- 學位論文
動畫衛教光碟對接受干擾素-α合併雷巴威林治療之C型肝炎病患之自我管理成效
The Effect of Self-management for C-type Hepatitis Patients with Pegylated Interferon-α plus Ribavirin Treatments applying Animated Health Education CD
摘要
目前在台灣Ｃ型肝炎以抗病毒藥物治療方式為首要，但其藥物產生的副作用很多，故病患的自我管理能力在病情控制上顯然非常重要。本研究主要探討衛教光碟對接受抗病毒治療的C型肝炎病患之自我管理與生活品質之成效。研究方法是採類實驗兩組研究設計，期間自2014年07月01日至2015年10月01日，以中部兩家醫學中心、兩家區域教學醫院之接受抗病毒藥物治療的C型肝炎病患為研究對象，共70人，每組各35人。實驗組接受「動畫衛教光碟」，而控制組無給予光碟介入。研究工具為『自我管理量表-中文版 』和『SF-8生活品質量表』。所收集的資料以SPSS 18.0 for Windows統計軟體分析。結果顯示: (1)比較兩組之自我管理，介入前(t1)、介入後一個月(t2)、介入後三個月(t3)兩組皆無差異(p>.05)。比較兩組之生活品質，雖然控制組在t1得分高於實驗組(p=.00)，但實驗組在t3得分則高於控制組(p=.02)，表示光碟衛教介入後對實驗組的生活品質得分顯著提高。(2)利用廣效估計方程式(GEE)分析生活品質之組別與時間交互作用，得知實驗組隨著介入後時間，其得分降低的幅度比控制組小(p<.05)，顯示光碟衛教措施能改善病患的生活品質。GEE分析自我管理之組別與時間交互作用，得知實驗組隨著介入後時間，其得分降低的幅度與控制組未達顯著差異(p>.05)，顯示光碟衛教措施未能增進病患的自我管理能力。結論為使用衛教光碟能增進C型肝炎抗病毒治療病患之生活品質，但未能增進其自我管理能力，可能是受到藥物副作用的影響所致。
並列摘要
The treatment of hepatitis C is mainly using antiviral drugs inducing many side effects. Therefore, the patient’s self-management ability is very important on controlling symptom. The study is to explore the effect of video education on self-management and quality of life (QOL) among hepatitis C patients receiving antiviral treatment. The method was a quasi-experimental two-group design collecting data from July 1, 2014 to October 1, 2015. Total 70 subjects with hepatitis C plus antiviral treatment were recruited from two medical centers and two regional hospitals in Taichung. Thirty five subjects were arranged into each group. The experimental group performed animated video education and the control group did not accept the intervention. The research tools were “Self-Management Scale -Chinese Version“ and “Short Form-8 quality of life questionnaire”. All data collected were analyzed by SPSS 18.0 for Windows. Results were (1)Comparing the self-management in two groups, there was no difference in both groups before (t1), after-one-month (t2) and after-three-month (t3) of intervention (p>.05). Comparing the QOL in two groups, although at t1 (p=.00) the score of control group was higher than that in experimental group, but at t3 (p=.02) the score of experimental group was higher than that in control group. This indicated that after disc intervention the score of QOL in experimental group significantly increased. (2)Analyzing the interaction between group and time of QOL by generalized estimating equation (GEE), with the pace of intervention time the score in experimental group decreased less magnitude than that in control group (p<.05). This indicated disc intervention could improve patients’ QOL. Analyzing the interaction between group and time of self-management by GEE, with the pace of intervention time the decrease of the score in experimental group was not different from that in control group (p>.05). This indicated that disc intervention could not increase patients’ self-management abilities. Conclusion is shown that video education can improve the QOL of C-type hepatitis patients receiving antiviral therapy, but not increase their self-management abilities. That may be affected by the side effects of drugs.
參考文獻
延伸閱讀
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