本研究目的在探討某醫學中心慢性腎臟病患的自我效能、自我管理與生活品質之現況與相關性。收案期間自民國100年2月至101年3月，研究對象為由醫師確定診斷為慢性腎臟病，未進行腎臟替代療法，共收集120份有效問卷。根據本研究目的、問題與研究結果與討論，提出下列幾項結論：
一、 受試腎臟病患者的自我效能屬中上程度，以「藥物治療」層面得分最高，最低分為「運動」層面。
二、 受試腎臟病患者的自我管理也屬中上程度，以「遵醫囑」層面得分最高，最低分「自我照顧」。
三、 受試腎臟病患者對生活品質現況屬中上程度，受試對象的SF-36生活品質中以「社交功能」得分最高，最低的為「一般健康狀況」的部分；在腎臟病生活品質中以「社會互動品質」得分最高，最低分為「病人健康滿意度」的部分。
四、 受試腎臟病患者月收入2萬以上其自我效能程度較月收入2萬以下者佳。
五、 受試腎臟病患者自我效能越佳，其自我管理程度較好；教育程度高中以上者其自我管理程度較國中以下者好；同時有高血壓合併症者其自我管理程度較沒有高血壓合併症者好。
六、 受試腎臟病患者的SF-36生活品質與腎臟病生活品質呈現顯著相關。
七、 受試腎臟病患者的生活品質在不同社會人口學變項、自我效能、自我管理皆呈現無顯著差異，然這些變項對生活品質部分次向度有顯著差異。
依本研究結果，建議進行慢性腎臟病患的自我管理介入教育時，要同時強化其自我效能；對於教育程度較低、無高血壓合併症者的患者更要協助其做好自我管理。

The purpose of this study was to investigate the self-efficacy, self-management and quality of life among patients with chronic kidney disease. The questionnaires were collected from February, 2011 to March, 2012. A nephrologist diagnosed these patients as having chronic kidney disease. There were a total of 120 valid questionnaires obtained. The main results were as follows.
1. The participants reported a middle level of self-efficacy. The highest score was the "medication" component, while the lowest score was the "excercise" component.
2. The participants reported a middle level of self-efficacy. The highest score was the "medication adherence" component, while the lowest score was the "self-care" component.
3. The participants reported a middle level of quality of life. The highest score was the "social function” component, while the lowest score was the "general health" component.
4. The participants with a monthly income of more than twenty thousand dollars had better self-efficacy.
5. Self-efficacy was significantly associated with self-management. The patients with an education level above senior high school and hypertension had better self-management.
6. The participants’ SF-36 quality of life was significantly associated with their quality of life with chronic kidney disease.
7. The paticipants’ demographic characteristics, self-efficacy, and self-management were not significantly associated with quality of life. However, there was a significant difference between demographic characteristics, self-efficacy, and self-management with the sub-component of quality of life.
It is suggested that care-givers enhance participants’ self-efficacy and self-management.

一.中文部分
台灣腎臟醫學會。台灣慢性腎臟病全球的盛行率。檢索於2012年2月20日，網址： http://www.tsn.org.tw/UI/H/H002.aspx
王璟璇、王瑞霞、林秋菊(1998)。自我照顧行為、自我效能和社會支
持對初期非胰島素依賴型糖尿病患者血糖控制之影響。高雄醫學
雜誌，14 ，807-814。
王麗惠、劉芹芳（2005）。生活品質概念分析於護理之應用。高雄護
理雜誌，22（2），41－50。
王惠玲、江慧玲、、莊峻鍠、蔡培葵(2005)。糖尿病中老年患者生活
品質及其相關因素之探討。長庚護理，16(4)，90-101。
行政院衛生署衛生統計資訊專區。「歷年腎炎、腎徵候群及腎性病變死亡人數、死亡率」。台北市：行政院衛生署。檢索於2011年1月20日，網址：
