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慢性阻塞性肺部疾病患者之自我照顧與社會支持之相關性探討

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Correlation of self-care and social support in patients

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Correlation of self-care and social support in patients with

Chronic Obstructive Pulmonary Disease

ABSTRACT

The purpose of this descriptive study is to eva luate the self-care ability and the correlation of self care ability and social support in patients with chronic obstructive pulmonary disease (COPD). The data was collected by self-care questionnaire and social support evaluation list acquired from the tho racic medical outpatient department of two medical center in Taipei. Eighty-eight patients with COPD were interviewed and 84 effective data was used.

The data analysed by the method of descriptive statistics and canonical correlation was concluded as below: For the score of self care questionnaire in patients with COPD, the first one is complains of orders and followed by readjustment of new life style

, the last one is the searching of related knowledge and information. The positive relationship (p<.OOl) between the self care and social support especial for the emotional, information, self esteem support of

(8)

can be explained by social support in COPD patients. There is no relationship between self-care and the personal characteristics (p>.05) including sex, age, married status, education, occupation and social en surance condition in COPD patients. The relationship between self care and the characteristics of the dis­ ease is significant (p<.05) in COPD patients. The re

lationship of the signs of the disease and self-care is negative, and the relationship of the duration of the disease and self-care is positive.

Because of the close relationship between the in­ formation support of the health professionals and the self-care ability of the patient, consultation and health teaching unit should be set to give patients the related knowledge and skills about disease at out patient department. In order to keep the self care ability after discharge, patients with chronic disease should be taught with the complete discharge planning from the time of the hospitalization. In addition, home care and the public health nursing care will be enhanced to give the patients with chronic disease the continuous and adequate care. Then, the profession and dependent

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