花蓮地區長期接受血液透析患者對於疾病與治療的知識、態度及自我照顧行為相關性之研究

The Relationships among Knowledge, Attitude, and Self-Care Behaviors in Chronic Hemodialysis Patients: A Survey in the Hualien Area

10.6440/TZUCMJ.199912.0351

黃圓婷(Yuan-Ting Huang)；蔡芸芳(Yun-Fang Tsai)

尿毒症 ； 血液透析 ； 知識 ； 態度 ； 自我照顧行為 ； uremial ； hemodialysis ； knowledge ； knowledge ； attitude ； self-care behavior

慈濟醫學雜誌

11卷4期（1999 / 12 / 01）

351 - 358

繁體中文

目的：此研究旨在瞭解花蓮地區長期接受血液透析患者對於疾病與治療的知識、態度及自我照顧行為並討其相關性。材料與方法：以花蓮地區兩所區域教學醫院之血液透析室進行研究，採方便取樣，以結構式問卷進行訪談，計收得患者60位。結果：患者的知尚可，但其中以「性生活知識」及「疾病預後知識」方面最差；態度方面，不論對疾病的感受或對治療的看法，皆抱持中立偏正向之態度；而們我照顧行為情形尚好，但在「水分控制」及「動靜脈廔管」兩部份得分最低。整體而言，患者的知識、態度及自我照顧行為皆會因年齡與教育程度不同而呈現顯著之差異。經徑路分析結果發現知識與態度為照顧行為之重要預測因子，而且知職可籍由影響態度來改變其自我照顧行為。結論：本研究結果能協助醫護人員對血液透析患者有深入瞭解，以作為日後擬定透析患者衛教計劃之參考。 (慈濟醫學 1999; 11:351-358)

Objective: This study investigated the knowledge, attitude, and self-care behaviors of chronic hemodialysis patients in the Hualien area. Patients and Methods: Subjects were recruited from the hemodialysis departments of two hospitals in Hualien. After informed consent was obtained, a structured questionnaire was administered to collect data. A total of 60 subjects were included. Results: The findings of this study revealed that most patients’ knowledge levels were moderate. In general, participants expressed a slightly positive attitude and their self-care behaviors were adequate. As a whole, the significant factors affecting the knowledge, attitude, and self-care behaviors were age and the level of education. In addition, knowledge, attitude, and self-care behaviors were significantly positively correlated. Path analysis revealed knowledge and attitude were significant predictors of behaviors. Moreover, knowledge could change behaviors by influencing attitude. Conclusions: The results of this study provide nurses with information about knowledge, attitude, and self-care behaviors of chronic hemodialysis patients. It could help nurse plan teaching activities and improve the quality of nursing care. (Tzu Chi Med J 1999; 11:351-358)