頁籤選單縮合
題名 | 社區心臟衰竭老人自我管理行為之城鄉差異=Rural-urban Differences in the Self-management Behaviors for Elder with Heart Failure |
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作者 | 葉湘芬; 邵榮華; | 書刊名 | 嘉基護理 |
卷期 | 12:2 2012.12[民101.12] |
頁次 | 頁15-30 |
分類號 | 419.76 |
關鍵詞 | 心臟衰竭老人; 自我管理行為; 城鄉差異; Heart failure; Self-management behavior; Rural-urban differences; |
語文 | 中文(Chinese) |
中文摘要 | 本研究為探討心臟衰竭老人自我管理行為城鄉之差異。透過橫斷式(cross-sectional)研究,以立意取樣收集都會及鄉村地區區域以上醫院心臟內科門診就診,NYHA心臟功能分級為I~III級之能語言或書寫溝通的65歲以上心臟衰竭老人117名,其中居住都會56名、鄉村地區61名。研究結果發現:(1)鄉村老人心臟衰竭症狀困擾較居住於都會老人為多(p = .017);(2)整體飲食自我效能尚可,都會老人有較佳之水分(p = .011)與整體飲食控制自我效能(p = .009);(3)兩組老人自我管理行為皆屬中等程度,且居住於都會老人有好的自我管理行為(p < .000);(4)「飲食自我效能」、「居住地點」與「運動習慣」為自我管理行為重要預測因子,此三項變數共同解釋量為47.4%。本研究結果能提供政府政策執行及納入護理教學課程、加強衛生教育考量城鄉差異性、設計符合老人之自我管理介入措施,以提昇民眾之健康成效。 |
英文摘要 | This research aimed to explore the differences of self-management behavior between the urban and rural areas in elders with heart failure (HF). A cross-sectional survey was used to collect cases by purposive sampling. Criteria for sample selection included 65 years and above elderly with HF, NYHA functional class I to III, and ability to speak and understand the Chinese or Taiwanese language. A total of 117 HF elderly who had 56 patients from the urban area and 61 patients from the rural area in the medical clinic of two hospitals were recruited. The results found: (1)The rural sample had worse distress from the physical symptoms of HF than the urban sample (p = .017). (2)The mean score for self-efficacy for dietary control was acceptable for two groups. Moreover, the urban sample had better fluid control (p = .011) and self-efficacy for dietary control (p = .009) than the rural sample, with a significant difference between two groups. (3)The mean score for HF self-management behavior was moderate level, and the urban sample had better HF self-management behavior than the rural sample(p < .000). (4)Stepwise regression analysis indicated that the self-efficacy for dietary control, living arranges, and exercise were important factors influencing level of self-management behavior. These three variables explained as 47.4% of the variation. Results of this study provide the government and nursing staff to implement policy and offer health education with references. |
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