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題名：以計畫行為理論探討慢性腎臟病患選擇不同透析治療之意圖
書刊名：中華心理衛生學刊
作者：曾幼涵 引用關係／王韋婷 引用關係／余馥羽／方基存／許翔皓
作者(外文)：Tseng, Yu-han／Wang, Ashley Wei-ting／Yu, Fu-yu／Fang, Ji-tseng／Hsu, Hsiang-hao
出版日期：2016
卷期：29:3
頁次：頁261-287
主題關鍵詞：慢性腎臟病；計畫行為理論；血液透析；腹膜透析；行為意圖；Chronic kidney disease；The theory of planned behavior；Hemodialysis；Peritoneal dialysis；Behavior intention
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研究目的：大部分的慢性腎臟病(chronic kidney disease, CKD)病患必須從血液透析或腹膜透析擇一作為治療方案。雖然部分CKD病患因為醫療或心理社會之因素而受限於特定的透析方式，但大多數的病人都有選擇的機會。針對可自主選擇透析治療方式的患者，本研究以計畫行為理論為基礎，探討未來準備接受透析治療之慢性腎臟病患者對於不同透析治療的態度、主觀規範、及知覺行為控制之差異值，對其選擇不同透析治療的行為意圖之差異值的預測效果。 研究方法：本研究於2013年7月至2014年2月進行調查，以57位(男35人，女22人)能自主選擇治療方式的CKD病患為受試者，年齡介在24-79歲間。以計畫行為理論問卷、慢性腎臟疾病知識問卷，及醫院焦慮及憂鬱量表等三份問卷進行自陳測量。 研究結果：在控制了與透析選擇意圖有顯著關聯之其他變項之後，只有態度及知覺行為控制的差異值能顯著預測治療選擇意圖的差異值。 研究結論：臺灣的CKD病患選擇其未來可能採用的透析治療，主要受到態度以及知覺行為控制之影響，較不受主觀規範的影響。本研究依此結果進行理論與實務意涵的討論。
PURPOSE: Patients with chronic kidney disease (CKD) are often offered a choice between hemodialysis (HD) and peritoneal dialysis (PD). This study explores the significant factors that affect dialysis modality selection. Based on the theory of planned behavior, we examine whether attitude, subjective norms, and perceived behavioral control predict behavioral intention in patients’ dialysis modality choice. METHODS: Fifty-seven patients (35 men and 22 women, ages 24-79) with CKD were recruited between July, 2013 to February, 2014. All participants completed 3 questionnaires: The Theory of Planned Behavior Questionnaire, The Kidney Disease Questionnaire, and The Hospital Anxiety and Depression Scale. RESULTS: While controlling for the identified control variables for the outcome, the results of hierarchical regression showed that attitude and perceived behavior control predicted behavioral intention. CONCLUSIONS: Understanding CKD patients’ attitude and perceived behavior control towards treatment choices is important in the dialysis decision-making process. Theoretical and practical implications are discussed. Reasons that subjective norms did not significantly contribute to behavioral intention were discussed for culture and clinical relevance.
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研究報告
1.Francis, J.、Eccles, M. P.、Johnston, M.、Walker, A. E.、Grimshaw, J. M.、Foy, R.、Bonetti, D.(2004)。Constructing questionnaires based on the theory of planned behaviour: A manual for health services researchers。University of Newcastle。  new window
學位論文
1.李佩珍(2012)。透析給付方式認知影響透析醫護人員處方行為之研究(碩士論文)。淡江大學。  延伸查詢new window
2.常逸平(2007)。腹膜透析比血液透析便宜嗎？--以初次接受透析治療患者醫療資源耗用為例(碩士論文)。國立陽明大學。  延伸查詢new window
3.黃秀蓁(2008)。末期腎病患者選擇透析方式之相關因素探討—以中部某醫學中心為例(碩士論文)。亞洲大學。  延伸查詢new window
4.藺汝平(2007)。台灣地區腎臟專科醫師對於末期腎病患者(碩士論文)。國立陽明大學。  延伸查詢new window
圖書
1.台灣腎臟醫學會(2010)。慢性腎臟病防治手冊新版。臺北：行政院衛生署國民健康局。  延伸查詢new window
2.Ajzen, Icek、Fishbein, Martin(1980)。Understanding Attitudes and Predicting Social Behavior。Prentice-Hall, Inc.。  new window
3.Fishbein, Martin、Ajzen, Icek(1975)。Belief, Attitude, Intention, and Behavior: An Introduction to Theory and Research。Addison-Wesley Publishing Company。  new window
其他
1.中央健康保險局(2013)。101年門診透析總額專業醫療服務品質報告，http://www.nhi.gov.tw/Resource/webdata/24448_2_23970_2_101%E5%B9%B4%E9%80%8F%E6%9E%90%E5%B9%B4%E5%A0%B1-0716.pdf。  new window
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4.(2012)。Atlas of CKD & ESRD，https://www.usrds.org/2012/pdf/v1_00intro_12.pdf.。  new window
圖書論文
1.Montano, D. E.、Kasprzyk, D.(2008)。Theory of reason action, the theory of planned behavior and the integrated behavioral model。Health Behavior and Health Education: Theory, Research, and Practice。San Francisco, CA：Jossey-Bass。  new window
2.Sperber, B. M.、Fishbein, M.、Ajzen, I.(1980)。Predicting and understanding women’s occupational orientations: Factor underlying choice intention。Understanding Attitudes and Predicting Social Behavior。Englewood Cliffs, NJ：Prentice-Hall。  new window
3.Ajzen, Icek(1985)。From intentions to actions: A theory of planned behavior。Action Control: From Cognition to Behavior。Springer-Verlag。  new window
 
 
 
 
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