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題 名 | 花蓮地區肺結核病人服藥遵從性及其相關因素之探討=The Compliance Behavior of Patients with Pulmonary Tuberculosis in Hualien |
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作 者 | 李茹萍; 邱艷芬; | 書刊名 | 慈濟醫學 |
卷 期 | 9:3 1997.09[民86.09] |
頁 次 | 頁219-227 |
分類號 | 415.462 |
關鍵詞 | 花蓮地區; 肺結核; 服藥遵從性; Pulmonary tuberculosis; Compliance behavior; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究之主要目的,在探討花蓮地區肺結核病人服藥遵從性,及影響其服藥遵從行為之相 關因素。採用回溯性研究,以花蓮縣衛生局八十三年度,206位初次罹患肺結核之病患為樣本進行 問卷調查,問卷內容分為:人口學變項、對疾病的認知與健康信念、人格控制型態、支持系統、醫 病關係。經統計分析顯示:在149份有效問卷中,遵從醫囑服藥完成治療者有130名(87.2﹪),患 肺結核的病人中,以男性、年齡大、教育程度低、已婚、無業者居多。服藥不遵從行為的病患中, 配偶已過世者比例最高,且與教育程度成反比,對疾病的認知以及健康信念均較低,人格控制型態 較偏向外控型,支持系統與醫病關係都較服藥遵從者差。藉由本次研究之結果,設計出初步評值表, 以期運用在臨床能早期發現『病人服藥不遵從行為』的高危險群,以利護理人員衛教時做為參考指 標。 |
英文摘要 | This study aimed to investigate the compliance behavior of pulmonary tuberculosis (TB) patients in Hualien district and relevant factors that affect their compliance behavior. The design of the study employed a retrospective approach. The questionnaires were categorized into five parts: demographic parameters, disease cognition and health belief model, locus of control social support system, and client- provider relationship. Two hundred and five patients who were diagnosed with TB in 1994 and reported to the Health Bureau of Hualien County were recruited for the study. After acquiring the consent of each subject a questionnaire survey was initiated. All data were subjected to statistical Package for Social Sciences (SPSS for Windows 6.0) statistical analysis to understanding the correlation between compliance behavior and factors affecting this behavior. Of the 149 valid responses, 130(87.2﹪)patients followed the prescribed medication and completed the treatment. The majorith of TB patients were characterized as male, aged, low educational level, married and unemployed. The compliance behavior among the TB patients in Hualian district was correlated with civil status and educational level. The percentage of non-compliance behavior among widowed patients was significantly higher than single or married ones. Moreover, compliance behavior was directly proportional to educational level. In terms of disease cognition and health belief model, non-compliance behavior patients had lower disease cognition; their sensitivity to "susceptibility of the subjective disease"and " severity of subjective disease" was lower than those of the patients with compliance behavior. They had more problems adopting a healthy lifestyle. In addition, the compliance behavior patients tended to have internal locus of control, and their support system and client-provider relationship were better those of the non-compliance behavior ones. A preliminary assessment tool has been devised based on the findings of this study. It is hoped that such tool will be applied to the colinical care of TB patients to identify those patients who are expected to adopt a non-compliance behavior. Nursing personnel, by early identify the high risk group of non-compliance behavior, can adjust their approach to help these patients. |
本系統中英文摘要資訊取自各篇刊載內容。