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題名：慢性阻塞性肺疾病病人健康內外控與呼吸困難自我管理策略之相關性研究
書刊名：護理暨健康照護研究
作者：張迺馨／邱啟潤 引用關係／王金洲／蘇茂昌／駱淑惠
作者(外文)：Chang, Nai-hsin／Chiou, Chii-jun／Wang, Chin-chou／Su, Mao-chang／Lo, Shu-hui
出版日期：2013
卷期：9:1
頁次：頁42-52
主題關鍵詞：慢性阻塞性肺疾病；呼吸困難；健康內外控；自我管理；COPD；Dyspnea；Health locus of control；Self-management
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 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:1
  • 共同引用共同引用:25
  • 點閱點閱:173
背景：慢性阻塞性肺病的病人普遍都會有呼吸困難的情況，增進其呼吸困難自我管理是相當重要的，因此欲瞭解內外控傾向的健康態度和呼吸困難自我管理的相關性。目的：探討健康內外控與呼吸困難自我管理策略之相關性。方法：採橫斷式描述相關性研究，由研究者以「個人基本資料表」和「活動後呼吸困難量表」評估研究對象的特性，以「多層面健康控制信念量表」及「呼吸困難自我管理策略量表」收集資料後，再以SPSS 17.0 for Windows統計軟體進行分析。研究對象為某醫學中心及地區醫院胸腔內科門診病患，共得200份有效問卷。結果：（一）個案健康內外控平均得分以「權力在他人」最多28.05 ± 6.07，其次為內控25.02 ± 9.01，「機運」為最低 20.83 ± 9.78。（二）內控與呼吸困難自我管理策略使用頻率及效果呈現正相關（p = .001）；機運及權利在他人與呼吸困難自我管理策略使用頻率及效果呈現負相關（p = .001）。以多元線性回歸分析，結果發現內控與機運為呼吸困難自我管理策略使用頻率及效果的重要預測因子（p < .05）。結論：健康內外控的特性與呼吸困難自我管理策略是有相關的，內控較外控傾向之個案呼吸困難自我管理策略使用頻率越高、效果越好。未來可將此結論運用在臨床實務上，以增加病人自我管理的效益。
Background: Dyspnea is a debilitative condition that often affects chronic obstructive pulmonary disease (COPD) patients. Enhancing the efficacy of patient self‐management strategies for dyspnea is thus a very important issue. Purpose: This study explores the correlation between the health locus of control and dyspnea self‐management strategies in patients with chronic obstructive pulmonary disease. Methods: Using a cross‐section descriptive correlational approach, researchers enrolled a total of 200 COPD patients treated at a local teaching hospital in South Taiwan as participants. We used demographics and a post‐physical‐activity dyspnea survey forms to assess patient characteristics and the Multi‐Dimensional Health Locus of Control and Dyspnea Self‐Management Strategies scales to collect study data. Statistical analysis was performed using SPSS 17.0. Results: "Powerful others" earned the highest locus of control orientation score (28.05 ± 6.07) followed by internal locus of control (25.02 ± 9.01). "Chance" earned the lowest score (20.83 ± 9.78). We also found a positive correlation between internal locus of control and dyspnea self‐management strategies (p = .001) and negative correlations between the "chance" and "powerful others" locus of control and dyspnea self-management strategies (p = .001). Multiple linear regression analysis results showed the significant impact of internal locus control and "chance" on the frequency and effectiveness of using dyspnea self‐management strategies. (p < .05) Conclusion: There is a correlation between health locus of control and dyspnea self‐management strategies. Those with better internal loci of control were found to have better relative dyspnea self‐management strategies. This conclusion may be applied in clinical practice to improve self‐management effectiveness.
期刊論文
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2.郭嘉琪、王秀紅(20120300)。系統性文獻回顧自我管理在國內慢性病介入研究之應用。護理暨健康照護研究，8(1)，50-60。new window  延伸查詢new window
3.鄒昌婷、盧孳艷、林鴻銓、馬素華(20091200)。與疾病共舞--慢性阻塞性肺疾病病患自我管理經驗探討。護理暨健康照護研究，5(4)，293-301。new window  延伸查詢new window
4.Asadi-Pooya, A. A.、Schilling, C. A.、Glosser, D.、Tracy, J. I.、Sperling, M. R.(2007)。Health locus of control in patients with epilepsy and its relationship to anxiety, depression, and seizure control。Epilepsy and Behavior，11(3)，347-350。  new window
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其他
1.台灣胸腔暨重症加護醫學會(201111)。吸菸導致COPD年花健保費200億，http://heath.chinatimes.com/blog/ copd/index at 6636.html。  延伸查詢new window
2.台灣胸腔暨重症加護醫學會(201208)。慢性阻塞性肺病2012診治指引，http://www.tspccm.org.tw/。  延伸查詢new window
3.國民健康局(201111)。戒菸是預防及治療慢性阻塞肺病第一步，Taiwan。，http://health99.doh.gov.tw/Hot_News/h_NewsDetailN.aspx?TopIcNo=6433。  延伸查詢new window
4.Global Initiative for Chronic Obstructive Lung Disease(2011)。Global strategy for the diagnosis’ management, and prevention of chronic obstructive pulmonary disease，http://www.goldcopd.org/uploads/users/files/GOLD_ Report_201 l_Feb21.pdf。  new window
 
 
 
 
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