题名

癲癇患者疾病知識、自我效能、自我管理及社會支持與生活品質之相關探討

并列篇名

Relationships among knowledge,self efficacy, self management, social support and quality of life in Patients with epileptic

作者

許文宜

关键词

癲癇 ； 生活品質 ； 疾病知識 ； 自我效能 ； 自我管理 ； 社會支持 ； Epilepsy ； Quality of life ； Knowledge of epilepsy ； Self-efficacy ； Self-management ； Social support

期刊名称

義守大學醫務管理學系學位論文

卷期/出版年月

2017年

学位类别

碩士
导师

高月慈
内容语文

繁體中文
中文摘要

台灣衛生福利部將癲癇認定為是一種慢性病，為瞭解及促進癲癇患者的生活品質，因此，本研究主要目的為探討癲癇患者疾病知識、自我效能、自我管理及社會支持對於癲癇病患的生活品質間的相關性。研究採橫斷式相關設計，以結構式問卷進行收集，採方便取樣，針對南部某醫學中心之神經內科門診，年滿20歲以上診斷為癲癇症患者，排除條件為意識不清者及其他診斷之病人，有效樣本為150份。問卷內容包含疾病知識、自我效能、自我管理、社會支持及生活品質，研究方法以階層迴歸模式進行假說檢定。研究結果顯示癲癇患者疾病知識與生活品質具有顯著的正向關係（β＝.50，p<.001）。自我管理在疾病知識與生活品質間具有部分中介效果（β＝.43，p<.001）。依研究結果建議，臨床醫護人員應病患依個別性不同，提供此癲癇患者及其家屬疾病相關知識與訊息，並鼓勵參與病友支持團體，獲得良好的社會支持，增進自我管理行為，進而提升癲癇病患整體生活品質。
英文摘要

