本研究目的在瞭解門診躁鬱病患的個人屬性、健康控制信念特質、鋰鹽治療態度與鋰鹽遵從行為的現況；並分析影響遵從行為之重要變項。 本研究採立意取樣，自民國 84年 12 月至次年 3 月期間， 針對北部地區某精神專科醫院門診中服用鋰鹽一年以上之躁鬱病患進行結構性會談，共收集有效樣本 100 位。 將所得資料採描述性、卡方檢定、t 檢定、皮爾森積差相關及逐步迴歸等分析。個案中只有 41 人有完全符合三項遵從標準（病人自評、病歷回顧、血中鋰鹽濃度）之遵從行為。性別、每日服用鋰鹽次數、社經階層與鋰鹽遵從行為呈顯著相關。「有力人士健康控制信念」、「預備行動」態度是影響個案鋰鹽遵從行為重要變項。「有力人士健康控制信念」與鋰鹽遵從行為呈顯著負相關。鋰鹽治療態度的「預備行動」與鋰鹽遵從行為呈顯著正相關。根據研究結果有護理實務、行政、教育、未來研究等方面之建議。

　　　　　This study aims to examine the relationships among personal attributes,locus of control, lithium attitudes, and lithium compliance in manic-depressivepsychotic (MDP) outpatients. Subjects were selected by purposive sampling fromthe MDP outpatients who were treatedwith lithium for more than one year at apsychiatric hospital in northern Taiwan. One hundred effective questionnaireswere completed through structured interview with the sample. Data were analyzedby using descriptive statistics, chi-square, t-test, Pearson correlation, andstepwise multiple regression. Of all cases only 41 patients conformed to allthree standards of compliance (i.e., patient self-report, chart review, andlithium serum level) . Gender, daily frequency of lithium intake, andsocioeconomic status are significantly correlated with lithium compliance. Inaddition, powerful locus of control and behavior intention are major predictorsof lithium compliance. Higher level powerful locus of control is negativelyrelated to lithium compliance, whereas the behavior intention in lithiumcompliance are positively correlative with compliance based on chart review. Thefindings have important implications for nursing practice, administration,education, and research.