:::

詳目顯示

回上一頁
題名:探討個別性衛教對結核病患疾病認知、態度及行為意向之成效
書刊名:護理雜誌
作者:武香君盧柏樑陳彥旭潘慧娟馮明珠
作者(外文):Wu, Shiau-jiunLu, Po-liangChen, Yen-hsuPan, Hui-juanFeng, Ming-chu
出版日期:2011
卷期:58:6
頁次:頁44-53
主題關鍵詞:結核病個別性衛教認知態度行為意向TuberculosisTBIndividualized counselingKnowledgeAttitudesBehavioral intention
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:16
  • 點閱點閱:60
背景 : 基於台灣隨著結核病發生率及多重抗藥性結核病的增加,目前政府以個案管理制度來提升追蹤率及監測照顧品質。個案管理制度可以提升整體性的照顧,但仍需要證實其成效。 目的 : 探討經由結核個案管理師的個別性衛教後,對結核病患的疾病認知、態度及行為意向之成效。 方法 : 採單組前後測類實驗研究設計。以 3份結構性量表,包括「疾病認知」、「態度」及「行為意向」等量表進行問卷調查,依問卷結果及個別需求給予衛教指導及追蹤;再於 30-42天後進行第二次的問卷調查。 結果 : 共收案 96人。結果顯示:給予個別性衛教指導可顯著提升個案對結核病的疾病認知( p < .001);另外研究發現態度與行為意向,達顯著正相關( p < .001)。 結論/實務應用 : 結核病診斷初期,即早給予個別性的衛教指導將可提升病患認知,了解治療的重要性,增加遵從性及治癒率。
Background: The Taiwan government currently promotes a case management approach to tuberculosis (TB) treatment to address the growing number of TB and multiple drug-resistant TB cases in Taiwan. The approach aims to improve medical follow-up and monitor quality of care. The efficacy of this case management approach has yet to be evaluated. Purpose: The current study was designed to evaluate the effect of individualized case manager counseling on TB patient disease knowledge, attitudes, and behavioral intention. Methods: This study employed a one-group pretest-posttest quasi-experimental design. Participants first answered an initial questionnaire survey including three structured scales that addressed, respectively, the facets of disease knowledge, attitudes, and behavioral intention. TB case managers then delivered two-stage counseling to participants based on assessed individual needs and outstanding issues identified in questionnaire answers. A second questionnaire survey was administered 30~42 days after the intervention. Results: Data on a total of 96 TB patients were collected. Key study findings were (1) individualized counseling significantly improved TB patient disease knowledge (p < .001) and (2) TB patient attitudes correlated significantly and positively with behavior intention (p < .001). Conclusions/Implications for Practice: Individualized counseling provided during the early stages of TB helps elevate patient awareness of the importance of treatment, enhances compliance and increases the cure rate.
期刊論文
1.索任(20080300)。臺灣防癆工作的今昔。疫情報導,24(3),169-176+左206-219。  延伸查詢new window
2.李婉萍、許玫玲、吳怡君、湯澡薰、黃國哲、莊志杰(20081000)。醫院結核病個案管理模式之探討。臺灣公共衛生雜誌,27(5),373-384。new window  延伸查詢new window
3.Sheppard, B. H.、Hartwick, J.、Warshaw, P. R.(1988)。The theory of reasoned action: a meta-analysis of past research with recommendations for modifications and future research。Journal of Consumer Research,15(3),325-343。  new window
4.胡曉雲、蔡文正、龔佩珍(20050800)。肺結核病患未完成治療原因探討。臺灣公共衛生雜誌,24(4),348-359。new window  延伸查詢new window
學位論文
1.江慧珣(2004)。多媒體式護理指導對慢性腎功能不全患者知識、態度、行為意向與行為之成效(碩士論文)。國防醫學院。  延伸查詢new window
2.張雪芬(2003)。論質計酬試辦計畫成效初探--以肺結核疾病為例(碩士論文)。中國醫藥學院。  延伸查詢new window
其他
1.吳紹筠、陳淑怡、江宜珊、陳淑賢(2007)。某區域醫院肺結核病患護理指導之改善。  延伸查詢new window
2.李茹萍、邱豔芬(1997)。花蓮地區肺結核病人服藥遵從性及其相關因素之探討。  延伸查詢new window
3.林獻峰、賴世偉、張靖梅、劉秋松(2002)。肺結核。  延伸查詢new window