The Taiwan Ministry of Health and Welfare recognized epilepsy as a chronic disease. The purpose of this study was to understand and promote the quality of life in patients with epilepsy. This study was designed to explore the relationship of the quality of life with the knowledge of epilepsy, self-efficacy, self-management, and social support. This is a cross-section study using structured questionnaire. The questionnaire includes knowledge of epilepsy, self-efficacy, self-management, social support, and quality of life. We used hierarchical regression analysis for data interpretation. Patients were enrolled from the neurological outpatient department in a medical center of the southern Taiwan. Patients aged older than 20 years old with the diagnosis of epilepsy will be included in the study. The questionnaire will be completed by the patient. Patient who have unclear consciousness were excluded. The effective sample size was 150. Our result showed a significant association between knowledge of epilepsy and the quality of life(β＝.50，p<.001). A moderate associated was observed between self-management with knowledge of epilepsy and quality of life(β＝.43，p<.001). According to the results of this study, medical staff should be based on individual differences in patients with this epilepsy and their families to provide disease-related knowledge and information. In addition, encourage participation in the epilepsy patients support groups. The better social support they were obtained, will be made to increase self-management and improve quality of life in patients with epilepsy.
主题分类 醫藥衛生 > 醫院管理與醫事行政
醫學院 > 醫務管理學系
社會科學 > 管理學
参考文献
  1. 王瑞賢（2015）。終結癲癇的汙名？癲癇團體面臨的挑戰。思與言：人文與社會科學雜誌，53（2），頁137-175。
    連結：
  2. 田月玄、許敏桃（2007）。台灣文化脈絡下的女性癲癇患者生病經驗。護理雜誌，54（6），頁31-40。doi: 10.6224/jn.54.6.31
    連結：
  3. 吳如琇（2002）。認識癲癇用藥。台灣醫學，6（2），頁243-250。doi:10.6320/fjm.2002.6(2).15
    連結：
  4. 翁麗雀（2008）。腎臟移植手術後病人自我管理、身心壓力及健康成果之關係探討。臺灣大學社會醫學。
    連結：
  5. 張世嫻（2016）。認識癲癇發作與照護。春暉（86），頁22-23。doi:10.6611/spris220.2016.86.22
    連結：
  6. 陳榮基（2013）。癲癇發作可以預測了？。健康世界（332），頁7-7。
    連結：
  7. 曾元孚（2012）。認識癲癇。台北市醫師公會會刊，56（8），頁20-24。
    連結：
  8. 黃毓華、邱啓潤（1997）。高雄地區大學生健康促進生活型態之預測因子。中華公共衛生雜誌，16（1），頁24-36。doi: 10.6288/cjph1997-16-01-03
    連結：
  9. 蔣立琦、郭雅雯、林綽娟（2004）。自我效能之概念分析。護理雜誌，51（2），頁67-72。doi: 10.6224/jn.51.2.67
    連結：
  10. 鄭綉絨、陳彰惠（2001）。產褥期間母親的關注與社會支持。護理研究，9（3），頁322-332。
    連結：
  11. 闕清模（1985）。癲癇病患的社會心理適應問卷調查。Journal of Medical Sciences，6（2），頁165-183。
    連結：
  12. 羅中廷、翁慧卿（2006）。知識、態度、自我照顧行為和疾病嚴重度對氣喘病人生活品質的解釋模式－以參加氣喘疾病管理計畫之病人為例。台灣公共衛生雜誌，25（2），頁125-134。doi: 10.6288/tjph2006-25-02-05
    連結：
  13. Aliasgharpour, M., Dehgahn Nayeri, N., Yadegary, M. A., & Haghani, H.（2013）. Effects of an educational program on self-management in patients with epilepsy. Seizure, 22（1）, 48-52. doi: 10.1016/j.seizure.2012.10.005
    連結：
  14. Angeles, D. K.（1981）. Proposal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia, 22（4）, 489-501.
    連結：
  15. Austin, J. K., Carr, D. A., & Hermann, B. P.（2006）. Living Well II: a review of progress since 2003. Epilepsy Behav, 9（3）, 386-393. doi: 10.1016/j.yebeh.2006.08.015
    連結：
  16. Bandura, A.（1977）.Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84（2）, 191-215. doi: 10.1037/0033-295X.84.2.191
    連結：
  17. Bandura, A.（1986）. Social foundations of thought and action : a social cognitive theory. Englewood Cliffs, N.J.: Prentice-Hall.
    連結：
  18. Bandura, A.（2004）. Health promotion by social cognitive means. Health Educ Behav, 31（2）, 143-164. doi: 10.1177/1090198104263660
    連結：
  19. Barbasio, C., Vagelli, R., Marengo, D., Querci, F., Settanni, M., Tani, C., . . . Granieri, A.（2015）. Illness perception in systemic lupus erythematosus patients: The roles of alexithymia and depression. Comprehensive psychiatry, 63, 88-95.
