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題名：連續可活動性腹膜透析自我效力量表之建立與測試
書刊名：護理研究
作者：林秋菊 引用關係／陸洛 引用關係／王璟璇／賴永勳
作者(外文)：Lin, Chiu-chu／Lu, Luo／Wang, Jing-shiuan／Lai, Yung-hsiung
出版日期：1998
卷期：6:4
頁次：頁315-326
主題關鍵詞：連續可活動性腹膜透析；自我效力；自我照顧；Continuous ambulatory peritoneal dialysis；CAPD；Self-efficacy；Self care
原始連結：連回原系統網址new window
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　　　　　近年來，自我效力（self-efficacy）被認為是健康行為改變與維持的有力預測因 子。本研究旨在建立並測試一研究工具，以評估連續可活動性腹膜透析（ CAPD ）病人的自 我效力。 此研究工具之發展係以 Bandura 自我效力理論及 Orem 自我照顧理論為概念基礎 。研究分二階段進行，階段一：研究工具之發展（ instrument development ），本研究查 證與自我效力及 CAPD 相關文獻、與 CAPD 小組專家及 CAPD 病人討論、以及研究者臨床觀 察來發展問卷項目（ item ）。問卷的內容效度由八位專家審閱確立之。階段二：本研究以 內在一致性信度、三週間隔再測信度及因素分析來檢定 CAPD 自我效力量表心理計量。 本研究採量性研究法， 立意取樣南部設有 CAPD 中心的五所教學醫院 122 位 CAPD 病人為 研究對象。「 CAPD 自我效力量表」經由因素分析萃取出四個因素，分別為：持守例行的治 療計畫、調整生活型態、處理異常狀況、護理導管及導管出口處。此四個因素可解釋的總變 異量為 50.2 ％。而此四個因素頗能反映本研究設計所引用的 Orem 自我照顧理論中「健康 偏差的自我照顧需求」之概念。顯示本量表具有良好的建構效度。在信度方面，「 CAPD 自 我效力量表」之四個因素的 Cronbach's α與再測信度係數分別介於 0.76 ﹣ 0.94 與 0.64 ﹣ 0.83。顯示本量表具有良好的內在一致性且具穩定性。本文亦就研究結果進行討論 並提出對未來研究方向的建議。
　　　　　Self-efficacy had recently been documented as a strong predictor in change and maintenance of health behavior. The aims of this study are to develop and test an instrument to measure self-efficacy in patients undergoing CAPD. With Bandura's self-efficacy theory and Orem's self-care theory serving as the conceptual basis for instrument development, the study was divided into two phases, an instrument development phase and a validity and reliability assessment phase. In phase one, we reviewed self-efficacy and CAPD literature as well as discussing with CAPD team members and CAPD patients serving as sources for item generation. Eight experts reviewed the instrument for content validity. In phase two, the following psychometric properties of the CAPD Self-Efficacy Scale were examined: internal consistency, reliability, three weeks test-retest reliability, and the dimensionality of the CAPD Self-Efficacy Scale revealed by factor analysis. A quantitative research method was employed in this study. The purposively recruited sample for this study consisted of 122 CAPD patients at the CAPD centers of five teaching hospitals located in Southern Taiwan. Four factors of CAPD Self-Efficacy Scale were identified following factor analysis: Sticking with the routine therapeutic regimen, Adjusting life style, Managing abnormal conditions, Caring for the catheter exit site. These four factors explained 50.2% of the total variance in CAPD self-efficacy. The coefficients of Cronbach's α and retest reliability in these four factors of CAPD self-efficacy were 0.76-0.94 and 0.64-0.83 respectively. Te results showed that the instrument had a satisfactory validity and reliability. Implications of these results for future research were discussed.
