結核病在台灣佔所有傳染病通報數的七成。結核病是可以完全治癒的疾病，只要遵從醫囑按時服藥，但是藥物帶來的身體不適及對病情的不確定感卻成了服藥中斷的隱憂，也因此使得多重抗藥性比例高達2.2﹪，較十年前的0.2﹪增加十倍之多。本論文研究目的為1.瞭解肺結核病患基本人口學及疾病相關資料與順應醫囑行為關係。2.探討肺結核病患疾病知識了解之程度對順應醫囑行為之影響。3.探討肺結核病患的家庭支持功能對順應醫囑行為之影響。4.肺結核病患順應醫囑行為的重要因子預測。採橫斷性研究(cross-sectional study)、立意取樣(purposive sampling)，研究對象來自經醫師診治為肺結核病後，完成通報且接受治療已達三個月之肺結核病患共78位，以結核病知識、家庭支持及順應醫囑行為量表進行結構式問卷訪談。研究結果發現肺結核病患的順應醫囑行為與有無配偶、個人結核病史及藥物副作用有顯著相關；家庭支持中以情緒性支持最佳，訊息性支持最差，而家庭支持功能中可解釋順應醫囑31％的變異量，為最大預測因子。本研究結果可提供社區及醫療機構照護肺結核病患時，加強對家屬疾病相關知識之衛教，注意並關懷藥物副作用帶來的不適，結合家屬力量，提升病患順應醫囑之意願及行為，以增加國內疫情之控制因素。
- 1 0 年前最佳解答
TB occupied 70% cases in reported infectious disease by CDC in taiwan.
It is curable if patients have treatment compliance.Since the side effects of medications and unconfidence of disease nature are major reasons for the uncompliance of treatments , the multiple drug resistance is 2.2%, which is ten times more than 0.2% ten years prior.
The object of this research is:
1.To know the relationship between basic TB populations, disease nature and treatment compliance.
2.To know the effect of knowledge of disease on treatment compliance of TB patients.
3.To study the effect of family support to the treatment compliance of TB patients.
4.The major factors in prediction of treatment compliance .
this is a cross-section study, purposive sampling.
78 patients that being diagnosed as TB by liscensed doctors and reported to CDC, treated for 3 months period were taken as samples.Quantative structure questionares were interviewed, which included TB knowledge, family support and patients compliance questions.
Obivious significance was found between the medical compliance and spouse, history of TB, and drug side effects.
Emotional support is the best and message support is the worse beyond family support. The function of family support can contributes to 31% variations, is the number one predictor.
The result of this research can offer community medical TB care units that improve patient's health education, pay attention to the uncomfort caused by drug side effects, and combined family strength can also improve the treatment compliance and national disease control.