(3.238.250.105) 您好!臺灣時間:2021/04/20 05:44
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:倪麗芬
研究生(外文):Ni, Li-Fen
論文名稱:護理方案介入對輕度中風患者疾病知識,健康信念,遵從行為及健康結果之成效探討
論文名稱(外文):The Effects of a Nursing Intervention Program on Health Knowledge, Health Belief, Compliant Behaviors and Health Outcomes for Patients with Minor Stroke
指導教授:戴玉慈戴玉慈引用關係
指導教授(外文):Dai Yu-Tzu
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:護理學系
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:1997
畢業學年度:85
語文別:中文
論文頁數:176
中文關鍵詞:腦中風健康信念遵從服藥飲食運動
外文關鍵詞:strokehealth beliefcompliancemedicationfoodexercise
相關次數:
  • 被引用被引用:9
  • 點閱點閱:365
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:2
腦中風病人復發的比率高,發生殘障的機率大,會造成家庭及社會的重大
負擔,且腦中風是老年人口的主要死因,所以從預防的角度來看腦中風患
者的護理措施是值得深入探討的,因此本研究的目的在探討護理方案介入
對輕度中風患者疾病知識、健康信念、遵從行為及健康結果的影響。

本研究採準實驗設計,針對曾經於一年內到某醫學中心就醫的腦中風病患
,以立意取樣邀請88位符合選樣條件的個案為研究對象,依編號將單號列
為實驗組,給予護理方案,雙號列為對照組,給予一般門診常規護理,護
理方案介入前以訪談方式對所有個案進行結構性問卷量表測試,包括疾病
知識、健康信念、遵從行為及基本資料,並收集血液生化相關檢查值,
經7-9週的介入措施後,病人返回門診時,進行後測資料收集。

將所收集的資料以SPSS/PC套裝軟體進行統計與分析,結果發現,患者在
護理方案介入前,疾病知識普遍偏高、健康信念趨正向、服藥、飲食及戒
菸行為的遵從度皆相當高,一半以上超重,運動遵從度較差,至於健康結
果除血壓、高密度膽固醇和低密度膽固醇的平均值在正常範圍外,糖化血
色素、總膽固醇及三酸甘油酯的平均值皆高於正常值;疾病知識得分愈高
者,其健康信念愈正向,患者與家人同住、無合併痛風及家屬無人罹患腦
中風者,其服藥遵從行為較佳,因為腦中風而住院天數愈長的患者其飲食
遵從行為愈好,目前有工作者、教育程度小學及以下或大專以上者及合併
扛血壓者,其體重控制結果較差,而男性及目前尚有工作者,其戒菸遵從
行為較差。

護理方案介入後,患者對疾病知識、健康信念、服藥、飲食、運動及體重
控制的改善成效相當好,而戒菸遵從行為及健康結果則無改善。疾病知識
改變量及健康信念改變量較多者,服藥遵從度增加較多。女性、家屬無人
罹患腦中風、疾病知識改變量及健康信念改變量較多者,運動遵從行為進
步較多。年齡大者在體重控制遵從行為的成效較差。另外,無工作者、未
與家人同住、服藥種類及服藥頻率高者,戒菸遵從行為的進步量較多。整
體而言,護理方案對輕度中風患者為一有效且值得進一步推廣的計畫。

關鍵字:腦中風、健康信念、遵從、服藥、飲食、運動、體重、戒菸



Stroke is known to be a major cause of death and disablement in
the elderly population. The care of these patients places a
heavy burden on both the family and society. The high recurrent
rate of stroke necessitates the design and implementation of an
effective program to protect patients from recurrence. The goal
of the present study was to investigate the effects of a nursing
intervention program for minor stroke patients on health
knowledge, health belief, compliant behaviors, and health
outcomes. Among the minor stroke patients who visited a
teaching hospital within a one year, eighty-eight of them were
selected for participation in the present study by use of a
purposive sampling method with a quasi-experimental design.
After assigning a sequential number to all patients at
admission, patients with odd numbers were assigned to the
experimental group, and those with even numbers to the control
group. A nursing intervention program lasting 7-9 weeks was
given to patients in the experimental group, whe patients in the
control group were treated with routine care. Before and after
the experimental period, patients in both groups were
interviewed using structural questionnaires on health knowledge,
health belief, compliant behaviors and other related information
. Data from associated blood biochemistry tests were also
evaluated in both group.

Statistical analysis of data was performed using the SPSS/PC
program. Results showed that prior to the nursing intervention
program, the health knowledge of patients was moderately high
and their health belief was positive. The patients on average
had high behavioral compliance on taking medicine, food control
and quitting smoking. Their compliance on exercise was poor.
Half of the patients were overweight. The health outcomes
including the mean values of blood pressure, HDL and LDL were
within the normal rge, while HbA1C,t-chol and TG were all higher
than normal. Patients who gained better health knowledge, had
more positive health belief. Patients who lived with family,
didn't have gout, or had no other stroke patient in the family,
had good compliance on taking medication. Patients who stayed in
the hospital longer had better food control. Patients who were
working, had educational levels lower than elementary school or
had received a graduate degree, or had hypertension, their body
weight control were poor. Male patients or patients with jobs
had poor compliance on quitting smoking.

After receiving the nursing intervention program, the health
knowledge, health belief, compliance on taking medicine, control
over diet, compliance with exercise regimens and body weight
control of stroke patients improved significantly. However, the
extent of compliance for quitting smoking, and the health
outcomes of patients were not changed. In patients who had
greater gains in health knowledge and health belief, more
progress in medication compliance was also noted. For patients
who were female, had nother stroke patients in their families or
who had greater gains in health knowledge and health belief,
made more progress on doing compliance with exercise regimens.
Older patients were less compliant on weight control than the
younger patients. However, patients who were jobless, lived
alone, took more kinds of medication or had higher frequency of
taking medication, were more likely to quit smoking. In summary,
the nursing intervention program was effective in modifying the
behavior patterns of minor stro patients and further application
of this program is warranted.

Key words:stroke, health belief, compliance, medication, food,
exercise, body weight, quit smoking



QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
無相關期刊
 
系統版面圖檔 系統版面圖檔