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研究生: 謝承恩
Cheng-En Hsieh
論文名稱: 以計畫行為理論 探討腹膜透析治療方案選擇因素之研究
A Research on the Peritoneal Dialysis Treatment Options with the Theory of Planned Behavior (TPB)
指導教授: 曾盛恕
Seng-Su Tsang
口試委員: 張譯尹
Yi-Ying Chang
陳崇文
Chung-Wen Chen
學位類別: 碩士
Master
系所名稱: 管理學院 - 企業管理系
Department of Business Administration
論文出版年: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 47
中文關鍵詞: 腹膜透析血液透析醫病共享決策計畫行為理論
外文關鍵詞: Peritoneal Dialysis (PD), Hemodialysis Dialysis(HD), Shared Decision Making(SDM), Theory of Planned Behavior(TPB)
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關於末期腎病患者治療方案的選擇,多以外在因素為主,例如性別、年齡、工作、併發症等,而缺乏主觀因素的考量。在醫病共享決策的導入後,將病患的意願納入治療方案決策考量。本研究欲從患者主觀因素出發,以計畫行為理論探討患者在腹膜/血液透析方案之間的選擇行為。
結果顯示患者本身對透析方式的偏好有顯著的正相關,此正相關然而受到個人習慣的負向調節。知覺行為控制對透析偏好有顯著的正相關,表示患者自覺對外部因素的控制能力愈高,愈容易有選擇腹膜透析治療方式的傾向。


In the past, there were many studies been explored, patients who have end stage renal disease (ESRD) can choose hemodialysis dialysis (HD) or peritoneal dialysis (PD). Most of the studies focus on discussing external variables, such as gender, age, job, complications, etc. Notwithstanding, the proportion of treatment options have not been effectively improved. After importing shared decision-making (SDM), the patient's wishes will be considered into the treatment program by doctor. The importance of internal factors form patients will be enhanced. Thus, this study aims to explore patient’s internal variable. Based on Theory of Planned Behavior (TPB), discussing on the patients choose PD’s behavioral intention.
The results show that the patient's own preference for dialysis has a significant positive correlation, which is positively related to the negative moderation of personal habits. Besides, perceived behavioral control has a significant positive correlation to dialysis preferences, indicating that the higher the ability of the patient to consciously control the external factors, the more likely the choice of peritoneal dialysis treatment.

目 錄 摘 要 II ABSTRACT VI 目 錄 VII 表目錄 VIII 圖目錄 VIII 第一章 緒論 1 1.1研究背景與動機 1 1.2研究目的 3 1.3研究範圍與對象 3 1.4研究流程 4 第二章 文獻探討 5 2.1末期腎病介紹 5 2.2共享決策(SHARED DECISION MAKING) 8 2.3透析治療之相關研究 9 2.4共病症 13 2.5計畫行為理論(THEORY OF PLANNED BEHAVIOR) 15 第三章 研究方法 18 3.1研究架構與變數定義 18 3.2問卷研究假說 22 3.3資料分析方法 23 第四章 研究分析結果 25 4.1描述性統計 25 4.2信度檢驗 26 4.3效度檢驗 28 4.4路徑分析與假說檢定 30 第五章 結論 35 5.1結論與研究貢獻 35 5.2研究限制與未來研究方向 39 參考文獻 40 附錄 研究問卷 46 表目錄 表 1慢性腎臟病五階段 1 表 2不適合腎臟移植症狀 5 表 3血液透析與腹膜透析之比較 7 表 4共病症權重等級表 14 表 5問卷變數定義 19 表 6描述性統計 25 表 7各項構面與衡量問題之信度與效度分析 27 表 8因素負荷量表 29 表 9相關分析表 29 表 10腹膜透析行為意圖假說檢定結果 31 表 11個人習慣對於態度與行為意圖偏好的調節作用 34 表 12計畫行為理論以個人習慣為調節假說檢定結果 34 表 13假說驗證結果 35 圖目錄 圖 1研究流程圖 4 圖 2研究架構圖 18 圖 3路徑係數(t值)結果(未加入調節變項) 31 圖 4路徑係數(t值)結果 33 圖 5個人習慣調節效果路徑係數(t值)結果 33

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