長期血液透析病患血磷控制遵從行為相關因素之研究

本研究目的旨在探討影響長期血液透析病患血磷控制遵從行為之相關因素。採橫斷式研究設計，以結構式問卷收集資料，選取兩家醫院血液透析中心的血液透析病患為收案對象，共收141位有效樣本，以SPSS 16.0統計軟體進行描述性及推論性資料分析。結果：年齡較小、未婚、與父母同住者、有自覺高血磷合併症者，其血磷控制遵從行為較差；血液透析病患的社會支持越好、自我效能越強、結果期待越正向、健康控握傾向內控者，其血磷控制遵從行為就越佳；年齡、婚姻狀態、居住情形、自覺高血磷合併症以及社會支持、內控、自我效能、結果期待對血液透析病患血磷控制遵從行為的預測力為56.4%，其中自我效能為最重要之預測變項。本研究結果可提供醫護人員瞭解長期血液透析病患血磷控制遵從行為之重要影響因素，以做為執行相關衛教工作時之參考。

關鍵字

遵從行為；自我效能；健康控握；社會支持；血液透析

並列摘要

Purpose: The aim of this study was to explore the phosphate control adherence behavior of hemodialysis patients and its related factors. Methods: This study used a cross-sectional design and structured questionnaire. A total of 141 hemodialysis patients from the two hospital hemodialysis centers were recruited as participants. Statistical analyses consisted of descriptive and inferential statistics using SPSS 16.0 statistical software. Results: We found that younger patients, singles, patients who live with their parents, and patients with high self awareness on the symptoms of hyperphospthemia had comparatively poor phosphate control adherence behavior. Hemodialysis patients with higher social support, better self efficacy, more positive outcome expectations and a tendency towards internal health locus of control tended to exhibit better phosphate control adherence behavior. Age, marital status, living conditions, self awareness symptoms of hyperphospthemia, social support, internal control, self efficacy, and outcome expectations explained 56.4% of the variance in the phosphate control adherence behavior of hemodialysis patients. Self efficacy was the main predictor among these variables. Conclusions: The results of this study can be used by healthcare workers as a reference during the performance of health education.

並列關鍵字

adherence ； self-efficacy ； health locus of control ； social support ； hemodialysis

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被引用紀錄

許麗玉、郭信智（2021）。癌症病人自我照顧行為初探：行動裝置與傳統衛教之比較。健康科技期刊，8(1)，16-29。https://doi.org/10.6979/TJHS.202109_8(1).0002

陳沛其、盧國城、李碧霞、苗迺芳（2020）。探討血液透析病患社會支持、自我照顧行為、生活品質現況及其影響因素。新臺北護理期刊，22(1)，33-46。https://doi.org/10.6540/NTJN.202003_22(1).0004

邱雅鈴、梁家榕、林仲祺（2023）。提升一位老年患者初接受血液透析自我照顧能力之護理經驗。臺灣腎臟護理學會雜誌，22(1)，28-41。https://doi.org/10.53106/172674042023122201003

林姵妘、林淑華、林筱芳（2017）。運用創意衛教模式提升血液透析病人對高磷飲食之認知。臺灣腎臟護理學會雜誌，16(2)，44-59。https://doi.org/10.3966/172674042017061602004

劉心怡、孫閫範、黃瀞萱、黃千郁、賴美玉（2017）。運用衛教指導技巧提升腹膜透析病人血磷控制之成效。臺灣腎臟護理學會雜誌，16(1)，42-55。https://doi.org/10.3966/172674042017031601004

延伸閱讀

孫嘉玲、葉秀美、蕭燕燕、陳琇麗、王麗玲、林秀琴、林姿儀、李良怡（2007）。運用行為修正改善血液透析病患高血磷症之成效。健康管理學刊，5(1)，49-59。https://doi.org/10.29805/JHM.200706.0004
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國際替代計量

長期血液透析病患血磷控制遵從行為相關因素之研究

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