http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=10251&class_no=440&level_no=1
行政院衛生署國民健康局。「腎臟病照護-認識腎臟病教學手冊」。台中市：行政院衛生署。檢索於2011 年1月20日，網址：http://www.health91.bhp.doh,gov. tw
行政院衛生署國民健康局。「腎臟病照護-認識腎臟病學習手冊」。台中市：行政院衛生署。檢索於2011年1月20日，網址：http://www.health91.bhp.doh,gov. tw
行政院衛生署中央健康保險局。「全民健康保險初期慢性腎臟病醫療給付改善方案 」〔公告〕。台北市：行政院衛生署，檢索於2011年1月20日，網址：http://www.nhi.gov.tw/epaper2/ItemDetail.asp?DataID=2334&IsWebData=0&ItemTypeID=2&PapersID=198&PicID=
宋藝君(2009)。血液透析病患自我管理量表之建構與測試。高雄醫學
大學護理系研究所未發表碩士論文，高雄。
宋藝君、陳淑芬、林秋菊(2008)。慢性病自我管理的概念分析。新台
北護理期刊，10(2)，49-56。
余文彬(2004)。糖尿病患者的血糖控制、自我效能、自我照顧和生活
品質之探討。國立台北護理學院護理研究所未出版碩士論文，台
北。
李尹暘、林麗娟（2008）。醫病信任、結果預期及自我效能於糖尿病
患自我照顧應用。北市醫學雜誌，5（3），304-319。
何千惠(2004)。第二型糖尿病患者自我效能及社會支持與遵醫囑行為
之項關研究- 以台北縣某區域教學醫院為例。國立台灣師範大
學衛生教育學研究所未出版碩士論文，台北。
何雅芳(2010)。血液透析病患者的血磷遵從行為及其相關因素之研究
。國立台灣師範大學衛生教育學研究所未出版碩士論文，台北。
林佳靜、梁靜祝、黃芬蘭、賴裕和(2004)。血液透析患者之希望與社
會支持的相關性探討。台灣腎臟護理學會雜誌，3(1)，88-101。
林雁秋、顏妙芬(2003)。末期腎疾病患者接受透析治療的調適過程。
台灣腎臟護理學會雜誌，2(2)，186-192。
林裕峰(2008)。行政院衛生署國民健康局慢性腎臟病防治科技研究計
畫：流行病學研究及危險因子監測計畫(國科會專題研究計畫成
果報告編號：DOH97-HP-1101)。台北：中華民國行政院國家科學
委員會。
吳佩蓉、許淑蓮、蔡敦仁、黃秀梨（1997）。個別衛教對慢性腎衰竭
患者疾病認知、態度、自我照顧之成效。台灣醫學，1（1），23-34。
吳淑芳(2006)。糖尿病個案自我效能增進訓練及應用。台灣醫學，
10(1)，115-121。
許錦茹(2004)。長期血液透析病患其飲食攝取與健康信念、自我效能
之相關性研究。國立台灣師範大學衛生教育學研究所未出版碩
士論文，台北。
馬麗卿、謝湘俐（2008）。照護一位末期腎疾病患者面對血液透析治
療之護理經驗。臺灣腎臟護理學會雜誌， 7（1），60-73。
馬麗卿、孫嘉玲、謝湘俐(2010)。血液透析病患之憂鬱狀態及生活品
質滿意度相關性研究。台灣腎臟護理學會雜誌，9(1)。檢索於2012
年1月20日。網址：
http://www.tnna.org.tw/upfile/file/File_2010928185316.pdf
高瓊芳、江慧玲、史麗珠、劉祥仁。(2008)。門診腦中風患者之生活
品質及其相關因素探討。實證護理，4(2)，127-136。
陳惠姿、李孟芬（2001）。個案管理在社區老人長期照護之應用。護
理雜誌，48(3)，25-32。
陳淑賢、蔡芸芳、吳逸文、吳麥思(2010)。自我管理照護對腎臟功能
之影響-前溯性隨機對照研究。ACTA Nephrolgican，24(4)，407。
陳美玲、顧乃平（1998）。血液透析病患生活品質及相關因素之探討。
護理研究，6（5），393-403。
張志發(2006)。血液透析病人自我效能評估與治療效果相關性研究。
私立元智大學資訊管理學系學位論文，桃園。
葉湘芬、紹榮華(2010)。心衰竭老人飲食自我效能與自我管理行為之
探討。志為護理，9(4)，96-107。
楊五常,黃尚志(2006)。台灣腎臟醫學研製慢性腎臟病防治手冊計畫
。台北：行政院衛生署國民健康局。
練淑靜（2008）。第二型糖尿病病人自我照顧行為及其相關因素之研
究—以台中市某診所為例。國立台灣師範大學衛生教育學研究
所未出版碩士論文，台北。
鄭惠瑩、丘周萍、趙慧君(2009)。腹膜透析病患自我照顧知識、自我
照顧行為與生活品質之探討。領導護理，10(2)，15-28。
談靜慧、洪志秀（2006）。氣喘態度、社會影響與自我效能對氣喘青
少年自我管理意向之影響。實證護理，2（1），24-33。
潘美妃、何延鑫、王美華、陳梅麗(2006)。推動門診慢性腎臟疾病個
案管理專案。台灣腎臟護理學會雜誌，5(1)，40-53。
盧素真、陳世宜、黃淑珍、蘇玲華(2010)。血液透析病患睡眠障礙、
憂鬱程度及其生活品質的分析探討。護理暨健康照護研究，
6(1)， 33-43。
鍾宜珍、王瑞霞、趙淑美、洪淑雲(2009)。成人氣喘生活品質及其相
關因素。護理暨健康照護研究，5(2)，149-157。
劉美吟、戴研光、洪薇雯、謝明家、王瑞霞(2010) 。第二型糖尿病
個案情緒困擾、賦權感受、自我照顧行為與生活品質關係之探
討。護理雜誌，57（2），49-60。
劉敏慧、胡瑞桃、郭李堂、王兆宏、董道興(2008)。心衰竭病患自我
照顧能力與症狀困擾、社會支持憂鬱之研究。實證護理，4(4)，
277-288。
羅中廷、翁慧卿(2006)。知識、態度、自我照顧行為和疾病嚴重度對
氣喘病人生活品質的解釋模式-以參加氣喘疾病管理計畫之病
人為例。台灣公共衛生雜誌，25(2)，125-134。

二.英文部分：
Abu-Alfa, A.K., Sloan, L., Charytan, C., Sekkarie, M., Scarlata, D., Globe, D.,
