某醫學中心中風高血壓病人遵醫囑服藥行為階段及相關因素之探討

An exploration of the stage of drug compliant behaviors and related factors of stroke with hypertensive patients at a medical center

本研究依據PRECEDE模式為理論架構，以瞭解中風高血壓病人遵醫囑服藥行為階 段的情形，並探討素質、使能、輔強等三類因素與遵醫囑服藥行為階段的關係。以某醫學中心神經及腦血管障礙門診，診斷合併有中風及高血壓者為研究對象，抽取301人進行問卷調查，研究結果發現研究對象的遵醫囑服藥行為階段情形，處於「沈思前期」佔2.7％,「沈思期」佔1.7％，「準備期」佔15.9％，「行動期」佔5.3％，「維持期」佔74.4％。在素質因素中，中風治療期間為1年及以下處於「行動期」者明顯多於治療1.1年及以上者。在使能因素中，無疲倦的副作用者，其遵醫囑服藥行為階段較多處於「維持期」。在輔強因素中，社會支持高者遵醫囑服藥行為較社會支持低者好，多處於「行動期」、「維持期」。

This study was based on PRECEDE model as the theoretical framework in order to comprehend the stage of drug compliant behaviors of stroke with hypertensive patients and explored the relationship between the factors in predisposing, enabling, and reinforcing and the stage of drug compliant behaviors. We enrolled three hundred and one patients diagnosed as stroke and hypertension in the outpatient department at a medical center to embark on questionnaires. The main results of this study were as follows: the percentages of each stage for drug compliant behaviors were as follows: precontemplation 2.7, contemplation 1,7, preparation 15.9, action 5.3, and maintenance 74.4. In predisposing factors, the drug compliant behaviors in action stage, subjects who had accepted stroke treatment for one year (and less) were more than for 1.1 years (and above). In enabling factors, for most subjects who had no fatigue caused by drugs, the stage of drug compliant behaviors mainly lay in maintenance. In reinforcing factors, about the drug compliant behaviors, the numbers of those who had higher degree of social support were more than those who had lower degree of social support. They mainly lay in the stages of action and maintenance.