    連結：
  20. Barlow, J., Wright, C., Sheasby, J., Turner, A., & Hainsworth, J.（2002）. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns, 48（2）, 177-187.
    連結：
  21. Baron, R. M., & Kenny, D. A.（1986）. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol, 51（6）, 1173-1182.
    連結：
  22. Berg, A. T., Berkovic, S. F., Brodie, M. J., Buchhalter, J., Cross, J. H., van Emde Boas, W., . . . Scheffer, I. E.（2010）. Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE Commission on Classification and Terminology, 2005-2009. Epilepsia, 51（4）, 676-685. doi: 10.1111/j.1528-1167.2010.02522.x
    連結：
  23. Bodenheimer, T., Lorig, K., Holman, H., & Grumbach, K.（2002）. Patient self-management of chronic disease in primary care. Jama, 288（19）, 2469-2475.
    連結：
  24. Bradley, P. M., & Lindsay, B. （2008）. Care delivery and self-management strategies for adults with epilepsy. Cochrane Database Syst Rev（1）, Cd006244. doi: 10.1002/14651858.CD006244.pub2
    連結：
  25. Buelow, J. M., & Johnson, J.（2000）. Self-Management of Epilepsy. Disease Management and Health Outcomes, 8（6）, 327-336. doi: 10.2165/00115677-200008060-00003
    連結：
  26. Callaghan, P., & Morrissey, J.（1993）. Social support and health: a review. J Adv Nurs, 18（2）, 203-210.
    連結：
  27. Caplan, G.（1974）. Support systems and community mental health. New York: Behavioral.
    連結：
  28. Charyton, C., Elliott, J. O., Lu, B., & Moore, J. L.（2009）. The impact of social support on health related quality of life in persons with epilepsy. Epilepsy & Behavior, 16（4）, 640-645. doi: 10.1016/j.yebeh.2009.09.011
    連結：
  29. Chen, H.-F., Tsai, Y.-F., Hsi, M.-S., & Chen, J.-C.（2016）. Factors affecting quality of life in adults with epilepsy in Taiwan: a cross-sectional, correlational study. Epilepsy & Behavior, 58, 26-32.
    連結：
  30. Choi-Kwon, S., Park, K. A., Lee, H. J., Park, M. S., Lee, C. H., Cheon, S. E., . . . Chung, C. K.（2004）. Familiarity with, knowledge of, and attitudes toward epilepsy in residents of Seoul, South Korea. Acta Neurol Scand, 110（1）, 39-45. doi: 10.1111/j.1600-0404.2004.00258.x
    連結：
  31. Chung, M. Y., Chang, Y. C., Lai, Y. H., & Lai, C. W.（1995）. Survey of public awareness, understanding, and attitudes toward epilepsy in Taiwan. Epilepsia, 36（5）, 488-493.
    連結：
  32. Clark, N. M., Gong, M., & Kaciroti, N.（2014）. A model of self-regulation for control of chronic disease. Health Educ Behav, 41（5）, 499-508. doi: 10.1177/1090198114547701
    連結：
  33. Clark, N. M., Stoll, S., Youatt, E. J., Sweetman, M., Derry, R., & Gorelick, A.（2010）. Fostering epilepsy self management: The perspectives of professionals. Epilepsy & Behavior, 19（3）, 255-263. doi: http://dx.doi.org/10.1016/j.yebeh.2010.08.033
    連結：
  34. Cohen, J.（1977）. Statistical power analysis for the behavioral sciences. New York: Academic Press.
    連結：
  35. Cohen, S.（2004）. Social relationships and health. Am Psychol, 59（8）, 676-684. doi: 10.1037/0003-066x.59.8.676
    連結：
  36. Cohen, S., & Wills, T. A.（1985）. Stress, social support, and the buffering hypothesis. Psychol Bull, 98（2）, 310-357.
    連結：
  37. Cole, K. A., & Gaspar, P. M.（2015）. Implementation of an epilepsy self-management protocol. J Neurosci Nurs, 47（1）, 3-9. doi: 10.1097/jnn.0000000000000105
    連結：
  38. Coster, S., & Norman, I.（2009）. Cochrane reviews of educational and self-management interventions to guide nursing practice: a review. Int J Nurs Stud, 46（4）, 508-528. doi: 10.1016/j.ijnurstu.2008.09.009
    連結：
  39. Cramer, J. A., Arrigo, C., Van Hammée, G., & Bromfield, E. B.（2000）. Comparison between the QOLIE-31 and derived QOLIE-10 in a clinical trial of levetiracetam. Epilepsy Research, 41（1）, 29-38. doi: http://dx.doi.org/10.1016/S0920-1211（00）00127-3
