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研究生: 陳慕容
CHEN,MU-JUNG
論文名稱: 肺結核病患對結核病防治行為及其相關因素研究—以台北市某醫院為例
The research on therapeutic behavior, self-efficacy and related factors among tuberculosis patient
指導教授: 葉國樑
Yeh, Gwo-Liang
李景美
Lee, Ching-Mei
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2010
畢業學年度: 98
語文別: 中文
論文頁數: 68
中文關鍵詞: 結核病防治行為結核病防治自我效能
英文關鍵詞: tuberculosis patients, therapeutic behavior, self-efficacy
論文種類: 學術論文
相關次數: 點閱:294下載:16
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  • 本研究目的在探討肺結核病患於結核病防治認知、結核病防治的自我效能與防治行為之相關情形。於2010年3月1日至5月31日期間之臺北市聯合醫院某院區醫院,經由傳染病通報系統流程確定之結核病患者,為本研究之樣本數者為母群體。依據研究架構製作問卷並進行調查,得有效樣本80名,研究主要發現分述如下:
    -、研究對象職業的有無在結核病的認知表現上,有職業者優於沒有職業者。
    二、研究對象在結核病的認知與對於結核病防治之自我效能皆無達到顯著差異;而研究對象不曾中斷服藥者在結核病防治行為表現上,優於曾經中斷過服藥者。
    三、結核病防治的自我效能對於結核病防治行為上有正向的影響,研究對象結核病防治的自我效能表現愈佳,其結核病防治行為表現關鍵字:結核病防治行為、結核病防治自我效能愈好。

    The aim of this study is to probe into the therapeutic behavior and its related factors of tuberculosis patients in a regional hospital. Patients who were diagnosed as tuberculosis and validated through Communicable Disease Reporting System from March 1 to May 31, 2010 were included as study subjects. Survey was conducted with questionnaire developed pursuant to the research framework of the study which including demography, disease status, knowledge about tuberculosis, self-efficacy on cure and prevention and treatment behavior. Eighty patients were included in this study.
    The main findings of this study are as followings:
    1. Those who have job have better knowledge than those who do not.
    2. The experience of discontinuation of the treatment did not affect interviewees’ knowledge about tuberculosis and self-efficacy of cure significantly though. It is correlated to the prevention and treatment behavior of the interviewee significantly. Those who have experience of discontinuation of treatment performed more negatively.
    3. Self-efficacy poses positive impact on prevention and treatment behavior. Study subjects with higher self-efficacy score have better performance on prevention and treatment behavior.

    第一章 緒論 第一節 研究動機與重要性…………………………………………………1 第二節 研究目的……………………………………………………………4 第三節 研究問題……………………………………………………………4 第四節 研究假設……………………………………………………………5 第五節 名詞界定……………………………………………………………6 第六節 研究限制……………………………………………………………7 第二章 文獻探討 第一節 國內結核病之現況…………………………………………………8 第二節 探討結核病認知及防治行為之相關探討…………………………10 第三節 自我效能與結核病防治行為相關探討……………………………14 第四節 結核病認知、自我效能與防治行為之相關探討…………………17 第三章 研究方法 第一節 研究架構……………………………………………………………20 第二節 研究對象……………………………………………………………21 第三節 研究工具……………………………………………………………22 第四節 研究步驟……………………………………………………………28 第五節 資料處理與分析……………………………………………………30 第四章 結果與討論 第一節 研究對象背景資料分布……………………………………………32 第二節 結核病認知、自我效能及結核病防治行為之描述性統計………36 第三節 社會人口學變項與結核病認知、自我效能及防治行為的關係…40 第四節 結核病防治行為之重要預測變項…………………………………51 第五節 討論…………………………………………………………………53 第五章 結論與建議 第一節 結論…………………………………………………………………55 第二節 建議…………………………………………………………………56 參考文獻 ……………………………………………………………………58 表 目 錄 表4-1 研究對象之社會人口學變項分………………………………………35 表4-2 研究對象結核病防治認知情形………………………………………37 表4-3 研究對象結核病防治行為情形………………………………………38 表4-4 研究對象結核病防治自我效能情形…………………………………39 表4-5 不同性別受訪者的認知、行為及自我效能表現差異分析表………40 表4-6 不同年齡受訪者的認知、行為及自我效能表現差異分析表………41 表4-7 不同教育程度受訪者的認知、行為及自我效能表現差異分 析表……………………………………………………………………42 表4-8 不同婚姻狀態受訪者的認知、行為及自我效能表現差異分 析表……………………………………………………………………43 表4-9 職業與受訪者的認知、行為及自我效能表現差異分析表…………44 表4-10 不同家庭月收入受訪者的認知、行為及自我效能表現差異分 析表……………………………………………………………………45 表4-11 宗教信仰與受訪者的認知、行為及自我效能表現差異分析表…46 表4-12 受訪者是否為家庭主要經濟負擔者與認知、行為及自我效能 表現差異分析表………………………………………………………47 表4-13 不同症狀嚴重程度受訪者的認知、行為及自我效能表現差異 分析表 ………………………………………………………………48 表4-14 受訪者是否曾經中斷服藥與認知、行為及自我效能表現差異 分析表 ………………………………………………………………49 表4-15 受訪者服藥後是否曾產生副作用與認知、行為及自我效能表 現差異分析表 ………………………………………………………50 表4-16 行為與社會人口學預測變項之相關矩陣表………………………51 表4-17 各變項預測行為之多元迴歸分析摘要表…………………………52

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