Audhya, P. (2008). The association of darbepoetin alfa with hemoglobin and health-related quality of life in patients with chronic kidney disease not receiving dialysis. Current Medical Research and Opinion, 24:1091–1100.
Adams,K., Greiner, A. C., & Corrigan, J. M. (2004). Report of a summit. The first
annual crossing the quality chasm summit-a focus on communities. Washington, DC: National Academies Press.
Alexander, M., Kewalramani, R., Agodoa, I., Globe, D.(2007). Association of anemia
correction with health related quality of life in patients not on dialysis. Current
Medical Research and Opinion, 23, 2997–3008.
Bandura (1977) Self-efficacy: toward a unifying theory of behavioural
change. Psychological Review ,84, 191–215.
Barlow, J., Wright, C., Sheasby, J., Turner, A., & Hainsworth, J. (2002).
Self-management approachs for people with chronic condition: A review. Patient Education and Counseling, 48 (2), 177-187.
Bowsher, J. E., Keep, D. (1995). Toward an understanding of three control
Construct :Personal control, self-efficacy, and hardiness. Issues in Mental
Health Nursing, 16,33-50.
Burrows-Hudson, S., & Prowant, B.(2005). Nephrology nursing: Standards of
practice and guidelines for care. Pitman, In: American Nephology
Nurses' Association.
Chen, J.L., Lerner, D., Ruthazer, R., Castaneda-Sceppa, C, & Levey, A.S. (2008)
Association of physical activity with mortality in chronic kidney disease. Journal
Nephrol, 21(2),243-252. Avalialbe：
http://lib.bioinfo.pl/pmid/journal/J%20Nephrol.
Chiu, Y. L., Chien, K. L., Lin, S. L., Chen, Y. M., Tsai, T. J., & Wu, K. D. (2008).
Outcomes of stage 3-5 chronic kidney disease before end-stage renal disease at
a Single center in Taiwan. Nephron Clinical Practice, 109(3), 109-118.
Clark, N. M., Gong, M.,& Kaciroti, N. (2001). A model of self-regulation for
control of chronic disease. Health Education and Behavior, 28 (6),769-782.
Collins, A.J., Foley, R., Herzog, C., Chavers, B., Gilbertson, D., Ishani, A., Kasiske,
B., Liu, J., Mau, L.W., Mcbean, M., Murray, A., Peter ,W., Xue, J., Fan, Q.,
Guo, H., Li, Q., Li, S., Peng, Y., Qiu, Y., Roberts, T., Skeans, M., Snyder, J.,
Solid, C., Wang, C., Weinhandl, E., Zaun, D., Zhang, R., Arko, C., Chen,
S.C., Dalleska, F., Daniels, F., Dunning, S., Ebben, J., Frazier, E., Hanzlik, C., Johnson, R., Sheets, D., Wang ,X., Forrest, B., Constantini, E., Everson, S., Eggers, P., Agodoa, L..: Excerpts from the United States Renal Data System 2007 annual data report: Emerging issues. Am J Kidney Dis 51: S33– S48, 2008. (2003). UnitedStates Renal Data System. Annual DataReport: incidence and prevalence of ESRD. American Journal of Kidney Diseases ,42(5), 137-173.