期刊論文
1.Moore, E. J.(1990)。Using self-efficacy in teaching self-care to the elderly。Holistic Nurse Practice，4(2)，22-29。  new window
2.Hurley, A. C.、Shea, C. A.(1992)。Self-efficacy: Strategy for enhancing diabetes self-care。The Diabetes Educator，18(2)，146-150。  new window
3.陳菡娟、馮冬萍、林文玲(19930700)。CAPD概論。中華民國血液淨化醫學會雜誌，2(3)，41-45。  延伸查詢new window
4.陳育忠、黃忠餘、王繼堂(19921000)。連續可活動性腹膜透析概論。中華民國血液淨化醫學會雜誌，1(1)，13-21。  延伸查詢new window
5.林堯彬、陳振文、黃東波(1994)。連續可活動性腹膜透析的腹膜炎•台北榮民總醫院十年之經驗。中華民國腎臟醫學會雜誌，8，142。  延伸查詢new window
6.吳景恆(19920500)。淺談CAPD腹膜炎。腎臟與透析，4(2)，100-109。  延伸查詢new window
7.江慧珠、劉雪娥、黃秋錦(1994)。接受連績可活動腹膜透析治療病人的需要之探討。中華民國腎臟醫學會雜誌，8，60。new window  延伸查詢new window
8.Alexy, B.(1991)。Factors associated with participation or nonparticipation in a workplace wellness center。Research in Nursing and Health，14(33)，30-40。  new window
9.賴銘南、黃存謙、高銘聰、鐘文冠(1994)。中國醫藥學院附設醫院連續性可活動式腹膜透析病人中止治療病因之分析。中華民國腎臟醫學會雜誌，8，145。  延伸查詢new window
10.馮冬萍、陳菡娟、林文玲(1993)。連續可活動性腹膜透析概論。血液淨化，2(1)，63-65。  延伸查詢new window
11.Clark, M. M.、Abrams, D. B.、Niaura, R. S.、Eaton, C. A.、Rossi, J. S.(1991)。Self-efficacy in weight management。Journal of Consulting and Clinical Psychology，59(5)，739-744。  new window
12.Betts, D. K.、Crotty, G. D.(1988)。Response to illness and compliance of long-term hemodialysis patients。ANNA Journal，15(2)，96-99。  new window
13.Hickey, M. L.、Owen, S. T.、Forman, K. D.(1992)。Instrument development: Cardiac diet and exercise self-efficacy。Nursing Researcht，41(6)，347-351。  new window
14.Fujita, L. Y.、Dungan, J.(1994)。High risk for ineffective management of therapeutic regimen: A protocol study。Rehabilitation Nursing，19(2)，75-79。  new window
15.Dilorio, C.、Fatherty, B.、Manteuffel, B.(1992)。The development and testing of an instrument to measure self-efficacy in individual with epilepsy。Journal of Neuroscience Nursing，24(1)，9-13。  new window
16.DeClemente, C. C.(1981)。Self-effcacy and smoking cessation maintenance: A preliminary report。Cognitive Therapy and Research，5，175-187。  new window
17.Lauder, S. M.、Zappacosta, A. R.(1988)。Components of a successful CAPD education program。American Nephrology Nurses' Association Journal，15(4)，243-247。  new window
18.Holder, G.(1991)。The relationship of self-efficacy appraisals to subsequent health related outcomes: A meta-analysis。Social Work in Health Care，16(1)，53-93。  new window
19.Wassem, R.(1992)。Self-effcacy as a predictor of adjustment to multiple sclerosis。Journal of Neuroscience Nursing，24(4)，224-229。  new window
20.Strecher, V. J.、DeVellis, B. McEvoy、Becker, M. H.、Roseustock, I. M.(1986)。The role of self-efficacy in achieving health behavior change。Health Education Quarterly，13(1)，73-92。  new window
21.Procci, W. R.(1978)。Dietary abuse in maintenance hemodialysis patients。Psychosomatics，19，16-24。  new window
22.O'Leary, A.(1985)。Self-efficacy and health。Behavioral Research and Therapy，23(4)，437-451。  new window
23.Benson, J.、Clark, F.(1982)。A guide for instrument development and validation。The American Journal of Occupation Therapy，36(12)，789-800。  new window
24.Wigal, J. K.、Thomas, L. C.、Kotses, J.(1991)。The COPD self-efficacy scale。Chest，99(5)，1193-1196。  new window
25.Bandura, Albert(1977)。Self-efficacy: Toward a unifying theory of behavioral change。Psychological Review，84(2)，191-215。  new window
圖書
1.Miller, J. F.(1992)。Coping with, chronic illness: Overcoming powerlessness。Philadelphia：F. A. Davis Co.。  new window
2.Orem, D. E.(1991)。Nursing: Concepts of practice。St Louis：Mosby-Year Book, Inc.。  new window
3.Bandura, Albert(1977)。Social Learning Theory。Prentice-Hall, Inc.。  new window
圖書論文
1.黃秋錦(1994)。腹膜炎之成因、診斷及治療。連續性可活動腹膜透析護理人員訓練班教材。  延伸查詢new window
2.黃東波(1994)。長期腹膜透析之總論。連績性可活動腹膜透析護理人員訓練班教材。  延伸查詢new window
 
 
 
 
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