精神科門診病人的求醫行為之相關因素探討：以民俗療法為例

The related factors of health-seeking behaviors of psychiatric outpatients: A study on using traditional forms of medicine.

黃志偉(Chih-Wei Huang)

指導教授 ： 譚偉象

中原大學/理學院/心理學研究所/碩士(2005年)

https://doi.org/10.6840/cycu200500699

摘要

摘要
回顧過去文獻，許多國內學者針對求醫行為的議題進行探討，發現國人具有複向求醫行為的傾向，包含正式西醫、中醫以及民俗療法，其中西醫是最多人，也是最立即的求醫方式，其次是中醫療法，民俗療法再次之。雖然民俗療法並非求醫行為的主流，但多數研究者均認為民俗療法仍具有不可忽視的地位。而針對精神病患而言，就過去的研究中發現，由於污名化的影響以及對於疾病認知的程度不一，使得真正求助於正式精神醫療的人僅佔時計有精神困擾的人的一部份，其他有部分的人會選擇求助於民俗療法。
本研究透過Andersen發展的醫療服務利用行為模式的架構，去探討影響精神科門診病患求助民俗療法的相關因素，分成傾向因素、能用因素、需求因素三個部分，並依此模式之精神加入精神污名、民俗信念、社會支持及疾病覺知等概念。
研究結果發現，就傾向因素而言，民俗信念中所包含的民俗行為與民俗態度與民俗療法使用經驗間的關係達到顯著水準，污名效應與使用民俗療法的種類數之間達到顯著水準，其餘的人口學變項或社經變項與民俗療法使用狀況間的關係則未達顯著。能用因素與需求因素中所包含之變項，與民俗療法使用狀況間的關係皆未達到顯著水準。

關鍵字

民俗療法 ； 求醫行為

並列摘要

Abstract
Reviewing the relevant papers in the past, the another found out that the topics of access to medical care were discussed by scholars in Taiwan. The findings indicated that people tend to have multiple health-seeking behaviors including western medicine, Chinese medicine, and alternative therapies. Most people take western medicine as their first choice, which is also the most convenient method to obtain diagnosis, and then Chinese medicine and alternative therapies sequentially. Although alternative therapies are not the main stream of medical care, many scholars think that the importance of alternative therapies cannot be neglected. According to the findings of the studies in the past, because of the stigma and different levels of knowledge on disease, only a part of mental-disorder patients sought formal medical treatments, others turned to alternative therapies.
This study employed the Behavior Model of Health Service Utilization developed by Anderson and probed into the factors making mental-disorder patients choose alternative therapies as the treatments. There are three components in the model, including predisposing, enabling, and need component. This study added some more variables to the model, which are stigma, custom belief, social support, and disease awareness.
Results showed that custom behaviors/custom attitudes and the experience of alternative therapies were significantly correlated. There was also significant association. Between the effect of stigma of health-seeking behaviors and the number of alternative therapies used. On the other hand, results showed no significant relationship between demographic or socio-economic variables and the utilization of alternative therapies. There was also no significant association between variables of the enabling and need components and the utilization of alternative therapies.

並列關鍵字

health-seeking behavior ； traditional forms of medicine

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