- 學位論文
以計畫行為理論預測失智症家屬陪同患者就醫的行為意圖
The Theory of Planned Behavior for Predicting The Medical Care Seeking Behavior Intention in Caregivers of Dementia
摘要
研究背景 失智症是個隨著年齡增加而提高罹病機率的疾病，台灣目前約有17萬名失智症患者，醫療的援助將可適時減少疾病對患者及家庭的傷害，而家屬是否能成為一個有能力的執行者，使患者得到妥善的醫療服務，將是個重要的關鍵，本研究以計畫行為理論做為理論架構，另外，亦將失智症相關知識納入整體理論架構中，並檢驗修正後的計畫行為理論是否能提昇家屬陪同患者就診意圖的解釋力。 研究方法 以100位失智症患者的家屬為研究對象，研究設計採横斷式調查研究，主要測量變項為：基本背景資料、態度、主觀規範、知覺行為控制、行為意圖、失智症相關疾病知識。 研究結果 迴歸分析的研究結果顯示整體理論模式中知覺行為控制為主要的預測因子，可負向的預測家屬對陪同患者就診的意圖，其次為主觀規範及態度對意圖有各別且正向的預測力，而疾病知識對陪同患者就診的意圖無預測能力，亦無法提昇修正後的計畫行為理論模式的解釋力。 討論 家屬對掌控患者精神行為症狀欠缺信心，使得家屬陪失智症患者就診的意圖受到阻礙，建議可運用醫療團體的力量及醫院志工以提昇家屬的因應能力及減少家屬陪同看診時的壓力，另周遭重要的他人支持對家屬陪同就診的意圖有增強的作用，但易受其他變項影響，建議提供家屬支持團體並減少污名感受。
並列摘要
Background The incidence of dementia is rising with aging. Currently, there are about 170000 dementia patients in Taiwan. Appropriate medical aid can decrease patients’ impairment and caregivers burden, and caregivers care ability is one of important key factors for caring dementia patients. The theoretical construct is based on the theory of planned behavior (TPB). Besides, Dementia-related knowledge was also included into the TPB model. The research also examined the effect of the revised model to explain the intention of caregivers medical- care seeking behaviors with dementia patient. Purposes The subjects participated in this study were 100 caregivers of dementia patients. It is a cross-sectional survey research. including basic background, attitude, subjective norm, perceived behavioral control, behavioral intention and Dementia-related knowledge. Results The regression analysis in this study shows that perceived behavioral control is one of major negative predictors, followed by subjective norm and attitude had positive predicted with the intention the caregivers of dementia medical- care seeking behaviors with patient, and there is no relationship between Dementia-related knowledge and the intention of caregivers of dementia medical- care seeking behaviors with patient. Conclusions Families often lack confidence for managing patients’ behavioral and psychotic symptoms. It makes caregivers of dementia have less intention to bring patients for medical aid. By the help of medical team, volunteer and important others, families can have less pressure, better coping abilities and more intention to accompany with patients. supportive group can decrease stigma.