血液透析病患其控握信念、心理困擾與健康促進行為之初探

Preliminary Study of the Relationship between Health Locus of Control, Psychological Distress and Health Promotion Behavior in a Group of Hemodialysis Patients

陳佩英(Pei-Ying Chen) ； 郭素青(Su-Ching Kuo) ； 張惠甄(Hui-Chen Chang) ； 劉亞君(Ya-Chun Liu) ； 徐子英(Tzu-Ying Hsu)

《臺灣腎臟護理學會雜誌》 6卷2期 (2007/12) Pp. 27-41

摘要

This study examined the relationship between the health locus of control, health promotion behavior and psychological distress in a group of hemodialysed patients. The study used a cross-sectional design. A total of 40 hemodialysed patients participated in this study at the North District Regional Medical Center in Taiwan. However, only 36 valid questionnaires were used for data analysis. The dependent variables were comprised of the sum scores obtained on the modified version of the Multidimensional Health Locus of Control Scale (MHLC), Hospital Anxiety and Depression Scale (HADS) and Health Promotion Behavior Scale. Findings show that: (1) internal dimensions of control are inclined to all participants; (2) 36.1% demonstrated a clinically relevant level of anxiety, and 47.2% showed clinically relevant depression; (3) health promotion behaviors scores averaged 62.73%; (4) higher internal dimensions of control increased anxiety and depression (p＜.01) , loss of powerful attribution decreased the chance of anxiety and depression [mjs1](p＜.01); (5) higher rates of anxiety and depression health promotion behavior corrected significantly with low degrees of health promotion behavior, which were associated with greater internal control and lower powerful others and chance; [mjs2] (6) participants over 65 have greater health promotion behavior; (7) regression equation predicting shows that anxiety and depression were the strongest predictors claiming 80-82% of variance in health promotion behavior.

關鍵字

血液透析病患 ； 控握信念 ； 焦慮 ； 憂鬱 ； 健康促進行為

並列摘要

This study examined the relationship between the health locus of control, health promotion behavior and psychological distress in a group of hemodialysed patients. The study used a cross-sectional design. A total of 40 hemodialysed patients participated in this study at the North District Regional Medical Center in Taiwan. However, only 36 valid questionnaires were used for data analysis. The dependent variables were comprised of the sum scores obtained on the modified version of the Multidimensional Health Locus of Control Scale (MHLC), Hospital Anxiety and Depression Scale (HADS) and Health Promotion Behavior Scale. Findings show that: (1) internal dimensions of control are inclined to all participants; (2) 36.1% demonstrated a clinically relevant level of anxiety, and 47.2% showed clinically relevant depression; (3) health promotion behaviors scores averaged 62.73%; (4) higher internal dimensions of control increased anxiety and depression (p＜.01) , loss of powerful attribution decreased the chance of anxiety and depression [mjs1](p＜.01); (5) higher rates of anxiety and depression health promotion behavior corrected significantly with low degrees of health promotion behavior, which were associated with greater internal control and lower powerful others and chance; [mjs2] (6) participants over 65 have greater health promotion behavior; (7) regression equation predicting shows that anxiety and depression were the strongest predictors claiming 80-82% of variance in health promotion behavior.

並列關鍵字

hemodialysis ； locus of control ； anxiety ； depression ； health promotion