脊髓損傷患者對傳統中醫的知識、態度與行為意向之探討

本研究旨在探討脊髓損傷病人對傳統中醫醫療的知識、態度與求醫之行為意向。採立意取樣，以中部地區脊髓損傷病人為研究對象。以結構式問卷會談法收集資料，隨機取樣共收集155份有效問卷。問卷內容包括對中醫的知識、態度與行為意向等三方面。資料分析採用獨立樣本t檢定、單因子變異數分析、皮爾森積差相關、因素分析、和複迴歸分析等統計方法。結果在認知方面：以「中醫方劑有煮成湯汁，做成藥丸或是濃縮成粉劑」的答對率最高。在正向題意態度方面：以「贊成健保將脊髓損傷列為中醫治療之免部分負擔範疇」的比率最高。在求醫之行為意向方面，看西醫也看中醫比例最高者是「泌尿系統」。脊髓損傷患者對「整體知識」、「態度」、「求醫行為意向」三者之間均呈顯著的相關。複迴歸分析顯示「整體求醫行為意向」的顯著預測因子為「對中醫普及率之態度」、「損傷的完全性」、「損傷後是否看過中醫」、「是否正在住院」、與「對中醫資源之態度」等五項。結論是現今西醫雖為主流的醫療體系，但仍完全無法取代中醫的角色，因此提供病患有助益而且正確的治療模式，是醫療團隊該有的責任與義務。

關鍵字

脊髓損傷；傳統中醫；知識；態度；行為意向

並列摘要

The goal of this study was to explore knowledge, attitude and behavioral intention towards traditional Chinese medicine (TCM) among people with spinal cord injury (SCI). 155 valid sample questionnaires were collected and the following results were drawn from descriptive and inferential statistical analysis. The item with highest percentage being answered accurately was ”traditional Chinese drugs are made in different forms, such as boiled soup, pills, or condensed powder”. The greatest agreement regarding attitude toward positive tendency to TCM was ”agree that SCI victims are free of charge to take TCM service under the policy of health insurance”. Regarding behavioral intention toward TCM, the most frequent situation of visiting both Western and TCM doctors is “urological disorders.” There was significant correlation among knowledge, attitude and behavioral intention of TCM. Using analysis of multiple regression, the significant predicting variables of behavioral intention of TCM are attitude towards popularity of TCM, completeness of SCI, whether to visit TCM doctor after injury, whether on hospitalization, and attitude about availableness of TCM. Our conclusion is Western-style medicine is the mainstream of medical system, but it can't replace TCM totally in Chinese community.

並列關鍵字

spinal cord injury ； traditional Chinese medicine ； knowledge ； attitude ； behavioral intention

國際替代計量

脊髓損傷患者對傳統中醫的知識、態度與行為意向之探討

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