血液透析與腹膜透析患者健康促進生活型態之比較

陳玲守

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血液透析與腹膜透析患者健康促進生活型態之比較

The comparision of health promoting lifestyle between hemodialysis and peritoneal dialysis patients

陳玲守 , Masters　　Advisor：葉德豐　　

繁體中文

腹膜透析；血液透析；自我照顧自我效能；健康促進生活型態； self-care self-efficacy ； hemodialysis ； peritoneal dialysis ； health-promoting lifestyle

Abstract │ Reference (99) │ Altmetrics

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With the prolong of life expectancy, the aging of the population structure, diseases are gradually transformed into chronic patterns, the healthcare systems are also transformed from acute care into disease prevention and health promotion. Lifestyle is the most important factor that affects the health status, the first and foremost task for chronic disease care is to establish a satisfactory lifestyle. The incidence and prevalence of End stage renal disease (ESRD) ranked first and fourth respectively in the world, a total of 63,464 ESRD patients that needed regular dialysis treatment as of September 2011 in Taiwan. In addition to kidney transplants, these patients must often followed by long-term dialysis treatment to sustain life. In order to maintain long-term health of patients, health promotion activities are necessary to change the patient''s lifestyle, and thus improve the quality of life of patients and reduce the mortality of the disease. 
In this study, hemodialysis and peritoneal dialysis patients in a medical center were selected to explore the differences of health promotion lifestyle between two patients groups and their associated factors. Self-administered structured questionnaire and medical record review were used in this study. Self-administered structured questionnaire contained individual patient characteristics, self-reported health status, self-care self-efficacy and health promoting lifestyle. Medical record review contained the dialysis quality indicators and the laboratory tests. Statistical analysis was use SPSS 17.0 software package. 
According to the results, there was no difference in health promoting lifestyle between hemodialysis and peritoneal dialysis patients. Those who had better health promoting lifestyle were 50-64 years old, educated above high school, unmarried, exercising three times or more in a week , normal body mass index, good perceived health status, feeling happy, economic independence, having job currently, and without comorbidity in diabetes and lupus erythematosus. Those who had better self-care self-efficacy were educated above high school, perceived good or general health status, less than one year started dialysis , feeling happy, economic independence, having job currently, and without comorbidity in cardiac diseases. There was positive association between health promoting lifestyle and self-care self-efficacy.
According to the results of this study, we suggest as following: (1) As the worse of health promoting lifestyle and self-care self-efficacy, we suggest that provide easy to understand and implement health education contains for those lower education level patients. (2) As the worse of health promoting lifestyle and self-care self-efficacy, we suggest that assess phisological and psychological status timingly, provide encouragement, escort and listening, and refer to social welfare organizations for those who perceived poor health status, feeling unhappy, no jobs currently and economy resulting to worse of health promoting lifestyle and self-care self-efficacy. (3) The health professionals should pay special attention to patients with or without comorbidity diseases in order to strengthen health education contains. (4) Nursing staffs should learn to improve communication technique and health education skills for health promotion.

Reference ( 99 ) 〈TOP〉

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連結：
王梅美、林美良(2003)。讓她洗得更舒適-照護一位腹膜透析患者之護理經驗。新臺北護理期刊，5(2)，103-114。
連結：
王雪鳳、陳宇嘉、劉波兒、劉麗芳(2009)。第2型糖尿病自我效能相關性之探討。弘光學報，56，1-14。
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