客家族群中老年人慢性病認知、態度及自我照顧行為及其相關因素之探討－以屏東地區為例

The Correlations among the Chronic Disease Perceptions, the Attitudes and Self-care Behaviors in Hakka Middle-aged and Elderly People: A Case of Pingtung

林碧莉(Pi-Li Lin)；連雅棻(Ya-Fen Lien)；許秀月(Hsiu-Yueh Hsu)

客家族群 ； 中老年人 ； 慢性病 ； chronic disease ； Hakka tribe ； middle-aged adults and elderly

美和學報

32卷2期（2013 / 11 / 01）

67 - 82

繁體中文

This study investigated the correlation the knowledge in chronic disease, attitude, and self-care behavior among middle-aged adults and elderly of Hakka tribe in southern Taiwan. The cross-sectional study design and the convenience sampling were used to obtain representative samples in Neipu, Zhutian, Wanluan, and Changzhi Townships. There were 405 Hakka middle-aged adults and elderly (mean: 70.63 ± 10.66 years old) involved in this study for the structured questionnaire survey. Data were analyzed by using SPSS 15.0 for Windows. The overall proportion of patients with chronic disease was 66.3%. The predominant chronic disease was hypertension (35.6%). The significant correlates of the knowledge in chronic disease were the age (F=9.05, p＜ .001), the education degree (F=9.09, p＜ .001), the religion (t=2.81, p＜ .05), and the living situation (t=4.21, p＜ .001). The significant correlates of the attitude toward chronic disease were working condition (t=7.21, p＜ .001) and chronic disease (t=12.97, p＜ .001). The Knowledge on chronic disease was positively associated with the attitude for chronic disease (r=.140, P ＜.05). The Self-care behavior was positively associated with the attitude (r=.139, P ＜.05). Multiple stepwise regressions reveal that religion was highly related to the self-care behaviors. That could indicated 3.6% of the total variance of self-care behavior. The findings of this study could help health care providers to understand the factors associated with self-care behaviors in chronic disease among middle-aged adults and elderly of Hakka tribe.

This study investigated the correlation the knowledge in chronic disease, attitude, and self-care behavior among middle-aged adults and elderly of Hakka tribe in southern Taiwan. The cross-sectional study design and the convenience sampling were used to obtain representative samples in Neipu, Zhutian, Wanluan, and Changzhi Townships. There were 405 Hakka middle-aged adults and elderly (mean: 70.63 ± 10.66 years old) involved in this study for the structured questionnaire survey. Data were analyzed by using SPSS 15.0 for Windows. The overall proportion of patients with chronic disease was 66.3%. The predominant chronic disease was hypertension (35.6%). The significant correlates of the knowledge in chronic disease were the age (F=9.05, p＜ .001), the education degree (F=9.09, p＜ .001), the religion (t=2.81, p＜ .05), and the living situation (t=4.21, p＜ .001). The significant correlates of the attitude toward chronic disease were working condition (t=7.21, p＜ .001) and chronic disease (t=12.97, p＜ .001). The Knowledge on chronic disease was positively associated with the attitude for chronic disease (r=.140, P ＜.05). The Self-care behavior was positively associated with the attitude (r=.139, P ＜.05). Multiple stepwise regressions reveal that religion was highly related to the self-care behaviors. That could indicated 3.6% of the total variance of self-care behavior. The findings of this study could help health care providers to understand the factors associated with self-care behaviors in chronic disease among middle-aged adults and elderly of Hakka tribe.

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