A Study of Knowledge,Attitude and Self-Care Behavior in Patients with Chronic Renal Failure
Resource
慈濟醫學雜誌 v.8 n.4 pp.313-21
Journal
慈濟醫學雜誌,v.8
Journal Issue
n.4
Pages
313-21
Date Issued
1996
Date
1996
Author(s)
HWANG, SHIOW-LI
WU, PEI-JUNG
SHEU, SHEILA
TSAI, TUN-JEN
Abstract
Chronic renal failure is common in Taiwan. Patient's knowledge, attitude to disease and self-care behavior are probably important to prevent deterioration of renal function, but no detailed studies covering all these aspects have been done. The aims of this study are to investigate the knowledge, knowledge, attitude and self-care behavior of patients with chronic renal failure and to analyze the relationship among them. Thirty-eight patients with chronic renal failure were enrolled in this study at out-patient department of nephrology in a medical center. The patients were interviewed by ussing questionnaires for knowledge, attitude, and self-care behavior about chronic renal failure . failure had inadequate knowledge on disease. The knowledge on serum creatinine, high potassium fruits, high quality protein food, and salt substitutes were the worst. Generally , patients hold an attitude of neutrality toward their disease. Their attitude become more negative parallel with the increase of serum creatinine. These patients had a fair self-care behavior. Nevertheless their self-care behaviors on medical compliance, awareness and prevention of risk factors were poor. Seventy- six percent of our patients took herb medicine. The knowledge,attitude to disease and self- care behavior of patients with chronic renal failure were influenced by age, education level, serum creatinine level, attending health teaching program and nutrition counseling. The findings of this study will help the education and medical care to patients with chronic renal failure. 性腎衰竭威脅國人健康甚鉅，患者的疾病認知、態度及自我照顧行為，對於疾病控制 相當重要。國外有關此方面的研究相當少見，國內尚缺乏文獻探討。本研究的目的在 探討慢性腎衰竭病人疾病認知、態度及自我照顧行為的現況及其影響因素。於某醫學 中心腎臟科門診，以疾病認知、態度及自我照顧行為量表會談 38位個案，進行資料 收集。結果發現患者的認知偏低，尤其血清肌酸酐、高鉀水果、高品質蛋白質、代鹽 製品認知最差，態度不偏正向或負向，採中立看法，但隨血清肌酸酐值增加而趨負向 。自我照顧行為尚好，但在危險因子警覺與預防方面仍差，研究對象有76%患者採用 民俗療法。年齡、教育程度、血清肌酸酐值、參與腎臟課程、以及接受營養師指導分 別竭患者衛生教育及醫療照護之參考。