Costantini, L., Beanlands, H., McCay, E., Cattran, D., Hladunewich, M.,& Francis, D.
(2008).The self-management experience of people with mild to moderate chronic
kidney disease. Nephrology Nursing Journal,35(2), 147-55. Retrieved November, 09, 2011.,from the World Wide Web： http://findarticles.com/p/articles/mi_m0ICF/is_2_35/ai_n25376787/
Cronbach, L. J. (1951).Coefficient alpha and the internal structure of tests.
Psychometrika ,16, 297–334.
Curtin R.B., Mapes, D., (2001). Health care management strategies of long-term
dialysis survivors, Nephrology Nursing Journal, 28(4), 385-394.
Curtin, R.B., Mapes, D., Schatell, D., Burrows-Hudson, S. (2005). Self-management
in patients with end stage renal disease: Exploring domains and dimensions.
Nephrology Nursing Journal, 32(4), 389-395.
Eknoyuan, G. (2003). Meeting the Challenge of the New K/DOQI guideline.
American Journal of Kidney Diseases, 6 (5), 3-10.
Elsayed, E.F., Sarnak, M.J., Tighiouart, H., Griffith, J.L., Kurth, T., Salem, D.N.,
Levey, A.S., (2008) Waist-to-hip ratio, body mass index, and subsequent kidney
disease and death. American Journal of Kidney Disease, 52, 29-38.
Evans, R.W., Manninen, D.L., Garrison, L.P., Hart, L.G., Blagg, C.R., Gutman, R.A.,
Hull, A.R., Lowrie, E.G. (1985) The quality of life of patients with end-stage
renal disease. The New England Journal of Medicine,553-559.
Gaines, J.M., Talbot, L.A., & Metter, E. J. (2002). The relationship of arthritis
self-efficacy to functional performance in older men and women with osteoarthritis of the knee. Geriatric Nursing, 23(3), 167-170.
Hanna Abboud, William,L. H.(2010). Stage Ⅳ Chronic Kidney Disease. The
New England Journal of Medicine,362, 56-65.
Hansen, R.A., Chin, H., Blalock, S., Joy, M.S. (2008). Pre-dialysis chronic kidney disease : evaluation of quality in clinic patients receiving comprehensive
anemia care. Research in Social and Administrative Pharmacy,5(2),143-153.
Haroun, M.K., Jaar, B.G., Hoffman, S.C., Comstock, G.W., Klag, M.J., Coresh, J.
(2003). Risk factors for chronic kidney disease: a prospective study of 23,534
men and women in Washington County, Maryland. Journal America Social
Nephrol, 14(11), 2934-2941.
Hays, R.D., Kallich, J. D., Mapes, D.L., Coons, S. J. & Carter, W.B. (1994). Development of the kidney disease quality of life (KDQOLTm) instrument. Quality of Life Research ,3, 329-338.
Hays, R.D., Kallich, J., Mapes, D.L., Coons, S.J., Amin, N., Carter, W.B., Kamberg,
C.J. (1997). Kidney disease quality of life short form (KDQOL-SF),version 1.3:
A manual for use and scoring. Santa Monica, CA.
Huang, I. C., Hwang, C.C., Wu, M.Y, Lin, L. W, & Wu, A.W. (2007)
Diabetes-specific or generic measures for health-related quality of life? Evidence from psychometric validation of the D-39 and SF-36 [Electronic
Version]. Value in Health. Retrieved November, 09, 2011.,from the World Wide Web： http://www.blackwell-sy
Huang, C.C.(2008).Taiwan renal registry-2005 annual data report. Taiwan Society of
Nephrology, 22(4),215-228.
Hsu, C. Y., McCulloch, C.E., & Iribarren, C. (2006). Body mass index and rish for end-stage renal disease. Annals of Internal Medicine.144, 21-28.
