血液透析病患日常生活功能、心理困擾與遵從醫囑狀況及其相關因素之研究－以臺北市某兩家醫院為例

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血液透析病患日常生活功能、心理困擾與遵從醫囑狀況及其相關因素之研究－以臺北市某兩家醫院為例

Study on the activities of daily living, psychological distress and medical compliance and associated factors of hemodialysis patients in Taipei city

歐春鷰 , Masters　　Advisor：賴香如;高芷華　　

繁體中文

血液透析；日常生活功能；心理困擾；遵從醫囑狀況； hemodialysis ； activities of daily living ； psychological distress ； medical compliance

Abstract │ Reference (126) │ Altmetrics

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The purpose of this study was to explore the activities of daily living, psychological distress and medical compliance of hemodialysis patients. The subjects were selected from the outpatient dialysis centers of a teaching hospital in Taipei city and its cooperative hospital. Data were collected by structured questionnaire and medical record. One hundred and thirty five provided valid data with 68.9% response rate. One-way ANOVA, Pearson correlation, and multiple regression analysis were used to analyze the data. The results indicated that:
1. The activities of daily living of the subjects were good (93.6/100). Two-thirds of the subjects were totally independent while one-fifth of them were moderately dependent.
2. Psychological distress among subjects ranges from “None distress” to “Mild distress”. More than three-quarters reported no obvious distress at all. The main distress problem of the subjects was sleep disturbance.
3. The average score of compliant behavior was higher than median, and water control behavior had the highest score. Patients with college educational level and with hemodialysis duration longer than five years have better compliant behavior compared with their counterparty. Totally, 45% had well control in potassium, phosphorus, and water. But 3% of the subjects lost control of all these disease indicators. 
4. There was significantly negative correlation between activities of daily living and psychological distress. But activities of daily living and psychological distress were not related to compliant behavior.
5. The individual background factors, social support, activities of daily living , and psychological distress among subjects could explain 23.5% variance of compliant behavior. The important predictors of compliant behavior were level of education, dialysis duration, and social support. On the contrary, these variables could not predict the disease control situation.

Reference ( 126 ) 〈TOP〉

台北榮總護理部研究發展委員會（2002）。社會支持在長期照顧之簡介。榮總護理，19（3），338-340。
連結：
白玉珠、張霜蘭、蔡玉鳳、鄒怡真、蔡欣玲（2006）。病人脫離呼吸器後症狀困擾與日常活動功能之相關性研究。實證護理，2（1）61-72。
連結：
江玲玲、吳清平、王儷穎、吳英黛（2004）。呼吸器依賴患者的生活功能及生活品質。物理治療，29(1)，40-47。
連結：
何雅芳（2010）。血液透析病患血磷控制遵從行為及其相關因素之研究（未出版的碩士論文）。國立台灣師範大學健康促進與衛生教育研究所，台北市。
連結：
吳紅蓮、楊麗芬、許薳尹、王郁薇、周雪琦、徐瑋婷（2010）。慢性腎臟病控制高血磷的飲食知識與衛教技巧。腎臟與透析，22(3)，206-209。
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