    連結：
  40. Cramer, J. A., Perrine, K., Devinsky, O., & Meador, K.（1996）. A brief questionnaire to screen for quality of life in epilepsy: the QOLIE-10. Epilepsia, 37（6）, 577-582.
    連結：
  41. DiIorio, C., Faherty, B., & Manteuffel, B.（1994）. Epilepsy self-management: partial replication and extension. Res Nurs Health, 17（3）, 167-174.
    連結：
  42. DiIorio, C., Shafer, P. O., Letz, R., Henry, T. R., Schomer, D. L., & Yeager, K.（2006）. Behavioral, social, and affective factors associated with self-efficacy for self-management among people with epilepsy. Epilepsy Behav, 9（1）, 158-163. doi: 10.1016/j.yebeh.2006.05.001
    連結：
  43. DiIorio, C., Shafer, P. O., Letz, R., Henry, T. R., Schomer, D. L., Yeager, K., & Project, E. S. G.（2004）. Project EASE: a study to test a psychosocial model of epilepsy medication management. Epilepsy & Behavior, 5（6）, 926-936. doi: https://doi.org/10.1016/j.yebeh.2004.08.011
    連結：
  44. Diiorio, C. A., Kobau, R., Holden, E. W., Berkowitz, J. M., Kamin, S. L., Antonak, R. F., . . . Price, P. H.（2004）. Developing a measure to assess attitudes toward epilepsy in the US population. Epilepsy Behav, 5（6）, 965-975. doi: 10.1016/j.yebeh.2004.08.020
    連結：
  45. Dilorio, C., Faherty, B., & Manteuffel, B.（1992）. The development and testing of an instrument to measure self-efficacy in individuals with epilepsy. J Neurosci Nurs, 24（1）, 9-13.
    連結：
  46. Dilorio, C., & Henry, M.（1995）. Self-management in persons with epilepsy. J Neurosci Nurs, 27（6）, 338-343.
    連結：
  47. DiMatteo, M. R.（2004）. Social support and patient adherence to medical treatment: a meta-analysis. Health Psychol, 23（2）, 207-218. doi: 10.1037/0278-6133.23.2.207
    連結：
  48. Doughty, J., Baker, G. A., Jacoby, A., & Lavaud, V.（2003）. Cross-cultural differences in levels of knowledge about epilepsy. Epilepsia, 44（1）, 115-123.
    連結：
  49. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A.（2007）. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods, 39（2）, 175-191.
    連結：
  50. Ferrans, C. E., & Powers, M. J.（1985）. Quality of life index: development and psychometric properties. ANS Adv Nurs Sci, 8（1）, 15-24.
    連結：
  51. Finfgeld-Connett, D.（2007）. Concept comparison of caring and social support. Int J Nurs Terminol Classif, 18（2）, 58-68. doi: 10.1111/j.1744-618X.2007.00051.x
    連結：
  52. Fisher, R. S., van Emde Boas, W., Blume, W., Elger, C., Genton, P., Lee, P., & Engel, J., Jr.（2005）. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy （ILAE） and the International Bureau for Epilepsy （IBE）. Epilepsia, 46（4）, 470-472. doi: 10.1111/j.0013-9580.2005.66104.x
    連結：
  53. Fisher, R. S., Vickrey, B. G., Gibson, P., Hermann, B., Penovich, P., Scherer, A., & Walker, S.（2000）. The impact of epilepsy from the patient's perspective I. Descriptions and subjective perceptions. Epilepsy Res, 41（1）, 39-51.
    連結：
  54. Fong, C. Y., & Hung, A.（2002）. Public awareness, attitude, and understanding of epilepsy in Hong Kong Special Administrative Region, China. Epilepsia, 43（3）, 311-316.
    連結：
  55. Given, B., Given, C. W., & Simoni, L. E.（1979）. Relationships of processes of care to patient outcomes. Nurs Res, 28（2）, 85-93.
    連結：
  56. Harris, D. B.（1996）. Creating a Knowledge Centric Information Technology Environment.
    連結：
  57. Hartshorn, J. C., & Byers, V. L.（1994）. Importance of health and family variables related to quality of life in individuals with uncontrolled seizures. J Neurosci Nurs, 26（5）, 288-297.
    連結：
  58. Helgeson, D. C., Mittan, R., Tan, S. Y., & Chayasirisobhon, S.（1990）. Sepulveda Epilepsy Education: the efficacy of a psychoeducational treatment program in treating medical and psychosocial aspects of epilepsy. Epilepsia, 31（1）, 75-82.
    連結：
