探討影響慢性C型肝炎回診追蹤依從行為意向之相關因素

To investigate the impact of intention to the adherence of follow-up visit in chronic hepatitis C

張怡萱(Yi-Hsuan Chang)

指導教授 ： 黃正宜

中山醫學大學/醫學院/護理學系/碩士(2021年)

https://doi.org/10.6834/csmu202100035

摘要

背景
慢性C型肝炎是引發肝癌的主要原因，近年來台灣南部之盛行率居高不下。慢性C型肝炎之藥物治療具有相當之療效，但因為病人不依從回診追蹤(non-adherence to follow-up visit)，導致接受慢性C型肝炎治療率偏低。國內對慢性C型肝炎回診追蹤依從性這方面的研究相當缺乏，本研究透過計劃行為理論探討慢性C型肝炎病患回診追蹤依從行為意向及其相關影響因素。
目的
探討影響慢性C型肝炎病患對規則回診追蹤依從行為意向的相關因素。
方法
本研究採用描述性和相關性研究設計，以結構性問卷親自以電話訪談收集資料。針對南部1所區域教學醫院之慢性C型肝炎病人之回診行為意向及相關因素收集資料。收集之資料，將以SPSS22.0軟體進行平均數差異檢定、T檢定、變異數分析、皮爾森積差相關、多元迴歸分析進行資料分析。
結果
本研究納入未回診追蹤慢性C型肝炎病患炎81位，研究分析顯示慢性C型肝炎病患的基本屬性、疾病認知、知覺行為與態度會影響規律回診追蹤依從行為意向；影響個案過去規律回診追蹤依從行為預測因子有：態度與知覺行為控制。
結論
提升慢性C型肝炎規律回診追蹤依從行為意向，首要增強回診追蹤依從行為的態度進而影響知覺行為控制，達到規律回診追蹤，有效消滅C型肝炎。

關鍵字

慢性C型肝炎 ； 回診追蹤依從 ； 行為意向

並列摘要

Background
Chronic hepatitis C is the leading cause of main cause of Hepatocellular carcinoma. In recent years, the prevalence rate is high, especially in the southern Taiwan. At present, medicine can effectively cure chronic hepatitis. However, due to patients’ non-adherence to a follow-up visit, the rate of receiving chronic hepatitis C treatment is low. The research on chronic hepatitis C non-adherence to follow-up visit is relatively scarce in Taiwan. This study explored the adherence to follow-up visit intention and related influencing factors of patients with chronic hepatitis C through the theory of planned behavior.
Objective
The explore the related factors that influence the adherence to follow-up visit in patients with chronic hepatitis C.
Methods
This is a descriptive and correlational design, the researchers collected data by Face to face interview and telephone interviews in a structured questionnaire by researchers. The SPSS22.0 software was used to analyze the data for average difference, T test, oneway ANOVA, Pearson correlation and Multiple regression analysis.
Results
The explored the related factors that influence adherence to follow-up visits in patient with chronic hepatitis C.
This study included 81 chronic hepatitis C non-adherence to follow-up visits in patients. This study shows that the demographic, perceived behavior control and attitude may impact the adherence to follow-up visit. The predictors of adherence to follow-up visits in the past include attitudes and received behavior control.
Conclusion
We suggest to enhance the behavior intention of adherence to follow-up visits in patients with chronic hepatitis C that attitude of adherence to follow-up visits will be promoted first to affect the perceived behavior control, achieve regular adherence to follow-up visits, and virtually eliminate chronic hepatitis.

並列關鍵字

chronic hepatitis C ； adherence to follow-up visit ； behavior intention

參考文獻

Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav, 36(1), 1-10.

中文參考資料

中華民國內政部戶政司全球資訊網(2017)．中華民國各縣市內政統計指標．2018年7月取自https://www.moi.gov.tw/stat/node.aspx?sn=6727

文薜帷、黃一城、黃煜庭（2013）．C 型肝炎．輔仁醫學期刊，11（1），29-38。

江素嬌（2010）．B 型肝炎帶原者接受追蹤檢查行為影響因素探討-以某基金會肝炎篩檢活動帶原者為例〔未發表之碩士論文〕．臺灣師範大學健康促進與衛生教育學系研究所。