4.疾病管制局(2009)。結核病流行病學及監測。  延伸查詢new window
5.疾病管制局(2011)。結核病診治指引。  延伸查詢new window
6.張玉婷、羅淑芬、施仁興(2005)。結核病患同住青少年對結核病知識、態度及健康促進行為之探討。  延伸查詢new window
7.許翰林、白冠壬、林賢君、李俊年、余明治(2009)。多重性抗藥性結核病。  延伸查詢new window
8.郭素娥、藍忠孚、陳惠珠(1998)。高雄市肺結核患者與非結核患者對肺結核知識、態度與預防性行為之比較。  延伸查詢new window
9.黃紹宗(2010)。預防院內肺結核群聚感染的感控措施。  延伸查詢new window
10.鄭心宜、章淑娟、李仁智、賴佩秀、李永盛、江振源(2010)。東台灣肺結核病個案管理改善病人之治療結果。  延伸查詢new window
11.Ailinger, R. L., Lasus, H., & Dear, M.(2003)。Americans’ knowledge and preceived risk of tuberculosis。  new window
12.Aziz, A. M.(2008)。Tuberculosis and the implications for healthcare workers in hospitals。  new window
13.Armijos, R. X., Weigel, M. M., Qincha, M., & Ulloa, B.(2008)。The meaning and consequences of tuberculosis for an at-risk urban group in Ecuador。  new window
14.Courtwright, A., & Turner, A. N.(2010)。Tuberculosis and stigmatization: Pathways and interventions。  new window
15.Hsieh, C. J., Lin, L. C., Kuo, B. I., Chiang, C. H., Su,W. J., & Shih, J. F.(2008)。Exploring the efficacy of a case management model using DOTS in the adherence of patients with pulmonary tuberculosis。  new window
16.Hoa, N. P., Diwan, V. K., Co, N. V., & Thorson, A. E.(2004)。Knowledge about tuberculosis and its treatment among new pulmonary TB patients in the north and central regions of Vietnam。  new window
17.Hoa, N. P., Thorson, A. E., Long, N. H., & Diwan, V. K.(2003)。Knowledge of tuberculosis and associated health-seeking behaviour among rural Vietnamese adults with a cough for at least three weeks。  new window
18.Kelly, P.(1999)。Isolation and stigma: The experience of patients with active tuberculosis。  new window
19.Kaona, F. A., Tuba, M., Siziya, S., & Sikaona, L.(2004)。An assessment of factors contributing to treatment adherence and knowledge of TB transmission among patients on TB treatment。  new window
20.Lee, L. T., Chen, C. J., Tsai, S. F., Suo, J., & Chen, C. Y.(1992)。Morbidity and mortality trends of pulmonary tuberculosis in Taiwan。  new window
21.Lertmaharit, S., Kamol-Ratankul, P., Sawert, H., Jittimanee, S., & Wangmanee, S.(2005)。Factors associated with compliance among tuberculosis patients in Thailand。  new window
22.Luis, S. F., Kamp, N., Mitchell, E. M., Henriksen, K, & Van Leth, F.(2011)。Health-seeking norms for tuberculosis symptoms in southern Angola: Implications for behaviour change communications。  new window
23.Marinac, J. S., Willsie, S. K., McBride, D., & Hamburger, S. C.(1998)。Knowledge of tuberculosis in high-risk populations: Survey of inner city minorities。  new window
24.Orr, P.(2011)。Adherence to tuberculosis care in Canadian Aboriginal populations, Part 2: A comprehensive approach to fostering adherent behaviour。  new window
25.Thiam, S., LeFevre, A. M., Hane, F., Ndiaye, A., Ba, F., Fielding, K. L.(2007)。Effectiveness of a strategy to improve adherence to tuberculosis treatment in a resourcepoor setting a cluster randomized controlled trial。  new window
26.World Health Organization(2010)。WHO statistical information system: World health statistics 2010。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
:::
無相關書籍
 
無相關著作
 
QR Code
QRCODE