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題名:肝性腹水病患對低鹽飲食的認知、態度與遵從行為之探討
書刊名:榮總護理
作者:莊琴英王秋惠廖淑媛孫秀卿 引用關係
作者(外文):Chuang, Chin-yinWang, Chiou-hueyLiao, Shu-yuanShun, Shiow-ching
出版日期:1998
卷期:15:2
頁次:頁194-205
主題關鍵詞:肝性腹水低鹽飲食認知態度遵從行為Cirrhotic ascitesSodium restricted dietKnowledgeAttitudeCompliance
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     本研究目的在探討住院病患對低鹽飲食的認知、態度及遵從行為,並進一步了解 其影響因素。本研究以某醫學中心診斷為肝性腹水並進食低鹽飲食之住院病患為對象共收案 50名,採問卷調查法,使用自擬之「低鹽飲食認知、態度及遵從行為量表」為研究工具,資 料經由t-test, one way ANOVA, Pearson相關係數法及逐步迴歸分析處理。研究結果發現, 病患的低鹽飲食認知程度,平均得分率為63.6%,其中以「進食低鹽飲食的目的」認知較佳, 「對低鹽飲食的認識」及「對食物的選擇」方面的認知較差。對低鹽飲食所抱持的態度則多 呈正向,已婚、有家庭支持者及配偶擔任主要照顧者更呈現明顯的正向態度。病患的遵從行 為方面,以「改善飲食習慣」之行為較佳,多數病患進餐時會避免太鹹的食物且能習慣低鹽 飲食,但在「個人參與學習行為」方面則較差,大部份病人並不會主動詢問醫護人員或參閱有 關低鹽飲食的資料。關於肝性腹水患者對低鹽飲食的認知、態度與遵從行為間相關性探討, 發現認知與遵從行為、態度與遵從行為間呈相關性,彼此影響;但認知與態度間並未具顯著之 相關。本研究結果有助於護理人員瞭解肝性腹水病患對低鹽飲食的認知、態度及遵從行為現 況,並可進一步將此結果運用於臨床病患衛教上,對衛教內容之制定與衛教方法之選擇均有 所助益,以促使低鹽飲食能在肝性腹水的治療中發揮其應有的功能。
     The aim of this study was to investigate ascites patients and their knowledge, attitude and compliance toward a sodium restricted diet. In addition, we also tried to research factors influencing these results. We analyzed data from a hospital- based study including a total of 50 admitted cirrhotic patients with ascites formation. Information was obtained using a structured questionaire. Data was analyzed from aspects of frequency, distribution, mean value and standard deviation. Statistic methods such as a t-test, one way ANOVA, Pearson correlation and stepwise regression were applied in this investigation. The results of this study showed these patients had a good understanding toward the purpose of salt restriction, but lacked instructions on how to choose low salt containing foods. Positive attitudes toward sodium restrictions can be observed in the majority of patients, especially in those who are married & supported by families. This study demostrated that most cirrhotic patients can avoid excessive salt intake but fail to anticipate learning behaviors aggressively. The findings of this study reveal positive relationships between knowledge & compliance. The patient's attitude also influenced compliance behavior but the correlation could not be detected between the knowledge and attitude. The results of this investigation could help nursing members to realize the importance of knowledge, attitude and compliance in choosing methods & contents for patient educating programs.
 
 
 
 
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