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題名：Relationships among Health Locus of Control, Self-Efficacy, and Self-Care of the Elderly with Hypertension
書刊名：護理研究
作者：陳玉敏
作者(外文)：Chen, Yuh-min
出版日期：1999
卷期：7:6
頁次：頁504-517
主題關鍵詞：高血壓；老年人；健康內外控；自我效能；自我照顧；Hypertension；Elderly；Health locus of control；Self-efficacy；Self-care
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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　　　　　本研究之目的在於探討高血壓老人之健康內外控、自我效能與自我照顧及其間的相關性。 本研究採方便取樣，共包括120位美國德州中部之非住院、且罹患高血壓之老年人。樣本取自老人午餐中心及老人活動中心的參與者。樣本的平均年齡為73.6歲，其中74%為女性。罹患高血壓的平均年數為15.5年。本研究所使用的主要統計方法為相關性分析和逐步迴歸分析。健康內外控與自我效能及自我照顧均呈高相關性，自我效能和自我照顧間亦呈高相關性。此研究結果顯示健康內控者亦具有較高之自我效能，並且執行較多的自我照顧。自我效能較高者亦較會去執行自我照顧。此外，逐步迴歸分析的結果顯示，健康內外控與自我效能兩個變項可以解釋自我照顧總變異量的39%。最後並就研究結果提出有關日後護理研究和護理臨床應用之參考。護理人員可藉由加強高血壓老人之健康內控感與自我效能來促進其執行自我照顧。未來之研究並可採實驗設計法，以為這些措施提供實證支持。
　　　　　The purposes of this study were to examine and identify relationships among health locus of control, self-efficacy, and self-care behavior of the elderly with hypertension. The convenience sample consisted of 120 noninstitutionalized elderly individuals with hypertension in central Texas of the United States. Subjects were recruited through senior luncheon centers and senior activity centers. The average age of the subjects was 73.6 years. Female comprised 74% of the sample. The mean of years since diagnosis with hypertension was 15.5. Correlations and stepwise regressions were the principal statistics used for data analysis. Health locus of control was highly correlated with self-efficacy and self-care. Self-efficacy was also highly correlated with self-care. These findings suggest that subjects who perceived they had more control over their health also had greater self-efficacy and engaged in more self-care. Subjects with higher self-efficacy also tended to engage in more self-care. In addition, stepwise regression showed that health locus of control and self-efficacy explained 39% of the variance in self-care. Finally, implications for nursing research and nursing practice which evolved from the study are offered. Nurses can provide interventions to strengthen the elderly individual's internal health locus of control and self-efficacy to facilitate self-care. In addition, studies that examine interventions proposed to enhance internal health locus of control and self-efficacy would provide empirical support for interventions that influence self-care.
期刊論文
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3.Abler, R. M.、Fretz, B. R.(1988)。Self-efficacy and competence in independent living among oldest old persons。Journal of Gerontology，43(4)，S138-S143。  new window
4.Applegate, W. B.(1989)。Hypertension in elderly patients。Annals of Internal Medicine，110，901-915。  new window
5.Baker, C.、Stern, P. N.(1993)。Finding meaning in chronic illness as the key to self-care。Canadian Journal of Nursing Research，25(2)，23-36。  new window
6.Burt, V. L.、Whelton, P.、Roccella, E. J.、Brown, C.、Cutler, J. A.、Higgins, M.、Horan, M. J.、Labarthe, D.(1995)。Prevalence of hypertension in the US adult population: Results from the third national health and nutrition examination survey, 1988-1991。Hypertension，25(3)，305-311。  new window
7.Brothen, T.、Detzner, D.(1983)。Perceived health and locus of control in the aged。Perceptual and Motor Skills，56，946。  new window
8.Borham, N. O.(1986)。Prevalence and prognostic significance of hypertension in the elderly。Journal of the American Geriatrics Society，34，112-114。  new window
9.Bandura, A.(1990)。Perceived self-efficacy in the exercise of control over AIDS infection。Evaluation and Program Planning，13，9-17。  new window
10.Davis-Berman, J.(1988)。Self-efficacy and depressive symptomatology in older adults: An exploratory study。International Journal of Aging and Human Development，27，35-43。  new window
11.Grembowski, D.、Patrick, D.、Diehr, P.、Durham, M.、Beresford, S.、Kay, E.、Hecth, J.(1993)。Self-efficacy and health behavior among older adults。Journal of Health and Social Behavior，34，89-104。  new window
12.Hickey, T.、Dean, K.、Holstein, B. E.(1986)。Emerging trends in gerontology and geriatrics: Implications for the self-care of the elderly。Social Science & Medicine，23，1363-1369。  new window
