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系統識別號 U0026-2907201909582800
論文名稱(中文) 重要關鍵人幫忙關係對慢性腎臟病患者健康成效之探討:隨機對照試驗
論文名稱(英文) Helping relationships from significant others improve health outcomes among CKD patients: A randomized controlled trial
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 107
學期 2
出版年 108
研究生(中文) 趙淑美
研究生(英文) Shu-Mei Chao
學號 TA8001041
學位類別 博士
語文別 英文
論文頁數 114頁
口試委員 指導教授-顏妙芬
口試委員-張哲豪
口試委員-王采芷
口試委員-林惠賢
口試委員-林麗嬋
中文關鍵字 慢性腎臟病  重要關鍵人幫忙關係  健康促進行為  行為改變階段  生活品質 
英文關鍵字 Chronic Kidney Disease (CKD)  Helping Relationships from Significant Others (HRSO)  Health-promoting Behaviors  Stage of Change  Quality of Life (QOL) 
學科別分類
中文摘要 背景 重要關鍵人幫忙關係可以協助個人改善健康狀況,如健康促進行為、行為改變階段、生活品質和實驗室身體檢查數值,並延緩慢性腎臟病進展。依據跨理論模式中不同行為改變階段重要關鍵人幫忙關係可能會影響個人採取健康促進行為、運動和飲食的行為改變階段、改善生活品質和實驗室身體檢查數值。重要關鍵人幫忙關係包括理解體會、關心分享和建議指導,有助於提升早期慢性腎臟病患健康成效。但目前沒有研究調查在輕度至中度的慢性腎臟病患,不同行為改變階段中,重要關鍵人幫忙關係對健康的成效。
目的 探討依據跨理論模式中不同重要關鍵人幫忙關係措施在不同行為階段的成效,包括健康促進行為、行為改變階段、生活品質和實驗室身體檢查數值。
方法 本研究為重複測量的實驗性研究。研究進行時間為一年,研究工具包括重要關鍵人幫忙關係量表、健康促進生活型態量表、運動食行為階段量表、飲食行為階段量表、生活品質量表和實驗室身體檢查數值等。研究對象為慢性腎臟病第1-4期個案,共120位,並隨機分派為實驗組及控制組,最後實驗組共 52位和控制組共 53位。在幫忙關係措施實施後,除生活品質每6個月追蹤一次,其他量表每3個月追蹤一次,持續追蹤一年後,以廣義估計方程式分析介入後,實驗組與控制組的改變,包括在不同組別、不同時間點以及不同組別-時間點之交互作用之效應,而基礎值兩組有顯著差異之共病指數視為共變數進行分析,以了解介入措施之成效。
結果 重要關鍵人幫忙關係能有效提升早期慢性腎臟病患者的健康促進行為、運動和飲食的行為改變階段、生活品質和實驗室身體檢查數值。
英文摘要 Background: Helping relationships from significant others (HRSO) may assist individuals for improving health outcomes, such as health-promoting behaviors, stage of behavior change, quality of life (QOL), and physical indicators, and delay chronic kidney disease (CKD) progression. The stage-matched of HRSO interventions based on transtheoretical model (TTM) serves as a framework for adopting health-promoting behaviors, advanced exercise and diet of stage of change, increasing QOL, and improving physical indicators. The HRSO, including understanding, caring, and coaching, is effectively associated with health outcomes for patients with early stages of CKD. However, no study investigated the effectiveness of a stage of change tailored of HRSO interventions among individuals with CKD.
Aims: The aim of this study was to investigate the efficacy of stage-matched of HRSO interventions based on the TTM framework, including health-promoting behaviors, stage of change, quality of QOL, and physical indicators.
Methods: This was an experimental study using repeated measurements and implemented one year. The research instruments included HRSO, Health Promotion Lifestyle Profile (HPLP-IIC), and Exercise and Diet stage of change, QOL (WHOQOL-BREF), and physical indicators. 120 patients in 1-4 stage of CKD were enrolled in the study and randomly assigned to the control or intervention groups. The experimental group will receive the intervention of HR from significant others. There were 52 participants in the intervention group, while 53 participants in the control group. Every 3 months measured the tendency of health outcomes for one year, excluded QOL measured every 6 months. The generalized estimating equation was used to determine whether outcome variables were different across time in patients in the experimental and control groups. The comorbidity has been adjusted due to group differences at baseline for performing generalized estimating equation model to evaluate the efficacy of interventions.
