Knowledge,Attitude,and Behavior of Patients with Hepatoma toward Self Health Care,and Survival Analysis of Prognostic Factors

• Main Authors: Yi-Shan Tsai, 蔡依珊
• Other Authors: Yong-yuan Chang
• Format: Others
• Language: zh-TW
• Published: 2005
• Online Access: http://ndltd.ncl.edu.tw/handle/59855946501877886533

碩士 === 高雄醫學大學 === 公共衛生學研究所碩士班 === 93 === Objective: Investigate the hepatomatic inpatients’ knowledge, attitude, behavior toward self health care, and survival risk factors associated with hepatoma. Methods: Adopt questionnaire investigation and anamnesis collection. 344 hepatomatic inpatients were collected from t Hepatobiliary ward and Hepatobiliary surgery ward in certain medical center. 253 pieces of useful papers investigated by t test, one-way ANOVA and multiple linear regression to analyze their relationships. Eighty-three cases were analyzed with Kaplan-Meier estimator and Cox proportional hazards model for comparing survival functions and identifying the prognostic factors for patients with hepatoma. Results: The results indicated that “age”, “educational level” and “suffering from illness period” have significant effects on knowledge. We didn’t find significant changes in term of attitude, but most of patients can keep positive attitude toward self care. By multiple linear regression to analyze, the result showed that “age” and “knowledge” can explain the 19.5% of total variance of hepatomatic patients toward attitude. Using co-relational matrix, we found out that the three parts ““knowledge”, “attitude” and “self care behavior” are positively-related. From the result of survival analysis, we find out that albumin, AFP and tumor tubercle can be served as the prognostic factors that affect survival of hepatomatic patients. Conclusion：Health education is popularity using in the medical area and self health care covers lots of subject matter. This study showed that increasing knowledge and revealed positive attitude help self care behavior into practice. The survival analysis is limited to few samples and incomplete information collection that only three prognostic factors can be found to be associated with the survival.