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題 名 | The Relationship between Health Locus of Control and Compliance of Hemodialysis Patients=血液透析病人的健康控制歸因與遵從行為的關係 |
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作 者 | 林秋菊; 梁靜祝; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 13:4 1997.04[民86.04] |
頁 次 | 頁243-254 |
分類號 | 419.73 |
關鍵詞 | 血液透析病人; 健康控制歸因; Health locus of control; Compliance; Hemodialysis; |
語 文 | 英文(English) |
中文摘要 | 本研究的目的在探討血液透析病人的健康控制歸因為遵從醫療指示行為之間的關係。研究對象是以立意取樣的方式,在高雄地區兩家教學醫院的透析中心、收集了86位慢性血液透析病人為樣本。採用的研究工具包括病人的基本資料,多向度健康控制歸因量表,多重遵從行為評估表(多重評估法,包括:實驗室評估,護士評估,病人自我評估)。研究結果發現血液透析病患對醫療指示的整體遵從率分別為76.4%(病人自我評估)與69.2%(護士評估)。當分別評估血液透析病人對液體限制,飲食控制與服用降磷藥物三項醫療指示之遵從情形,病人自我評量與護士評量的結果均一致顯示:病人對服用降磷藥物之遵從情形最佳,對液體限制的遵從度最差;飲食控制的遵從程度介於兩者之間。除了在權威型健康控制歸因次量表得高分者與病的自我報告遵從行為(r=0.388,p<0.001)及實驗室檢驗報告(r=0.21,p<0.01)達顯著相關外,整體遵從行為與多向度健康控制歸因的其他兩個次量表沒有顯著相關。此結果顯示,多向度健康控制歸因對慢性液透析病患的遵從行為只有輕度影響。本文就上述結果進行討論並提出對護理實務,理論與研究的意義。 |
英文摘要 | Successful treatment of end stage renal disease (ESRD) depends on the patient’ compliance with therapeutic regimens. This descriptive study was conducted to examine the relationship between the health locus of control (HLC) orientation and compliance with therapeutic regimens. The convenience sample of 86 hemodialysis patients obtained at two hemodialysis centers of teaching hospitals in southern Taiwan. A Demographic Questionnaire, the Multidimensional Health Locus control (MHLC) Scale, and Multimethod Compliance assessment (including: Laboratory Assessment, Nurse Assessment, and Patient Self-report) were used to collect the data. The average overall rate of compliance with therapeutic regimen was 76.4% by patient self-report and 69.2% by nurse assessment. Examining the three compliance measures, patients were most compliant in following instructions for taking phosphate-binding medication (PBM) and least compliant in limiting fluid intake according to patients self-report and by nurses’ assessment. The level of compliance for diet restriction fell between the other two measures. No significant correlations between the three subscales of the multidimensional health locus of control (MHLC) and composite compliance measures were found in this study, except that those with a high score on the subscale of powerful others locus of control were positively correlated with patient self-report (r = 0.388, p < 0.001) and with the laboratory assessment (r = 0.21, p < 0.01). This suggests that the MHLC construct had only a slight influence on measures of compliance in hemodialysis patients of Taiwan. Implications of findings for nursing practice, theory, and research are also discussed. |
本系統中英文摘要資訊取自各篇刊載內容。