  59. Hills, M. D., & Baker, P. G.（1992）. Relationships among epilepsy, social stigma, self-esteem, and social support. Journal of Epilepsy, 5（4）, 231-238. doi: http://dx.doi.org/10.1016/S0896-6974（05）80122-7
    連結：
  60. House, J. S.（1981）. Work stress and social support. Massachusetts: Addison Wesley.
    連結：
  61. House, J. S., Landis, K. R., & Umberson, D.（1988）. Social relationships and health. Science, 241（4865）, 540-545.
    連結：
  62. Hung, C. H.（2005）. Measuring postpartum stress. J Adv Nurs, 50（4）, 417-424. doi: 10.1111/j.1365-2648.2005.03407.x
    連結：
  63. Hung, C. H.（2007）. Psychosocial features at different periods after childbirth. Kaohsiung J Med Sci, 23（2）, 71-79. doi: 10.1016/s1607-551x（09）70378-x
    連結：
  64. Hung, C. H., & Chung, H. H.（2001）. The effects of postpartum stress and social support on postpartum women's health status. J Adv Nurs, 36（5）, 676-684.
    連結：
  65. Hung, C. H., Hsu, Y. Y., & Lee, S. F.（1997）. Couples' satisfaction with health care service during labor and delivery. Kaohsiung J Med Sci, 13（4）, 255-262.
    連結：
  66. Jacoby, A., & Austin, J. K.（2007）. Social stigma for adults and children with epilepsy. Epilepsia, 48 Suppl 9, 6-9. doi: 10.1111/j.1528-1167.2007.01391.x
    連結：
  67. Jacoby, A., Gorry, J., Gamble, C., & Baker, G. A.（2004）. Public knowledge, private grief: a study of public attitudes to epilepsy in the United Kingdom and implications for stigma. Epilepsia, 45（11）, 1405-1415. doi: 10.1111/j.0013-9580.2004.02904.x
    連結：
  68. Jehi, L., Tesar, G., Obuchowski, N., Novak, E., & Najm, I.（2011）. Quality of life in 1931 adult patients with epilepsy: seizures do not tell the whole story. Epilepsy Behav, 22（4）, 723-727. doi: 10.1016/j.yebeh.2011.08.039
    連結：
  69. Kashdan, T. B., & Roberts, J. E.（2004）. Social Anxiety's Impact on Affect, Curiosity, and Social Self-Efficacy During a High Self-Focus Social Threat Situation. Cognitive Therapy and Research, 28（1）, 119-141. doi: 10.1023/b:cotr.0000016934.20981.68
    連結：
  70. Kendall, S., Thompson, D., & Couldridge, L.（2004）. The information needs of carers of adults diagnosed with epilepsy. Seizure, 13（7）, 499-508. doi: 10.1016/j.seizure.2003.12.003
    連結：
  71. Kirscht, J. P., & Rosenstock, I. M.（1977）. Patient adherence to antihypertensive medical regimens. J Community Health, 3（2）, 115-124.
    連結：
  72. Kralik, D., Koch, T., Price, K., & Howard, N.（2004）. Chronic illness self-management: taking action to create order. J Clin Nurs, 13（2）, 259-267.
    連結：
  73. Lai, C. W., Huang, X. S., Lai, Y. H., Zhang, Z. Q., Liu, G. J., & Yang, M. Z.（1990）. Survey of public awareness, understanding, and attitudes toward epilepsy in Henan province, China. Epilepsia, 31（2）, 182-187.
    連結：
  74. Lee, S. A.（2005）. What we confront with employment of people with epilepsy in Korea. Epilepsia, 46 Suppl 1, 57-58.
    連結：
  75. Lorig, K.（2003）. Self-management education: more than a nice extra. Med Care, 41（6）, 699-701. doi: 10.1097/01.mlr.0000072811.54551.38
    連結：
  76. Lorig, K. R., & Holman, H.（2003）. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med, 26（1）, 1-7.
    連結：
  77. Luoni, C., Bisulli, F., Canevini, M. P., De Sarro, G., Fattore, C., Galimberti, C. A., . . . Perucca, E.（2011）. Determinants of health-related quality of life in pharmacoresistant epilepsy: results from a large multicenter study of consecutively enrolled patients using validated quantitative assessments. Epilepsia, 52（12）, 2181-2191. doi: 10.1111/j.1528-1167.2011.03325.x
    連結：
  78. May, T. W., & Pfafflin, M.（2002）. The efficacy of an educational treatment program for patients with epilepsy （MOSES）: results of a controlled, randomized study. Modular Service Package Epilepsy. Epilepsia, 43（5）, 539-549.
    連結：
