篇名 | 末期腎臟病前期患者之復原力及其相關因素探討 |
---|---|
卷期 | 19:1 |
並列篇名 | Resilience and Related Factors Among Patients with Pre- End Stage Renal Disease |
作者 | 汪碧雲 、 吳宏蘭 、 張世沛 、 劉紋妙 |
頁次 | 001-019 |
關鍵字 | 末期腎臟病 、 復原力 、 因應行為 、 自我效能 、 end-stage renal disease 、 resilience 、 coping behavior 、 self-efficacy 、 TSCI |
出刊日期 | 202006 |
DOI | 10.3966/172674042020061901001 |
背景:慢性腎臟病是台灣地區重要的健康議題,若疾病控制不佳,將導致患者尿毒症透析治療,但國內顯少針對此族群的復原力及相關因素探討。目的:探討 pre-ESRD 患者復原力及其相關因素。方法:採橫斷式研究設計,以中區某醫學中心門診 pre-ESRD 照顧方案患者為對象,採結構式問卷包括人口學特性、因應行為量表、自我效能量表及復原力量表。結果:201 位患者平均年齡 63.95 歲,男性居多。結果顯示整體復原力為中等程度。月收入狀況、腎臟病分期、問題取向因應和自我效能為復原力預測變項,具有58%解釋力。結論/實務應用:月收入狀況、腎臟病分期、問題取向因應和自我效能為 pre-ESRD 患者復原力重要影響因子。CKD 護理人員宜重視 pre-ESRD 患者復原力及相關因素,建議將復原力理論納入在職教育(如復原力工作坊),提供護理人員學習如何增進患者因應技巧和自我效能的策略,有效促進患者執行居家自我照顧。
Background: Chronic kidney disease is an important health issue in Taiwan. If the disease is not well-controlled, it will lead to dialysis treatment for patients with uremia. However, there is little discussion on the resilience and related factors of this ethnic group in Taiwan. Purpose: To explore the resilience and related factors among patients with pre-ESRD stage renal disease. Methods: This was a cross-sectional correlation study. Target patients were in the pre- ESRD care program at a medical center in the Central District. The research tools consisted of demographic characteristics, Revised Ways of Coping checklist, chronic kidney disease self-efficacy instrument, and the Resilience scale. Result: A total of 201 patients who averaged 63.95 years of age and predominantly male were recruited. The result of the study showed that: (1) The overall patient had moderate resilience. (2) Monthly income status, kidney disease stage, problem-solving behaviors, and self-efficacy were predictive variables for resilience, and accounted for 58% of the total variation in resilience. Conclusion /Implications for Practice: Monthly income status, kidney disease stage, problem-solving behaviors, and self-efficacy were identified as the crucial predictive factors of resilience in pre-ESRD patients. CKD nursing staff should pay attention to the resilience and related factors of pre-ESRD patients. It is recommended that in-service education could incorporate resilience theory (such as resilience workshop) to provide nurses with communication skills in improving coping behaviors and self-efficacy among CKD patients, who then could effectively adapt positive strategies at home.