Results: The effectiveness of interventions of HRSO assisted CKD patients in adhering health-promoting behaviors, exercise and diet stage of change, as well as improving QOL and physical indicators.
論文目次 TABLE OF CONTENTS
ABSTRACT in CHINESE I
ABSTRACT II
ACKNOWLEDGE IV
TABLE OF CONTENTS V
LIST of TABLES X
LIST of FIGURES XI
CHAPTER ONE – INTRODUCTION 1
1.1 Background and significance 1
1.2 Purpose of the Study 3
1.3 Research Questions 4
1.4 Research Hypotheses 4
CHAPTER TWO − LITERATURE REVIEW 6
2.1 HR from Significant others 6
2.1.1 Definition 6
2.1.2 Conceptualization of HR 6
2.1.3 Attributions 7
2.1.4 Applications 8
2.1.5 Measurement Issues 11
2.2 Patients with Chronic Kidney Disease 11
2.3 Health outcomes 13
2.3.1 Health-promoting behaviors 13
2.3.2 Stage of change of Transtheoretical Model 19
2.3.3 Quality of Life 21
2.3.4 Physical Indicators 23
CHAPTER THREE – METHODS 28
3.1 Conceptual Framework 28
3.2 Research Design 28
3.3 Participants 29
3.4 Interventions 30
3.5 Measures 32
3.5.1 Helping relationships from Significant Others (HRSO) 33
3.5.2 Health-promoting Behavior (HPLP-II C) 33
3.5.3 Stage of change of Tranthorectical Model 37
3.5.4 The Brief Taiwan-version of the World Health Organization Quality of Life (WHOQOL-BREF) 38
3.5.5 Physical Indicators 38
3.6 Procedures 40
3.7 Data Analysis 41
3.8 Ethical consideration 42
CHAPTER FOUR – RESULTS 43
4.1 Baseline information 43
4.2 Changes in Helping relationships from Significant others (HRSO) Over Time 46
4.3 Health-promoting behavior (HPLP-II C) Over Time 52
4.3.1 Group Comparisons of Overall Health-Promoting Lifestyle at Different Time Points 53
4.3.2 Comparison of Overall Health-Promoting Lifestyle across Six Waves of Times in Two Groups 53
4.3.3 Group Comparisons of Health Responsibility Subscale at Different Time Points 53
4.3.4 Comparison of Health Responsibility Subscale across Six Waves of Times in Two Groups 54
4.3.5 Group Comparisons of Physical Activity Subscale at Different Time Points 54
4.3.6 Comparison of Physical Activity Subscale across Six Waves of Times in Two Groups 54
4.3.7 Group Comparisons of Nutrition Subscale at Different Time Points 54
4.3.8 Comparison of Nutrition Subscale across Six Waves of Times in Two Groups 54
4.3.9 Group Comparisons of Spiritual Growth Subscale at Different Time Points 55
4.3.10 Comparison of Spiritual Growth Subscale across Six Waves of Times in Two Groups 55
4.3.11 Group Comparisons of Interpersonal Relations Subscale at Different Time Points 55
4.3.12 Comparison of Interpersonal Relations Subscale across Six Waves of Times in Two Groups 56
4.3.13 Group Comparisons of Stress Management Subscale at Different Time Points 56
4.3.14 Comparison of Stress Management Subscale across Six Waves of Times in Two Groups 56
4.4 Changes in Exercise TTM Stage Over Time 60
4.4.1 Group Comparisons of Pre-Action Exercise TTM Stage at Different Time Points 61
4.4.2 Comparison of Pre-Action Exercise TTM Stage across Six Waves of Times in Two Groups 61
4.4.3 Group Comparisons of Action or Maintenance Exercise TTM Stage at Different Time Points 61
4.4.4 Comparison of Action or Maintenance Exercise TTM Stage across Six Waves of Times in Two Groups 61
4.5 Changes in Diet TTM Stage Over Time 62
4.5.1 Group Comparisons of Pre-Action Diet Behavior TTM Stage at Different Time Points 63
4.5.2 Comparison of Pre-Action Diet Behavior TTM Stage across Six Waves of Times in Two Groups 63
4.5.3 Group Comparisons of Action or Maintenance Diet Behavior TTM Stage at Different Time Points 63
4.5.4 Comparison of Action or Maintenance Diet Behavior TTM Stage across Six Waves of Times in Two Groups 64
4.6 Changes in Quality of Life (QOL) over Time 67
4.6.1 Group Comparisons of Overall Quality of Life at Different Time Points 68
4.6.2 Comparison of Overall Quality of Life across Three Waves of Times in Two Groups 68
4.6.3 Group Comparisons of Physical domain at Different Time Points 68