  79. Novotna, I., & Rektor, I.（2002）. The trend in public attitudes in the Czech Republic towards persons with epilepsy. Eur J Neurol, 9（5）, 535-540.
    連結：
  80. O'Leary, A.（1985）. Self-efficacy and health. Behav Res Ther, 23（4）, 437-451.
    連結：
  81. Osman, A., Seri, S., & Cavanna, A. E.（2016）. Clinical characteristics of patients with epilepsy in a specialist neuropsychiatry service. Epilepsy & Behavior, 58, 44-47.
    連結：
  82. Pryse-Phillips, W., Jardine, F., & Bursey, F.（1982）. Compliance with drug therapy by epileptic patients. Epilepsia, 23（3）, 269-274.
    連結：
  83. Reisinger, E. L., & DiIorio, C.（2009）. Individual, seizure-related, and psychosocial predictors of depressive symptoms among people with epilepsy over six months. Epilepsy Behav, 15（2）, 196-201. doi: 10.1016/j.yebeh.2009.03.012
    連結：
  84. Ross, C. E., Mirowsky, J., & Goldsteen, K.（1990）. The Impact of the Family on Health: The Decade in Review. Journal of Marriage and Family, 52（4）, 1059-1078. doi: 10.2307/353319
    連結：
  85. Schaffer, M. A., & Lia-Hoagberg, B.（1997）. Effects of social support on prenatal care and health behaviors of low-income women. J Obstet Gynecol Neonatal Nurs, 26（4）, 433-440.
    連結：
  86. Scherer, Y. K., & Bruce, S.（2001）. Knowledge, attitudes, and self-efficacy and compliance with medical regimen, number of emergency department visits, and hospitalizations in adults with asthma. Heart Lung, 30（4）, 250-257. doi: 10.1067/mhl.2001.116013
    連結：
  87. Scholz, U., Doña, B. G., Sud, S., & Schwarzer, R.（2002）. Is general self-efficacy a universal construct? Psychometric findings from 25 countries. European Journal of Psychological Assessment, 18（3）, 242-251. doi: 10.1027//1015-5759.18.3.242
    連結：
  88. Schwarzer, R., Bäßler, J., Kwiatek, P., Schröder, K., & Zhang, J. X.（1997）. The Assessment of Optimistic Self-beliefs: Comparison of the German, Spanish, and Chinese Versions of the General Self-efficacy Scale. Applied Psychology, 46（1）, 69-88. doi: 10.1111/j.1464-0597.1997.tb01096.x
    連結：
  89. Sobel, M. E.（1982）. Asymptotic Confidence Intervals for Indirect Effects in Structural Equation Models. Sociological Methodology, 13, 290-312. doi: 10.2307/270723
    連結：
  90. Spatt, J., Bauer, G., Baumgartner, C., Feucht, M., Graf, M., Mamoli, B., & Trinka, E.（2005）. Predictors for negative attitudes toward subjects with epilepsy: a representative survey in the general public in Austria. Epilepsia, 46（5）, 736-742. doi: 10.1111/j.1528-1167.2005.52404.x
    連結：
  91. Taylor, R. S., Sander, J. W., Taylor, R. J., & Baker, G. A.（2011）. Predictors of health-related quality of life and costs in adults with epilepsy: a systematic review. Epilepsia, 52（12）, 2168-2180. doi: 10.1111/j.1528-1167.2011.03213.x
    連結：
  92. Thoits, P. A.（1986）. Social support as coping assistance. J Consult Clin Psychol, 54（4）, 416-423. doi: 10.1037/0022-006X.54.4.416
    連結：
  93. Thoits, P. A.（1986）. Social support as coping assistance. J Consult Clin Psychol, 54（4）, 416-423.
    連結：
  94. Thompson, P. J., & Upton, D.（1992）. The impact of chronic epilepsy on the family. Seizure, 1（1）, 43-48.
    連結：
  95. Thoonen, B. P., Schermer, T. R., Van Den Boom, G., Molema, J., Folgering, H., Akkermans, R. P., . . . Van Schayck, C. P.（2003）. Self-management of asthma in general practice, asthma control and quality of life: a randomised controlled trial. Thorax, 58（1）, 30-36.
    連結：
  96. Toljamo, M., & Hentinen, M.（2001）. Adherence to self-care and social support. J Clin Nurs, 10（5）, 618-627.
    連結：
  97. Tong, X., Chen, J., Park, S. P., Wang, X., Wang, C., Su, M., & Zhou, D.（2016）. Social support for people with epilepsy in China. Epilepsy Behav, 64（Pt A）, 224-232. doi: 10.1016/j.yebeh.2016.08.010
    連結：
