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系統識別號 U0007-1704200715050342
論文名稱(中文) 尿失禁婦女之健康信念與求醫行為
論文名稱(英文) The Association of Medical Seeking Behaviors and Health Belief of Urinary Incontinence Women
校院名稱 臺北醫學大學
系所名稱(中) 護理學研究所
系所名稱(英) Graduate Institute of Nursing
學年度 94
學期 2
出版年 95
研究生(中文) 郭馨然
研究生(英文) Hsin-Jan Kuo
學號 M406092014
學位類別 碩士
語文別 中文
口試日期
論文頁數 109頁
口試委員 指導教授-陳品玲
中文關鍵字 尿失禁  健康信念  求醫行為 
英文關鍵字 urinary incontinence  health belief  medical seeking behavior 
學科別分類
中文摘要 綜合國內外研究顯示,12.7-48.5%的社區民眾曾經歷過不自主漏尿的情形,其中求醫人數卻僅佔二至三成。專家估計,2005年時台灣的老年人口達10%;2019年更會突破15%以上。以尿失禁好發於40歲以上婦女之條件來看,未來需要面對尿失禁問題者將成倍數之成長。本研究旨在,應用健康信念,進行各相關因素全面性的探討,期能了解影響因素之全面風貌,以作為發展預防或介入措施之基石。 研究採個案對照研究法(case-control study),研究對象為年滿35歲以上,自述過去ㄧ年中曾經歷過無法控制而漏尿之婦女,以至醫院泌尿科及婦產科尋求尿失禁醫療協助之婦女為個案組;社區中具尿失禁問題但未尋求醫療協助之婦女為對照組。採結構式問卷進行資料之收集。研究結束共收126位個案,有效問卷122份(求醫組60份,未求醫組62份)。研究結果如下: 一、在基本人口學特質方面:求醫組中職業為家管、具自然產經驗、生產次數、罹患慢性病等比例,顯著高於未求醫組。另,求醫組中已停經者的比例高於未求醫組,達臨界顯著水準。 二、研究對象具求醫行為者的利益性認知、罹患性認知、嚴重性認知、行動線索皆顯著高於無求醫行為者。 三、研究對象無求醫行為者的障礙性認知顯著高於求醫者。 根據研究結果,為提昇婦女尿失禁患者之求醫率。建議透過各樣管道,如:社區宣導活動、網路等,加強民眾對於尿失禁的認識,破除既有的迷思。並且透過在職教育或專業團體之研討會,醫療人員應加強本身對於尿失禁之專業知識。
英文摘要 Past studies showed that 12.7-48.5% community-dwelling people had experienced involuntary urinary incontinence, but only 20-30% of them sought for medical help. In Taiwan, senior citizens had reached 10% of population in 2005, and may exceed 15% in 2019. We are facing the multiplication of urinary incontinence since women over their 40s suffered it more than the other groups in the population. The purpose of this study was to determine the associated factors of medical seeking behaviors among urinary incontinence women using health belief concepts in order to develop the strategies of prevention and intervention of urinary incontinence. This study was conducted via a case-control study design. Women aged over 35 years old who had ever leaked urine and further sought for medical help at OBGYN or GU clinics were recruited as the case group; women who had ever leak urine but not seeking any medical help were recruited as the control group. The data were collected with structured-questionnaire. There were total 126 subjects enrolled in this study (case group=60, control group=62), and 122 valid questionnaires were retrieved. Result: 1. Demographic: in the case group, the percentages of housewives, frequency of NSD, suffering from chronic diseases were significantly higher than those in the control group. Furthermore, the percentage of menopausal women in the case group was boarderline significant higher than the control group. 2. In the case group, the perceived benefits of seeking medical help, cues to action, perceived susceptibility and perceived seriousness of urinary incontinence were significantly higher than those in the control group. 3. In the control group, barriers to seeking medical help was significantly higher than those in the case group. According to the results in this study, in order to raise the percentage of urinary incontinence women’s seeking behaviors, we suggest that allied medical professions should popularize the knowledge of urinary incontinence through various manners including communal propagation and Internet to eradicate myth. Allied medical professions should also strengthen their professional knowledge of urinary incontinence through in-service training or conferences held by professional groups.
論文目次 目 錄 頁數 致謝 ------------------------------------------ Ⅰ 中文摘要 -------------------------------------- Ⅲ 英文摘要 -------------------------------------- Ⅴ 目錄 ------------------------------------------ Ⅶ 圖表目次 --------------------------------------- Ⅹ 第一章 緒論 ------------------------------------ 1 第二章 文獻查證 第一節 尿失禁之盛行率 --------------------------- 3 第二節 尿失禁之危險因子 ------------------------- 7 第三節 尿失禁的類型 ---------------------------- 10 第四節 尿失禁之治療 ---------------------------- 12 第五節 尿失禁的求醫行為 ------------------------- 16 第六節 健康信念模式 ----------------------------- 20 第七節 尿失禁嚴重度及生活品質相關量表 ------------- 24 第八節 概念架構 --------------------------------- 29 第九節 研究假設 --------------------------------- 31 第十節 名詞界定 --------------------------------- 32 第三章 研究方法 第一節 研究設計 --------------------------------- 33 第二節 研究對象 --------------------------------- 34 第三節 研究工具 --------------------------------- 36 第四節 資料收集 --------------------------------- 42 第五節 資料處理與分析 ---------------------------- 44 第四章 分析與結果 第一節 求醫組及未求醫組之人口學特質差異分佈 ------------- 45 第二節 有無執行尿失禁求醫行為者之健康信念差異分佈--------- 51 第五章 討論 ------------------------------------------ 57 第六章 結論與建議 第一節 結論 ------------------------------------------- 64 第二節 建議 ------------------------------------------- 65 第三節 研究限制 --------------------------------------- 68 參考資料 中文部分 ----------------------------------------- 70 英文部份 ----------------------------------------- 74 附錄 附錄一 第一次專家效度名單 ------------------------ 79 附錄二 第一次專家效度修改建議 -------------------- 80 附錄三 第二次專家效度名單 ------------------------ 91 附錄四 第二次專家效度修改建議 -------------------- 92 附錄五 金氏健康問卷使用同意書 -------------------- 102 附錄六 正式施測問卷 ----------------------------- 103 圖 表 目 次 圖一 研究架構圖 ---------------------------------------------- 30 表一 尿失禁定義與盛行率比較表 ----------------------------------- 6 表二 金氏健康問卷計分方式 -------------------------------------- 37 表三 研究工具之內在一致性信度 ----------------------------------- 41 表四 求醫組及未求醫組之人口學特質差異分佈 ------------------------- 48 表五 求醫組及未求醫組人口學特質之t檢定 ---------------------------- 50 表六 有無執行尿失禁求醫行為者之利益性認知、障礙性認知、罹患性認知、嚴重性認知、行動線索之得分差異分佈 ------------------------------------------- 54 表七 有無執行尿失禁求醫行為者之障礙因子各子題排序 -------------------- 55 表八 有無執行尿失禁求醫行為之嚴重性認知各範疇之得分差異分佈------------ 56
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