4.6.4 Comparison of Physical domain across Three Waves of Times in Two Groups 68
4.6.5 Group Comparisons of Psychological domain at Different Time Points 69
4.6.6 Comparison of Psychological domain across Three Waves of Times in Two Groups 69
4.6.7 Group Comparisons of Social domain at Different Time Points 69
4.6.8 Comparison of Social domain across Three Waves of Times in Two Groups 69
4.6.9 Group Comparisons of Environmental domain at Different Time Points 69
4.6.10 Comparison of Environmental domain across Three Waves of Times in Two Groups 70
4.7 Changes Physical Indicators Over Time 73
4.7.1 Group Comparisons of BMI at Different Time Points 74
4.7.2 Comparison of I BMI across Six Waves of Times in Two Groups 74
4.7.3 Group Comparisons of waist circumference at Different Time Points 74
4.7.4 Comparison of waist circumference across Six Waves of Times in Two Groups 74
4.7.5 Group Comparisons of hip circumference at Different Time Points 74
4.7.6 Comparison of hip circumference across Six Waves of Times in Two Groups 75
4.7.7 Group Comparisons of waist-to-hip ratio at Different Time Points 75
4.7.8 Comparison of waist-to-hip ratio across Six Waves of Times in Two Groups 75
4.7.9 Group Comparisons of SBP at Different Time Points 75
4.7.10 Comparison of SBP across Six Waves of Times in Two Groups 75
4.7.11 Group Comparisons of DBP at Different Time Points 75
4.7.12 Comparison of I DBP across Six Waves of Times in Two Groups 76
4.7.13 Group Comparisons of MDRD at Different Time Points 76
4.7.14 Comparison of I MDRD across Six Waves of Times in Two Groups 76
CHAPTER FIVE – DISCUSSION 80
5.1 Sample Representation of the population 80
5.2 Overview of Findings 81
5.2.1 HRSO Affect Health-promoting behaviors 82
5.2.2 HRSO Affect Exercise (Diet)Stage of change of Transtheoretical Model 84
5.2.3 HRSO Affect Quality of Life 85
5.2.4 HRSO Affect Physical Indicators 86
CHAPTER SIX – CONCLUSION AND SUGGESTIONS 89
6.1 Conclusion 89
6.2 Implications for Nursing 90
6.3 Strengths and Limitations 91
6.3.1 Strengths 91
6.3.2 Limitations 92
BIBLOGRAPHY 94
APPENDICES 104
Appendix A: Permission 104
Appendix B: Measurements 107
Appendix C: IRB of National Cheng Kung University 114
Appendix D: Conflict of Interest 114
Appendix E: Funding/Support 114

LIST OF TABLES

Table 1 Interventions of Lifestyle Modification of HRSO for Stage-Matched Change 34
Table 2 Baseline Information of Chronic Kidney Disease Patients 48
Table 3 Changes in Overall HRSO across the 12 months 51
Table 4 Changes in Health-Promoting Lifestyle across the 12 months 57
Table 5 GEE Analysis Adjusted for Baseline Covariates Using of the HPLP-IIC as Outcome Variables Over Time and Between Intervention and Control Groups 58
Table 6 Exercise Behavior From Baseline to 12 months 65
Table 7 Change in Stages of Diet Behavior From Baseline to 12 Months 65
Table 8 GEE Analysis Adjusted for Baseline Covariates Using of the Stage of Change as Outcome Variables Over Time and Between Intervention and Control Groups 66
Table 9 Changes in Quality of Life across 12 months 71
Table 10 GEE Analysis Adjusted for Baseline Covariates Using of the Quality of Life as Outcome Variables Over Time and Between Intervention and Control Groups 72
Table 11 Changes in Physical Indicators across the 12 Months 77
Table 12 GEE Analysis Adjusted for Baseline Covariates Using of Physical Indicators as Outcome Variables Over Time and Between Intervention and Control Groups 78

LIST OF FIGURES

Figure 1 Conceptual Framework of HRSO to health outcomes among CKD patients 28
Figure 2 The flowchart of the research design and allocation of participants 29
參考文獻 中文資料
岳芳如(2015).探討慢性腎臟病患罹病中重要他人幫忙關係之經驗・未發表的碩士論文,成功大學護理系研究所,台南。Yueh, F. R. (2015). Exploring the Experiences of Significant Others Providing HR among Patients with Chronic Kidney Disease. Department of Nursing, National Cheng Kung University. Taiwan: Tainan.