International Society of Nephrology (ISN). (2006). ISN program for detection
and management of chronic kidney disease, hypertension, diabetes, and cardiovascular disease in developing countries (KHDC). Retrieved November, 09, 2011.,from the World Wide Web： http://www.nature.com/ isn/education/guidelines/isn /full/ed_051027_2.html
Ikeda, K., Aoki, H., Saito, K., Muramatsu, Y. & Suzuki, T. (2003) Associations of
blood glucose control with self-efficacy and rated anxiety/depression in type
II diabetes mellitus patients.Psychological Reports 92(2), 540–544.
Ishani, A., Grandits, G. A., Grimm, R. H., Svendsen, K. H., Collins, A. J.& Prineas,
R. J., (2006). Association of single measurements of dipstick proteinuria,
estimated glomerular filtration rate, and hematocrit with 25-year incidence of
end-stage renal disease in the multiple risk factor intervention trial. Journal
American Social Nephrol, 17(5), 1444-1452.
Joshi, V.D., Mooppil, N., Lim, J.F. (2010). Validation of kidney disease quality of
life-short form: a cross-sectional study of a dialysis-targeted health measure in
Singapore. BioMed Central Nephrology, 11, 36.
Kalantar,Z. K., Kopple, J. D., Block, G. & Humphreys, M. H. (2001) A
malnutrition- inflammation score is correlated with morbidity and mortality in
maintenance hemodialysis patients. Public medline, 38(6),1251-63.
Kerns, Rosenberg & Otis (2002). Self-appraisedproblem-solvingand pain related
social support as predictor of the experience of chronic pain. Annals of Behavioral Medicine, 24 (2), 100-105.
Kubiak, T., Hermanns, N., Schreckling, H.J., Kulzer, B.＆ Haak, T.（2006）.
Evaluation of a self-management-based patient education program for the treatment and prevention of hypoglycemia-related problems in type 1 diabetes. Patient Education and Counseling, 60（2）, 228-234.
Kutner, N. G.(1994). Assessing end-stage renal disease patients' functioning and
well being: Measurement approaches and implications for clinical practice.
America Journal Kidney Disease, 24, 321-333.
Lorig, K. R., Ritter, P., Stewart, A. L., Sobel, D. S., Brown, B. W., Bandura, A.,
Gonzalez, V. M., Laurent, D. D., Holman, H. R. (2001a) Chronic disease
self-management program: 2-year health status and health care utilization
outcomes. Medical Care, 39, 1217–1223.
Lorig, K. R., Sobel, D. S., Stewart, A. L., Brown, B. W., Bandura, A., Ritter, P.,
Gonzalez, V. M., Laurent, D. D., & Holman, H. R. (1999). Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization. Medical Care, 37 (1), 5-14.
Lorig, K. R. ,& Holman, H. R. (2003). Self-management education: history, definition, outcome, and mechanism. Annals of behavioral medicine, 26 (1), 1 - 7.
MacLaughlin, H., Macdougall, I. C. (2007) Rapidly progressive renal failure
associated with successful pharmacotherapy for obesity. Nephrol Dial
Transplant, 22, 2403-2405.
Marks, R., Allegrante, J. P., & Lorig K. (2005). A review and synthesis of research
evidence for self-efficacy enhancing interventions for reducing chronic disability: Implications for health education practice (part 1). Health Promotion Practice, 6(1), 37-43.
Mancuso, C. A., Rincon, M., McCulloch, C. E., & Charlson, M. E. (2001).
Self-efficacy, depressive symptoms, and patients'expectations predict outcomes in asthma. Medical Care, 39(12), 1326-1338.
McClellan, W. M.(2001).Medicare patients with Cardiovascular disease have a high
prevalence of chronic kidney disease and a high rate of progression to
endstage renal disease. Journal of the American Society of Nephrology;
15, 1912-1919.
McClellan, W, Aronoff, S. L., Bolton, W. K. , Hood, S. , Lorber, D. L. , Tang,
K. L., Tse, T. F., Wasserman, B.,& Leiserowitz, M. (2004). The
prevalence of anemia in patients with chronic kidney disease. Current
Medical Research and Opinion, 20, 1501-1510.
McGowan, P. (2005).Self-management: a background paper. Paper presented at
the New Perspectives: International Conference on Patient Self-management. Victoria, Canada.
Meyer, K. B., Espindle, D. M., DeGiacomo, J. M., Jenuleson, C. S., Kurtin, P. S., &
Davies, A. R. (1994).Monitoring dialysis patients' health status. American
Journal of Kidney Disease , 24, 267-269.
