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E91074
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台灣氣喘學童接受衛生教育與遵從醫囑行為對醫療資源耗用之影響
Influences of Compliance Behavior and Health Education on Frequency and Cost of Health Care Used by Children with Asthma
1.曾旭民
1.Hsu-min Tseng
1.長庚大學醫務管理系
1.Department of Health Care Managment, Chang Gung University
001,002,003,004
1.長庚大學醫務管理系
1.Department of Health Care Managment, Chang Gung University
002
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):2002-08-01
A.14 計畫執行期間(訖):2003-12-31
2003-09-012003-12-31
A.16 收到日期:2004-04-12
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教育部2002年度的國小學生人數資料庫。

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566


566
003
01
C.2 聯絡日期:2004-04-14
2
1.長庚大學醫務管理系
1.Department of Health Care Managment, Chang Gung University
1
C.7 資料公開日期:2006-01-01
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008
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1.氣喘知識
2.氣喘學童
3.健康生活品質
4.照護者
1.Asthma Children
2.Asthma Knowledge
3.Caregiver
4.Health-related Quality of Life
 兒童氣喘罹患率及死亡率在世界各國均有逐年增加的趨勢,使得氣喘成為一個重要的健康問題。近年來,台灣兒童的發生率已竄升為10%以上,較1974年氣 喘的盛行率增加了近8倍。一般而言,氣喘患者若能良好控制環境減少過敏原的接觸,而且與醫師配合遵循醫囑使用藥物,則能成功地自我控制病情,減少主要照護 者的負擔。兒童氣喘患者是否能夠遵循醫囑常受家長氣喘知識、健康信念、醫病關係、社會支持等心理社會因素影響,而導致治療療效不如預期。為了瞭解台灣小學 生氣喘患童主要照護者的特質與患童氣喘控制的情形,第一年研究目的主要探討氣喘患童的主要照護者對氣喘照護的知識、態度與健康生活品質對患童生活品質與疾 病控制的影響。研究採取郵寄問卷調查,共寄發1860份問卷並透過小學校護的協助,扣除填答不完全與及氣喘痊癒學童的問卷共得566有效問卷進行分析。研 究結果顯示,主要照護者對氣喘的照護知識受到教育程度(F=3.9, p<.05)與及個人外在控制健康信念(F=7.4, p<.01)的影響;而其生活品質與患童的生活品質在各向度上呈現顯著正相關(r=0.28-0.50),且受到氣喘患童疾病的嚴重度與及個人外在 控制特質的影響,亦即患童疾病嚴重度較高,照護者的活動性(F=41.2, p<.0001)與情緒性(F=43.7, p<.0001)生活品質則會較差;照護者屬於機運控制健康信念者其情緒生活品質受到顯著影響(F=5.6, p<.05)。此研究結果顯示在照護兒童氣喘時,除了考量氣喘學童的治療成果外,也應重視氣喘主要照護者的生活品質。運用適當的氣喘衛教,協助主要 照護者改變其健康信念與及運用社會或醫療支持系統來增進照護者的生活品質,如此才能增進氣喘患童的治療成果及生活品質。

Asthma is the most prevalent chronic disease in childhood (above 10%) and the most common reason for absenteeism among children enrolled in grad school. The increasing prevalence rate has attracted great attention from government agents and academic researchers. Although asthma in childhood can be effectively controlled by environment hygiene and outpatient care, some of the caregivers typically rely on acute episodic care instead of routine self-managed care due to lack of relevant medical knowledge and proper attitudes to manage the disease. Less satisfactory treatment outcome and higher medical cost are brought about by such misconceived attitudes and behaviors. The first-year study is aimed to evaluate the factors influencing knowledge and attitudes related to asthma as well as the Health-Related Quality of Life (HR-QoL) in respect of the caregivers. A total of 566 valid data were obtained from the caregivers. The results suggest that the HR-QoL between the caregivers and the asthma children is positively correlated(r=0.28-0.50). Caregivers’ knowledge about asthma is significantly related to their education degree (F=3.9, p<.05)and the characteristics of external locus of control(F=7.4, p<.01). The results of this study help to understand the relationship between the caregivers’ and children’ HR-QoL. In managing children’s asthma, the government agents and healthcare providers should help the caregivers maintain their QoL as well as improve their knowledge about asthma.

D.16 完成檢誤日期:2004-07-28
D.17 預定釋出日期:2006-01-01
D.18 初次釋出日期:2006-01-12
D.19_1 最新版釋出日期:2006-01-12
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10.6141/TW-SRDA-E91074-1
https://efenci.srda.sinica.edu.tw/webview/index.jsp?object=https://efenci.srda.sinica.edu.tw:80/obj/fStudy/E91074
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