雲林縣輕度中風患者對中風復發知識、支持性環境、資訊充足度、中風復發態度及健康行爲調查研究

A Survey of Knowledge, Supporting Environment, Sufficient Information, Attitude, Health Behavior of hypo-apoplexy Patients: Take Yunlin County for example

胡益進(Yi-Jin Hu) ； 戴友榆(You-Yu Dai) ； 林柏煌(Bo-Huang Lin) ； 劉珮吟(Pei-Yin Liu)

《健康促進與衛生教育學報》 30期 (2008/12) Pp. 107-132

https://doi.org/10.7022/JHPHE.200812.0107

摘要

臺灣人口老化的問題有愈來愈嚴重的趨勢，且隨著年齡的老化，中風的發生率呈倍數增加，然而，腦中風在醫療照護的花費上相當昂貴，腦中風對個人健康及經濟上皆造成損害，故針對此疾病作有效的控制，實屬刻不容緩之事。若想減輕腦中風病人對國家整體的醫療負擔，應針對高危險群進行篩檢，早期就醫且能持續追蹤、進行病人衛教，並實行健康促進介入。本研究計有755位研究對象，且皆為有效樣本，乃調查現行衛教情形，以為提昇輕度中風患者對中風復發相關危險因素的認知，進一步減少危險因素對他們之危害；並促進輕度中風患者在飲食、運動和用藥安全方面的健康行為；增進輕度中風患者的自我照顧能力及在醫療上的可近性之調查研究，以期避免日後再發的危險性，並作為後續中風衛生教育推廣之參考。本研究之結論如下：1.輕度中風病患的中風復發知識會因不同的鄉鎮、性別、年齡、婚姻狀況、教育程度、職業狀況等而有顯著差異。2.輕度中風病患的支持性環境會因不同的性別、年齡、婚姻狀況等而有顯著差異。3.輕度中風病患的資訊充足度會因不同的鄉鎮、年齡、教育程度等而有顯著差異。4.輕度中風病患對中風復發的態度會因不同的鄉鎮、婚姻狀況、居住狀況等而有顯著差異。5.輕度中風病患之健康行為會因不同的鄉鎮、婚姻狀況等而有顯著差異。

關鍵字

腦中風 ； 衛生教育 ； 健康行為

並列摘要

There is a more and more serious trend that Taiwan is facing the problem of aging of population. And by the age is older and older, the incidence of stroke increase twice than before. However, it's very expensive to medical treatment stroke; in other words, stroke both causes damage to personal health and economy. Thus, it's to demand immediate attention to control this illness effectively. To abate the whole national medical load by apoplexies, first of all, screening the population of high risk, second, seeking medical advice earlier, tracking continued and teach patients with health education, and finally, intervening by health promotion. This research is survey the stroke patients' cognition, supporting environment, sufficient information, attitude, health behavior about risk factors of stroke. The most important thing is to improve stroke patients' care ability by themselves, so these results can be used in the future. These are the conclusions: 1. The stroke patients' stroke cognition is different by society variables such as counties, sex, age, marriage status, education levels, and out of a job or not; 2. Supporting environment is different by sex, age, and marriage status; 3. Sufficient information is different by counties, age, and education levels; 4. Attitude is different by counties, marriage status, and living situation; 5. Health behavior is different by counties and marriage status.

並列關鍵字

apoplexy ； health education ； health behavior

參考文獻

王雅嫻、楊雅如、王瑞瑤(2007)。影響腦中風患者功能進步量之因子－系統性回顧。物理治療。36(2)，316-323。

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衛生統計系列（一）死因統計－92年度縣市別統計結果

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臺灣腦中風學會會訊