The Relationship between Physical Function, Knowledge of Disease, Social Support and Self-Care Behavior in Patients with Rheumatoid Arthritis

類風濕性關節炎患者身體功能、疾病知識、社會支持與自我照顧行為相關探討

陳素燕(Su-Yen Chen) ； 王秀紅(Hsiu-Hung Wang)

《The Journal of Nursing Research》 15卷3期 (2007/09) Pp. 183-192

摘要

本研究目的在探討類風濕性關節炎患者的身體功能、疾病知識、社會支持與自我照顧行為之相關性，並檢視自我照顧行為之重要預測因子。採橫斷式之研究設計，在南部兩所醫院選取類風濕性關節炎患者為研究對象，共計收案115位。研究結果發現：年齡、身體功能、社會支持與自我照顧行為呈現顯著正相關；年齡與社會支持可預測自我照顧行為，共可解釋之總變異數為13.4%。依研究結果建議，健康照護專業人員應瞭解類風濕性關節炎患者自我照顧行為之預測因子，並藉由設計有效之介入性措施與提供患者充分的醫療照護訊息，以促進患者之自我照顧行為。

關鍵字

類風濕性關節炎 ； 身體功能 ； 疾病知識 ； 社會支持 ； 自我照顧行為

並列摘要

The purposes of this study were to explore the relationships between physical function, knowledge of disease, social support, and self-care behavior in patients with rheumatoid arthritis and to examine the predictive variables of self-care behavior. A cross-sectional design was developed and implemented in which 115 subjects with rheumatoid arthritis were recruited from two hospitals located in southern Taiwan. Findings demonstrated a significantly positive correlation between self-care behavior and age, physical function and social support. Age and social support represented the effective predictors of self-care behavior, explaining 13.4% of total self-care behavior variance. Study results suggest that healthcare providers should better understand the predictive factors of self-care behavior, design effective interventions and provide therapeutic information in order to facilitate better self-care behavior in patients with rheumatoid arthritis.

並列關鍵字

rheumatoid arthritis ； physical function ； knowledge of disease ； social support ； self-care behavior

參考文獻

Ailinger, R. L.,Dear, M. R.(1997).An examination of the self-care need of clients with rheumatoid arthritis.Rehabilitation Nursing.22(3),135-140.

Baker, C.,Stern, P. N.(1993).Finding meaning in chronic illness as the key to self-care.Canadian Journal of Nursing Research.25(2),23-36.

Chen, Z. T.,Yeh, C. M.,Lin, Y. C.(1998).The relationship between self-efficacy, social support and self-care behaviors in diabetes mellitus patients.Nursing Research.6(1),31-43.

Chen, M. Y.,Chang, H. C.,Li, M. Y.(2002).Health promotion behaviors among women with high risk breast cancer: From the self-care perspective.The Journal of Health Science.4(1),63-74.

Chiou, S. J.,Shiau, S. J.(1998).Relation between self-care and family function among schizophrenic patients.Journal of National Public Health Association Republic of China.17(3),206-213.