  98. Unger, W. R., & Buelow, J. M.（2009）. Hybrid concept analysis of self-management in adults newly diagnosed with epilepsy. Epilepsy Behav, 14（1）, 89-95. doi: 10.1016/j.yebeh.2008.09.002
    連結：
  99. Vendrame, M., Yang, B., Jackson, S., & Auerbach, S. H.（2013）. Insomnia and epilepsy: a questionnaire-based study. J Clin Sleep Med, 9（2）, 141-146. doi: 10.5664/jcsm.2410
    連結：
  100. Walker, E. R., Bamps, Y., Burdett, A., Rothkopf, J., & Diiorio, C.（2012）. Social support for self-management behaviors among people with epilepsy: a content analysis of the WebEase program. Epilepsy Behav, 23（3）, 285-290. doi: 10.1016/j.yebeh.2012.01.006
    連結：
  101. Webster, N., & McKechnie, J. L.（1983）. Webster's New Twentieth Century Dictionary of the English Language, Unabridged: Based Upon the Broad Foundations Laid Down by Noah Webster: Simon and Schuster.
    連結：
  102. Wigal, J. K., Stout, C., Brandon, M., Winder, J. A., McConnaughy, K., Creer, T. L., & Kotses, H.（1993）. The Knowledge, Attitude, and Self-Efficacy Asthma Questionnaire. Chest, 104（4）, 1144-1148.
    連結：
  103. 中文部分
  104. 吳念恩（2008）。癲癇病患社會支持、健康自我管理能力與工作適應之相關性研究。東海大學社會工作學系，台中市。
  105. 洪志秀、張素凰、金繼春（1993）。產褥期婦女之壓力與其相關因素。公共衛生，20（1），頁29-45。
  106. 高申春（2001）。人性輝煌之路：班杜拉的社會學習理論。台北：貓頭鷹出版社。
  107. 教育部重編國語辭典修訂本（2015）。國語辭典。取自http://dict.revised.moe.edu.tw/cgi-bin/cbdic/gsweb.cgi?o=dcbdic&searchid=Z00000113242
  108. 陳婉兒（2013）。代謝症侯群病患疾病知識、心理困擾與生活品質相關之探討。國立臺北護理健康大學護理研究所，台北市。
  109. 陳敏麗、方妙君（2015）。神經系統疾病病人之護理（第五版）。台北市：華杏。
  110. 陳瑞珍（2015）。癲癇患者與駕駛執照。癲癇資訊（季刊）。取自http://www.epilepsyorg.org.tw/?Page=BulletinDetail&Guid=be74007e-d8af-aad8-31af-4c3210a4d579#01
  111. 劉瓊宇（1987）。高危險妊娠對家庭心理社會方面的影響。護理雜誌，34（2），頁45- 48。
  112. 蔡孟翰（2013）。淺談癲癇藥物的選擇、調藥及停用。取自http://lksh.com.tw/event02.asp?ID=15
  113. 賴向榮（1999）。認識抗癲癇藥物。取自http://www.kmuh.org.tw/www/kmcj/data/8806/4255.htm
  114. 謝良博（2007）。以健保資料庫分析台灣癲癇盛行率與藥物利用。東海大學工業工程與經營資訊學系，台中市。
  115. 英文部分
  116. Bandura, A.（1997）. Self-efficacy : the exercise of control. New York: W.H. Freeman.
  117. Barkley, G.（2003）. Living well with epilepsy report of the 2003 National Conference on Public Health and Epilepsy., from http://stacks.cdc.gov/view/cdc/5579
  118. Creer, T. L., Renne, C. M., & Christian, W. P.（1976）. Behavioral contributions to rehabilitation and childhood asthma. Rehabil Lit, 37（8）, 226-232,247.
  119. Daoud, A., Al-Safi, S., Otoom, S., Wahba, L., & Alkofahi, A.（2007）. Public knowledge and attitudes towards epilepsy in Jordan. Seizure, 16（6）, 521-526. doi: https://doi.org/10.1016/j.seizure.2007.04.011
  120. Dawkins, J. L., Crawford, P. M., & Stammers, T. G.（1993）. Epilepsy: a general practice study of knowledge and attitudes among sufferers and non-sufferers. The British Journal of General Practice, 43（376）, 453-457.
  121. Fraser, R. T., Johnson, E. K., Miller, J. W., Temkin, N., Barber, J., Caylor, L., . . . Chaytor, N.（2011）. Managing epilepsy well: Self-management needs assessment. Epilepsy & Behavior, 20（2）, 291-298. doi: http://dx.doi.org/10.1016/j.yebeh.2010.10.010
  122. Gardner, W., Nutting, P. A., Kelleher, K. J., Werner, J. J., Farley, T., Stewart, L., . . . Orzano, A. J.（2001）. Does the family APGAR effectively measure family functioning? J Fam Pract, 50（1）, 19-25.
  123. Smilkstein, G.（1978）. The family APGAR: a proposal for a family function test and its use by physicians. J Fam Pract, 6（6）, 1231-1239.
  124. Smilkstein, G., Ashworth, C., & Montano, D.（1982）. Validity and reliability of the family APGAR as a test of family function. J Fam Pract, 15（2）, 303-311.
  125. Zhang, J. X., & Schwarzer, R.（1995）. Measuring optimistic self-beliefs: A Chinese adaptation of the General Self-Efficacy Scale. Psychologia: An International Journal of Psychology in the Orient, 38（3）, 174-181.
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