卷，扣除無效問卷及由家屬作答問卷，收得有效問卷131份（有效回收率86.75%）。結果：本研究樣本之性別、教育程度、宗教信仰與婚姻狀況等皆會對全部或部分之研究變項產生差異。年齡與本研究的研究變項間皆呈顯著相關，年齡越高者其健康知能越低、知覺同理心越高、術前資訊理解程度越低及術前焦慮越高。健康知能雖與術前資訊理解程度呈顯著正相關，但術前資訊理解程度並未與術前焦慮顯著相關。在控制其他變項後，健康知能顯著卻負向地影響術前焦慮。結論：本研究發現年齡對健康知能、知覺同理心、術前資訊理解程度及術前焦慮的影響甚明顯，顯示各樣本生長的年代與因而所受的教育多寡具有關鍵的影響。本研究各變項可以解釋術前焦慮變異量的比例甚低，尚不到百分之十。因此，欲進一步瞭解術前焦慮的學者，仍亟需廣泛探究其它的可能因素。

關鍵字

健康知能 ； 術前資訊理解程度 ； 知覺同理心 ； 術前焦慮

並列摘要

Objectives: This study examined the relationships among general health literacy, understanding preoperative information, perceived empathy, and preoperative anxiety in orthopedic patients who had total knee or total hip replacements.Methods: Orthopedic patients with total knee or total hip replacements at a medical center in southern Taiwan were interviewed with a structured questionnaire. A total of 131 of 151 questionnaires were completed. This represented a response rate of 86.75%. Results: Gender, level of education, religion, and marital status showed significant differences in our study variables. Age had significant correlations with all the study variables. Older patients had a low level of health literacy, high perceived empathy, a low level of understanding preoperative information, and high preoperative anxiety. Health literacy was positively related to understanding preoperative information; nevertheless, understanding preoperative information had no influence on preoperative anxiety, and, after controlling for other variables, health literacy negatively affected preoperative anxiety. Conclusions: This study found a significant impact of age on health literacy, understanding preoperative information, perceived empathy, and preoperative anxiety. Apparently the time in which our subjects grew up and the educational opportunities they had had proved to be critical. Further research should consider broader possibilities and variables since our study explained no more than 10% of the variance of preoperative anxiety.

並列關鍵字

health literacy ； preoperative information understanding ； perceived empathy ； preoperative anxiety

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