腹膜透析病患自我照顧知識、自我照顧行為與生活品質之探討

Relationship Between Self－care Knowledge, Self－care Behavior and Quality of Life in Peritoneal Dialysis Patients

本研究目的在探討腹膜透患者之自我照顧知識、自我照顧行為及生活品質之相關，研究對象來自南部一所醫學中心及區域醫院之腹膜透析患者(N=63)，以腹膜透析自我照顧知識量表、腹膜透析自我照顧行為量表、台灣簡明版世界衛生組織生活品質量表為研究工具。研究結果發現患者的自我照顧知識及行為尚可、生活品質為中等程度，接受透析時間(r=0.331; p＜0.01)、自我照顧知識與自我照顧行為呈顯著正相關(r=0.447; p＜0.01)；生活品質得分則與年齡(r=-0.3 51; p＜0.01)呈顯著負相關、與自我照顧知識與生活品質成顯著正相關(r=0.347; p＜0.01)；教育程度與自我照顧知識得分及生活品質有顯著差異(F=4023, p=0.023)，本研究結果可作為臨床醫護人員照護腹膜透析患者時之參考，以期協助提供病人更完善之照護，提升其生活品質。

The purpose of this study was to explore the correlation between self-care knowledgy, self-care behavior arid quality of life on peritoneal dialysis patients. The subjects of this study consisted of the patients from the peritoneal dialysis center of a medical center and a regional hospital in the south of Taiwan (N=63). Peritoneal dialysis self-care knowledge questionnaire, self-care behavioral questionnaire, The World Health Organization quality of life questionnaire Taiwan version (WHOQOL-BREF) were used in this study. The results showed that: (1) the scores of their self-care knowledge, self-care behavior and quality of life were 'fair'; (2)the correlation between peritoneal dialysis time (r=0.331; p<0.01), peritoneal self-care knowledge (r=0.447; p<0.01) and self-care behavior were positive; (3) the correlation between quality of life and self- care knowledge was positive (r=0.347; p<0.01); (4) the correlation between quality of life and age was negative (r=-0.351; p<0.01); (5) the correlation between education level, peritoneal self-care knowledge and quality was significant (F=4.023, p=0.023). These results can provide some references for the professionals on caring such patients to give patients more preferable care and promote patients' quality of life.