13.Holahan, C. K.、Holahan, C. J.(1987)。Life stress, hassles, and self-efficacy in aging: A replication and extension。Journal of Applied Social Psychology，17，574-592。  new window
14.Hurley, A. C.、Shea, C. A.(1992)。Self-efficacy: Strategy for enhancing diabetes self-care。The Diabetes Educator，18(2)，146-150。  new window
15.Joint National Committee on Detection, Evaluation、Treatment of High Blood Pressure(1993)。The fifth Report of the Joint National Committee on detection, eva, luation, and treatment of high blood pressure (JNCV)。Archives of Internal Medicine，153(2)，154-183。  new window
16.Kaplan, R. M.、Atkins, C. J.、Reinsch, S.(1984)。Specific efficacy expectations mediate exercise compliance in patients with COPD。Health Psychology，3，223-242。  new window
17.Kearney, B. Y.、Fleischer, B. J.(1979)。Development of an instrument to measure exercise of selfcare agency。Research in Nursing and Health，2(1)，25-34。  new window
18.Kist-Kiiae, G.、Lipnickey, S. D.(1989)。Health locus of control: Implications for the health professional。Health Values，13(5)，38-47。  new window
19.Lachman, M. E.、Leff, R.(1989)。Perceived control and intellectual functioning in the elderly: A 5-year longitudinal study。Developmental Psychology，25，722-728。  new window
20.Powers, M. J.、Jalowiec, A.(1987)。Profile of the well-controlled, well-adjusted hypertensive patient。Nursing Research，36，106-110。  new window
21.Riesch, S. K.、Hauck, M. R.(1988)。The exercise of self-care agency: An analysis of construct and discriminant validity。Research in Nursing & Health，11，245-255。  new window
22.Rotter, J. B.(1966)。Generalized expectancies for internal versus external control of reinforcement。Psychological Monographs，80，1-28。  new window
23.Speake, D. L.(1987)。Health promotion activity in the well elderly。Health Values，11(6)，25-30。  new window
24.Speak, D. L.、Cowart, M. E.、Stephens, R.(1991)。Health lifestyle practices of rural and urban elderly。Health Values，15(1)，45-51。  new window
25.Taal, E.、Rasker, J. J.、Seydel, E. R.、Wiegman, O.(1993)。Health status, adherence with health recommendations, self-efficacy and social support in patients with rheumatoid arthritis。Patient Education and Counseling，20，63-76。  new window
26.Waller, K. V.、Bates, R. C.(1992)。Health locus of control and self-efficacy beliefs in a healthy elderly sample。American Journal of Health Promotion，6(4)，302-309。  new window
27.Wallston, K. A.、Wallston, B. S.、Smith, S.、Dobbins, C. J.(1987)。Perceived control and health。Current Psychological Research and Reviews，6(1)，5-25。  new window
28.Chambliss, C. A.、Murray, E. J.(1979)。Efficacy attribution, locus of control, and weight loss。Cognitive Therapy and Research，3(4)，349-354。  new window
圖書
1.Norusis, M. J.(1993)。SPSS for windows base system user's guide release 6.0。Chicago, Illinois：SPSS Inc.。  new window
2.Department of Health, The Executive Yuan, R.O.C.(1997)。Public health in Taiwan area Republic of China。Taipei：Department of Health, The Executive Yuan, R.O.C.。  new window
3.Erickson, H, C.、Tomlin, E. V.、Swain, M. A.(1983)。Modeling and role-modeling: A theory and paradigm for nursing。Englewood Cliffs, NJ：Prentice-Hall, Inc.。  new window
4.National Institutes of Health(1994)。Working group report on hypertension in the elderly。Bethesda, MD：National Institutes of Health。  new window
5.Bandura, Albert(1977)。Social Learning Theory。Prentice-Hall, Inc.。  new window
單篇論文
1.Wallston, K. A.(1989)。Initial evidence of the reliability and validity of the Health Hardiness Inventory (HHI)。  new window
圖書論文
1.Appel, M. A.(1986)。Hypertension。Self-management of chronic disease: Handbook of clinical interventions and research。Orlando：Academic press。  new window
2.DeFriese, G. H.、Konrad, T. R.、Woomert, A.、Norburn, J. E.、Bernard, S.(1994)。Self-care and quality of life in old age。Aging and quality of life。New York：Springer。  new window
3.Guccione, A. A.(1993)。Implications of an aging population for rehabilitation: Demography, mortality, and morbidity in the elderly。Geriatric physical therapy。St. Louis：Mosby。  new window
4.Kannel, W. B.(1985)。Hypertension and aging.。Handbook of the biology of aging。New York：Van Nostrand。  new window
5.Wallston, K. A.(1989)。Assessment of control in health-care settings。Stress, personal control and health。New York：John Wiely & Sons。  new window
 
 
 
 
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