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中華公共衛生雜誌

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篇名 個別衛生教育介入對高脂血個案知識、健康信念、自我效能、行為的影響
卷期 15:3
並列篇名 Effects of an Individual Health Education Program on Hyperlipidemia Clients' Knowledge, Health Belief, Self-Efficacy and Behavior
作者 張淑紅黃璉華李源德
頁次 188-196
關鍵字 高脂血個別衛教健康信念自我效能行為HyperlipidemiaIndividual health educationHealth beliefsSelf-efficacyBehaviorTSCI
出刊日期 199606

中文摘要

     本研究採準實驗研究法,目的在探討個別衛生教育介入對高脂血個案知識、健康信念、自我效能、行為及生化指數的影響。選取某教學醫院內科病人依週次隨機分派為兩組。控制組有 62 人;實驗組有 70 人。結果發現實驗組經過個別衛教介入後在知識、健康信念(包括罹患性、嚴重性、有效性、障礙性知覺)、自我效能(飲食控制、運動)、行為(飲食、 運動)皆比前測時有顯著進步且與控制組達到顯著差異, 而生化指數方面 TC 減少50.22mg/dl、LDL-C 減少 45.82 mg/dl、 TG 減少 63.61 mg/dl, 比前測時有顯著進步且與控制組達到顯著差異。此衛教明顯地使實驗組有進步,故值得推廣此衛教。

英文摘要

     The purpose of this research was to examine the effects of anindividual health education program to the OPD hyperlipidemia clients inrelations to knowledge, health beliefs, self-efficacy, diet-control behavior,exercise, and blood cholesterol level. In addition, this research identified thefactors associated with diet-control behavior, exercise, and blood cholesterollevel. A quasi-experimental design was used in this research. Each subject wasrandomly assigned to one of the two groups. The control group, which had a totalof 62 subjects, read the leaflet by themselves. The experimental group, whichconsisted of 70 subjects, received a consultation from the researcher pertainingto health education program.The results showed that the experimental group had significant improvements inknowledge, health beliefs (including perceived susceptibility, perceivedseverity, perceived benefits of taking action and perceived barrier of takingaction) , self-efficacy (including diet-con-trol, exercise) , diet-controlbehavior behavior, exercise, TC, LDL-C, and TG level. However, the control grouphad improvements only in knowledge, health belief (perceived barrier of takingaction), diet-control behavior, and TC level. The individual health educationprogram is extremely effective and thus, should be seriously considered anoption for the future.

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