- 期刊
慢性病人健康促進及其相關因素之探討
Study of Health Promotion of Chronic Diseasep Atients And its Relevant Factors
摘要
本研究目的在了解住院之慢性病人執行健康促進的現況，並探討健 康促進與其背景因素、自我健康概念、社會支持、健康控制歸因的關係。本研究係以臺中縣某區域教學醫院之20~80歲的慢性病人為對象，採立意取樣來選取住院三天內經醫師診斷為慢性疾病、具有KPS (Kanofsky Scale of Performance Status) ＞80 之活動能力、意識清楚且願意接受訪談之病患。共得有效樣本106人，回收率為84%。所得資料以單因子變異數分析、積差相關及複迴歸分析等統計方法進行分析。結果發現慢性病患者以糖尿病、高血壓、心臟病居多，自覺健康狀況多為中下( 88.7% )，能定期追蹤治療者佔59.6 %，對生活滿意程度為中上者佔74.9%，執行健康促進的情形屬中上，得分高低依序為「心理衛生」、「日常保養」、「飲食」及「醫療保健」。自我健康概念、社會支持與健康促進呈顯著正相關。年齡、教育、生活滿意程度、自覺目前健康情形、疾病控制情形、社會支持、健康概念可顯著預測執行健康促進情形，共可解釋26.4%的變異量。根據本研究結果，建議應多加強病患之健康概念、疾病控制感與有力的社會支持以增進病患執行健康促進。
並列摘要
The purpose of this study is to understand the status quo of the chronic disease patients admitted and probe into the relationship among the elements of health promotion and background, self-conscious health concept, social support and health control attribution. Subjects of this study were the chronic disease patients, between 20 to 80 of age, of a certain regional teaching hospital of Taichung Hsien, Taiwan, by selective sampling of chronic disease patients, diagnosed by physicians from among the inpatients less than three days, with power of activity of KPS (Kanofsky Scale of Performance Status) ＞80, who were sane and willing to accept the interview. Totally, there were 106 respondents (84% response rate) with validity. The data gathered were analyzed statistically by means of self-administrated questionaire from one-way ANOVA, Pearson's Product-moment correlation and multiple regression. The result revealed that most of the chronic disease patients were suffering from diabetes mellitus, hypertension and heart disease. The self-conscious health conditions were mostly at lower medium (88.7%) and 59.6% were traceable for treatment regularly. However, 74.9% reflected that their contentment with life was at upper medium and the same with the execution of health promotion. The ratings were ＂mental health＂, ＂daily health care＂, ＂diet＂ and ＂medical therapy and health preservation.＂ Self-awared health concept, social support and health promotion were conspicuously proportionate. A 26 .4% of variance may be translated to predict the execution of health promotion obviously by age , education, degree of contentment with life, current self-conscious health condition, disease control, social support and health concept.