某醫學中心肝炎帶原者定期追蹤遵從行為之相關因素探討

An Exploration ofCompliant Follow-up Behavior and Related Factors in Viral Hepatitis Carriers

本研究之目的在探討肝炎帶原者之追縱遵從行為及其相關影響因素。採描述相關性研究設計，採方便取樣以某醫學中心150名住院之肝炎帶原者為研究對象，經結構式問卷收集追蹤遵從行為及相關資料。回收之有效問卷共126份（84%），以描述性統計、independentt-test、One-wayANOVA及Pearson’sCorrelation進行資料分析。結果發現，有53.2%的受訪者之追縱遵從行為較差；不同追縱遵從行為的肝炎疾病認知有明顯的差異（t=5.78，p<-05），而教育程度越高者，其肝炎認知越好（F=6.52，p<.05）。此外，全職工作者的肝炎認知得分較沒有工作者為佳（F=4.04，p<.05）；年齡越高，肝炎認知得分越低（r=0.263，p<.01）。研究結果有助於臨床醫護人員對肝炎帶原者追縱遵從行為的了解，以做為曰後協助患者定期門診追縱之參考。The aim of this study was to investigate follow-up compliance behavior and related factors for hepatitis carriers. 150 carriers with chronic hepatitis were selected by convenient sampling at a medical center. A structured questionnaire was used for data collection. A total of 126 patients (84%) responded effectively. Data were analyzed using independent t-test, one-way ANOVA, Schaffer’s method, and Pearson's Correlation. Of these patients, 53.2% had a poor adherence to follow-up. Characteristics associated with better knowledge regarding hepatitis included a higher level of education (F=6.52, p<0.05), full-time work (F=4.04, p<0.05), and young age (F=0.263, p<0.01). Greater knowledge of hepatitis was significantly correlated with a better adherence to follow-up (t=5.78, p<0.05). These findings might help medical professionals understand the factors associated with hepatitis knowledge and adherence to follow-up in chronic hepatitis carriers, providing a reference for following patients in clinical practice.