National Kidney Foundation. (2002). NKF K/DOQI Guidelines. Retrieved January
20,2011 .,from the World Wide Web：
http://www. kidney.org/professionals/kdoqi/guidelines_ckd/p7_risk_g13.htm
National Kidney Foundation. K/DOQI clinical practice guidelines for chronic
kidney disease.(2002). Evaluation, classification, and stratification. American Journal of Kidney Disease,39,S1-246.
Orth, S. R. (2002). Smoking and the kidney. Clinical Journal of the American Society
of Nephrology 13(6),1663-72.
Richard, C.J. (2006). Self-care management in adults undergoing hemodialysis.
Nephrology Nursing Journal, 33(4), 387-394.
Rucker, D. & Tonelli, M., (2009). Cardiovascular risk and management in chronic
kidney disease. Nature Reviews Nephrology, 5, 287-296..
Sarnak, M. J., Levey, A. S., Schoolwerth, A. C., Coresh, J., Culleton, B., Hamm, L. L., McCullough, P. A., Kasiske, B. L., Kelepouris, E., Klag, M. J., Parfrey, P., Pfeffer, M., Raij, L., Spinosa, D. J., & Wilson, P. W.(2003). Kidney disease as a risk factor for development of cardiovascular disease: a statement from the American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology, and Epidemiology and Prevention. Hypertension, 42, 1050-1065.
Siela, D. (2003). Use of self-efficacy and dyspnea perceptions to predict
functional performance in people with COPD. Rehabilitation Nursing 28(6), 197–204.
Stengel, B., Tarver-Carr, M. E., Powe, N. R. , Eberhardt, M. S., Brancati, F.L. (2003).
Lifestyle factors, obesity and the risk of chronic kidney disease. Epidemiology, 14(4),479-87.
The WHOQOL Group. (1995). The World Health Organization Quality Of Life
Assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41(10), 1403－1409.
Thomas, H. C. & Zazworsky, D. (2005). Self-Management of Chronic Kidney Disease: Patients shoulder the responsibility for day-to-day management of chronic illness. How can nurses support their autonomy? .American Journal of Nursing, 105(10). 40-48.
Tsay, S.L. (2003). Self-efficacy training for patients with end-stage renal
disease. Journal of Advanced Nursing, 43(4), 370-37,5.
Tsay, S.L., Lee, Y.C. & Lee, Y.C. (2005). Effects of an adaptation training
programme for patients with end-stage renal disease. Journal of
Advanced Nursing, 50(1), 39-46.
United States Renal Data System: Annual Data Report .(2008 ) Retrieved January 20,2011, from the World Wide Web： http://www.usrds.org/adr.htm .
United States Renal Data System: Annual Data Report .(2010 ) Retrieved January 20,2011, from the World Wide Web： http://www.usrds.org/adr.htm .
Verhave, J. C., Hillege, H. L., Burgerhof, J. G., Gansevoort, R. T., de Zeeuw, D., &
Jong, P. E. (2005). The association between atherosclerotic risk factors and
renal Function in the general population. Kidney International, 67(5),
1967-1973.
Warsi, A., Wang, P. S., LaValley, M. P., Avorn, J., & Solomon, D. H.（2004）. Self-management Education Programs in Chronic Disease. A Systemic Review and Methodological Critique of Literature. Archives of Internal Medicine,164（15）,1641-1649.
Wen, C. P. (2008). Motality risks for all causes and cardiovascular disease and
reduced GFR in a middle-aged working population in Taiwan. American
Journal of Kidney Diseases,52(6),1051-1060.
Weng L.C., Dai Y.T., Wang Y.W., Huang H.L. & Chiang Y.J. (2008)
Effects of self-efficacy, self-care behaviour on depressive symptom of Taiwanese kidney transplant recipients. Journal of Clinical
Nursing ,17(13), 1786–1794.
Wu, S. F., Courtney, M, Edwards, H., McDowell, J. Shortridge-Baggett, L. M., & Chang, P. J. (2008). Development and validation of the Chinese version Diabetes Management Self-Efficacy Scale. International Journal of nursing Studies, 45, 534-542.
Wu, S. F., Courtney, M, Edwards, H., McDowell, J. Shortridge-Baggett, L. M., &
Chang, P. J. (2007). Self-efficacy, outcome expectations and self-care
behaviour in people with type 2 diabetes in Taiwan, Journal of
Nursing and Healthcare of Chronic Illness, in association with Journal
of Clinical Nursing, 16, 250-257.