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題名:老年人肺結核知識、態度和預防行為之探討:以鳳林鎮為例
書刊名:臺灣公共衛生雜誌
作者:黃美芳張慈桂 引用關係
作者(外文):Huang, Mei-fangChang, Tzu-kuei
出版日期:2016
卷期:35:5
頁次:頁542-552
主題關鍵詞:肺結核知識態度預防行為TuberculosisKnowledgeAttitudePreventive behavior
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(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:3
  • 點閱點閱:64
目標:結核病是台灣法定傳染病中死亡數最多的疾病。被感染後一生中有5~10%會發病,現在65歲以上老年人,在台灣結核病高盛行年代感染機率高,隨著年紀增長抵抗力下降,對老年人的健康威脅值得注視。本研究目的在瞭解鳳林鎮老年人肺結核知識、態度及預防行為情形及其相關因素,提供疾病防治建議。方法:以鳳林鎮各關懷據點65歲以上老年人為研究對象,採問卷調查進行。結果:肺結核知識答對率64.5%。在態度層面,民眾最害怕被別人知道罹患肺結核(40.9%);並期望已經在治療且醫師也說不會傳染的肺結核病人戴口罩(73.1%)。受訪民眾的預防行為,以到醫院時戴口罩的情況最低(56.5%)。同時控制相關因素後,衛福部社家署補助之關懷據點的民眾採取預防行為勝算比是原住民委員會等單位補助的2.55倍,達統計顯著意義。結論:肺結核知識中,老年人最欠缺傳染途徑的訊息。不同關懷據點之民眾在預防行為上有所不同,未來應分別就不同關懷據點,加強老年人的肺結核知識、態度,以改善其預防行為。
Objectives: Tuberculosis (TB) is the leading cause of death among communicable diseases in Taiwan. People infected with TB bacteria have a lifetime risk of falling ill with TB of 5-10%. The elderly have a high prevalence of TB accompanied by an increase in chronic health problems. They should be concerned about the threat from TB. The aim of this study was to understand the knowledge, attitude, and preventive behaviors with regard to TB by the elderly in Fenglin. Methods: A cross-sectional study with a structured questionnaire was designed to collect data. Results: A total of 193 seniors were included in the study; 64.5% of them knew the right answers to questions about TB. Their attitude about prejudice showed that 40.9% feared that other people would know that they or a family member was diagnosed with TB. On the preventive dimension, 73.1% expected that TB patients should wear masks. Only 56.5% believed that people visiting the hospital should wear a mask. After controlling for all associated factors, we found that those who came from care centers subsidized by the Ministry of Health and Welfare had a 2.25 times odds ratio of taking preventive measures than did those in the center subsidized by the Council of Indigenous Peoples. Conclusions: Knowledge about TB transmission was low among the participants. The elderly from different care centers displayed a significant difference in preventive behaviors. It is necessary to consider the care center as an important factor when advocating for measures to control TB in the future.
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.張玉婷、羅淑芬、施仁興(20051200)。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。慈濟護理雜誌,4(4),79-87。  延伸查詢new window
3.王怡婷、莊乃蓉、黃曼媛、許清曉(19991000)。臺灣地區結核病防治績效不彰的原因探討及建議。院內感染控制雜誌,9(5),263-270。  延伸查詢new window
4.李政益、王若珊、劉定萍、楊祥麟、黃湘芸(20140325)。臺灣結核病流行概況與未來衝擊。疫情報導,30(6),105-117。  延伸查詢new window
5.Zhao, Y.、Ehiri, J.、Li, D.、Luo, X.、Li, Y.(2013)。A survey of TB knowledge among medical students in Southwest China: is the information reaching the target?。BMJ Open,3,e003454。  new window
6.Teixeira, E. G.、Menzies, D.、Cunha, A. J.(2008)。Knowledge and practices of medical students to prevent tuberculosis transmission in Rio de Janeiro, Brazil。Revista Panam Salud Publica,24,265-270。  new window
7.Wu, Ping-sheng、Chou, Pesus、Chang, Nien-tzu、Sun, Wen-jung、Kuo, Hsu-sung(20090500)。Assessment of Changes in Knowledge and Stigmatization Following Tuberculosis Training Workshops in Taiwan。Journal of the Formosan Medical Association,108(5),377-385。  new window
8.Corbett, E. L.、Watt, C. J.、Walker, N.(2003)。The growing burden of tuberculosis: global trends and interactions with the HIV epidemic。Archives of Internal Medicine,163,1009-1021。  new window
9.Lonnroth, K.、Jaramillo, E.、Williams, B. G.、Dye, C.、Raviglione, M.(2009)。Drivers of tuberculosis epidemics: the role of risk factors and social determinants。Soc Sci Med,68,2240-2246。  new window
10.Marks, S. M.、Deluca, N.、Walton, W.(2008)。Knowledge, attitudes and risk perceptions about tuberculosis: US National Health Interview Survey。Int J Tuberc Lung Dis,12,1261-1267。  new window
11.郭素娥、藍忠孚、陳惠珠(19980800)。高雄市肺結核患者與非患者對肺結核知識、態度與預防行為之比較。中華公共衛生雜誌,17(4),293-302。new window  延伸查詢new window
12.Hoa, N. P.、Chuc, N. T.、Thorson, A.(2009)。Knowledge, attitudes, and practices about tuberculosis and choice of communication channels in a rural community in Vietnam。Health Policy,90,8-12。  new window
13.Koay, T. K.(2004)。Knowledge and attitudes towards tuberculosis among the people living in Kudat district, Sabah。Med J Malaysia,59,502-511。  new window
14.Kelly, P.(1999)。Isolation and stigma: the experience of patients with active tuberculosis。J Community Health Nurs,16(4),233-241。  new window
15.Courtwright, A.、Turner, A. N.(2010)。Tuberculosis and stigmatization: pathways and interventions。Public Health Rep,125(Suppl 4),34-42。  new window
16.陳宇嘉(20110300)。原住民部落社區老人日間關懷站的推動歷程之反思與開展。臺灣健康照顧研究學刊,10,57-72。  延伸查詢new window
研究報告
1.衛生福利部疾病管制署(2014)。臺灣肺結核防治年報2013。臺北:衛生福利部疾病管制署。  延伸查詢new window
2.衛生福利部疾病管制署東區管制中心(2015)。結核病世代業務報告統計資料。花蓮:衛生福利部疾病管制署東區管制中心。  延伸查詢new window
學位論文
1.林孟潔(2012)。社區健康促進對結核病之知識、態度及行為的改變--以印尼雅加達大愛村為例(碩士論文)。慈濟大學,花蓮。  延伸查詢new window
2.吳怡君(2014)。臺灣結核病相關死亡個案的影響因素分析(博士論文)。國立陽明大學,臺北。  延伸查詢new window
其他
1.WHO。Global tuberculosis report 2014,http://www.who.int/tb/publications/globaI_report/zh/。  new window
2.衛生福利部疾病管制署。傳染病介紹:結核病,http://www.cdc.gov.tw/home/Tuberculosis。  延伸查詢new window
3.WHO。A guide to developing knowledge, attitude and practices surveys (advocacy, communication and social mobilization for TB control),http://apps.who.int/iris:/bitstream/10665/43790/978924159617eng.pdf。  new window
4.衛生福利部疾病管制署(2009)。2009年結核病防治問卷,http://vvww.cdc.gov.tw/rwd。  延伸查詢new window
5.花蓮縣衛生局慢性病防治所。2013年結核病家戶問卷,http://www.hlshb.gov.tw/bin/home.php。  延伸查詢new window
 
 
 
 
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