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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 張媚 | |
| dc.contributor.author | Bi-Lin Yao | en |
| dc.contributor.author | 姚碧玲 | zh_TW |
| dc.date.accessioned | 2021-06-15T05:47:07Z | - |
| dc.date.available | 2011-09-13 | |
| dc.date.copyright | 2010-09-13 | |
| dc.date.issued | 2010 | |
| dc.date.submitted | 2010-08-19 | |
| dc.identifier.citation | Aljasem, L. I., Peyrot, M., Wissow, L., & Rubin, R. R. (2001). The impact of barriers and self-efficacy on self-care behaviors in type 2 diabetes. Diabetes Educator, 27(3), 393-404.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/47083 | - |
| dc.description.abstract | 本研究主要是以Becker(1974)的健康信念模式去探討慢性阻塞性肺疾病患者之自我照顧行為之現況，及影響自我照顧行為的重要因素，以北市某醫學中心門診病人經胸腔專科醫師確診為慢性阻塞性肺疾病一年以上，符合收案條件者作為研究對象，研究工具採結構式問卷，包括基本資料、自我照顧行為量表、健康信念量表、醫療人員指導項目及憂鬱量表，採一對一訪談方式，共收集135份有效問卷，研究結果如下：
(1).本研究之自我照顧行為介於有時與經常之間，以服藥及回診行為最佳，胸腔復原運動最差。 (2).皮爾遜積差相關分析顯示罹病年數越長、憂鬱程度越重、自覺嚴重性越大、自覺罹患性越大、自覺行動利益越大、自覺行動障礙越低、醫療人員指導項目數目越多者，其自我照顧行為越佳，由逐步複迴歸分析得知，COPD自我照顧行為之預測因子包括「自覺行動利益」、抽菸史「現在仍抽菸者與從未抽菸者的對比」、罹病年數「3年以下與10年以上的對比」、「醫療人員指導項目數量」、「憂鬱」等變項能解釋自我照顧行為之變異量67.6%，其中自覺行動利益對慢性阻塞性肺疾病患者之自我照顧行為預測解釋力為45.5%。 護理應用：(1)針對沒有執行胸腔復原運動者，透過加強行動利益，來鼓勵病人執行；(2)針對罹病時間較短及目前還在抽菸者，強化其自我照顧行為的指導；(3)加強醫護人員COPD肺部復健相關知識的在職教育；(4)護理人員應注意COPD病人心理調適的問題。 關鍵字：健康信念、醫療人員指導項目、憂鬱、慢性阻塞性肺疾病自我照顧行為 | zh_TW |
| dc.description.abstract | The purpose of this study is to apply Becker’s health belief model to explore the self-care behavior of clients with chronic obstructive pulmonary disease (COPD).The researcher recruited 135 outpatients in a northern medical center. Data was collected through on by one interview according a structured questionnaire included demographic data；health belief scale；depression scale；COPD self care behavior scale and numbers of self care advice suggested by medical staff.
The results indicate that: (1) the highest score of COPD self care behavior was medication behavior, and the lowest score was pulmonary exercise. (2)Pearson correlation found that the longer duration of illness,the even worse depression,the lower perceived barrier to action,the higher perceived benefits to action,the higher numbers of self care advice suggested by medical staff，the self care behavior of COPD is better；using Stepwise Multiple Regression found that subjects' self-care behaviors can be predicted by perceived benefits to action,smoking history, duration of illness, numbers of self care advice being suggested by medical staff, and depression. The model explains 67.6% of the total variances of self-care behaviors and perceived benefits to action was the most impotant precdictor. Recommendations:(1)Nurses should emphasize perceived benefits to action for pulmonary exercise；(2)Nurses should design education program according to smoking history and duration of illness；(3)To strenghern pulmonary rehabilitation continuing education for medical staff ；(4)Nurses should be aware of psychological adjustment of COPD patients. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T05:47:07Z (GMT). No. of bitstreams: 1 ntu-99-R93426027-1.pdf: 496320 bytes, checksum: ca739be0cf8b3450d89e82d091a0756e (MD5) Previous issue date: 2010 | en |
| dc.description.tableofcontents | 致謝 I
中文論文摘要 II 英文論文摘要 III 目錄 IV 表目錄 VI 圖目錄 VII 第一章 序論 第一節 研究動機與重要性 1 第二章 文獻查證 4 第一節 健康信念模式 4 第二節 慢性阻塞性肺疾病 7 第三節 慢性阻塞性肺疾病患者之自我照顧行為 11 第四節 慢性阻塞性肺疾病患者的自我照顧行為之相關研究 16 第五節 影響自我照顧行為之相關因素 18 第三章 研究設計 第一節 研究架構 22 第二節 名詞界定 23 第三節 研究假設 24 第四章 研究方法 第一節 研究對象 27 第二節 研究工具 27 第三節 研究步驟 29 第四節 倫理考量 31 第五節 研究工具信度與效度檢定 31 第五章 研究結果 34 第一節 社會人口學分析 34 第二節 自我照顧行為與相關因素之描述性分析 37 第三節 差異性檢定 44 第四節 自我照顧行為和健康信念、醫療人員指導數目、憂鬱之關係 47 第五節 自我照顧行為與相關因素之解釋力分析 50 第六章 討論 55 第一節 研究對象的自我照顧行為現況 55 第二節 健康信念對自我照顧行為之影響 56 第三節 醫療人員指導項目數量對自我照顧行為之影響 57 第四節 憂鬱對自我照顧行為之影響 57 第五節 社會人口學對自我照顧行為之影響 58 第七章 結論與建議 59 第一節 結論 59 第二節 護理上的運用與建議 60 第三節 研究限制 61 參考資料 62 附錄一 結構式問卷內容 69 | |
| dc.language.iso | zh-TW | |
| dc.subject | 慢性阻塞性肺疾病自我照顧行為 | zh_TW |
| dc.subject | 健康信念 | zh_TW |
| dc.subject | 醫療人員指導項目 | zh_TW |
| dc.subject | 憂鬱 | zh_TW |
| dc.subject | chronic obstructive pulmonary disease | en |
| dc.subject | depression | en |
| dc.subject | health beliefs | en |
| dc.subject | self-care behavior | en |
| dc.title | 影響慢性阻塞性肺疾病患者自我照顧行為因素之探討 | zh_TW |
| dc.title | Factors associated with self-care behavior of patients with chronic obstructive pulmonary disease | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 98-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.coadvisor | 余忠仁,陳美伶 | |
| dc.contributor.oralexamcommittee | #VALUE! | |
| dc.subject.keyword | 健康信念,醫療人員指導項目,憂鬱,慢性阻塞性肺疾病自我照顧行為, | zh_TW |
| dc.subject.keyword | self-care behavior,chronic obstructive pulmonary disease,health beliefs,depression, | en |
| dc.relation.page | 73 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2010-08-19 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 護理學研究所 | zh_TW |
| 顯示於系所單位： | 護理學系所 | |
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|---|---|---|---|
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