國家衛生研究院 (2015).2015台灣慢性腎臟病臨床診療指引.苗栗縣: 國家衛生研究院。National health Research Institutes (2015). 2015Taiwan Chronic Kidney Disease Clinical Guidelines. Miaoli County: National health Research Institutes.
許士茵、顏妙芬、王明誠、陳麗光(2013).慢性腎臟疾病之中年男性患者的生活經驗探討.護理雜誌,60(5),64-72。Hsu, S. Y., Yen, M., Wang, M. C., & Chen, L. K. (2013). Exploring the Lived Experiences of Middle-Aged Males Diagnosed with Chronic Kidney Disease. Nursing Magazine, 60 (5), 64-72. doi:10.6224/JN.60.5.64
廖軒伶 陳俞琪(2016) .初期慢性腎臟病病人之健康促進.臺灣腎臟護理學會雜誌, 15(1), 1-10. Liao, H. L. & Chen, Y. C.Health Promotion of Patients with Early Stage Chronic Kidney Disease. Journal of Taiwan Nephrology Nurses Association, 15(1), 1-10.
駱敏淑、孫嘉玲、謝湘俐、劉月敏、馬麗卿(2011).影響慢性腎臟疾病患者健康促進生活方式之相關因素.臺灣腎臟護理學會雜誌, 10(1), 42-58。Luo, M. S., Sun, J. L., Hsieh, H. L., Liu, Y. M., & Ma, L. C. (2011). Factors Related to a Health-Promoting Lifestyle in Patients with Chronic Kidney Disease. Taiwan Nephrology Nursing Journal, 10(1), 42-58.

English
Andersen, J. S., & Owen, D. C. (2014). HRs for smoking cessation grounded theory development of the process of finding help to quit. Nursing Research, 63(4), 252–259. http://dx.doi.org/10.1097/NNR.0000000000000040
Aschbrenner, K., Bartels, S., Mueser, K., Carpenter-Song, E., & Kinney, A. (2012). Consumer Perspectives on Involving Family and Significant Others in a Healthy Lifestyle Intervention. Health and social work, doi: 1O.1O93/hsw/hlsO32
Aschbrenner, K., Carpenter-Song, E., Mueser, K., Kinney, A., Pratt, S., & Bartels, S. (2013). A Qualitative Study of Social Facilitators and Barriers to Health Behavior Change Among Persons with Serious Mental Illness. Community Mental Health Journal, 49, 207–212. DOI 10.1007/s10597-012-9552-8
Australian Institute of Health and Welfare, Australian Institute of Family Studies, (2011). Healthy lifestyle programs for physical activity and nutrition. Retrieved August 10, 2016, from Canberra: Australian Institute of Health and Welfare & Melbourne: Australian Institute of Family Studies.
Boer, C. D. & Coady, N. (2007). Good HRs in child welfare: learning from stories of success. Child and Family Social Work, 12, 32–42. http://dx.doi.org/10.1111/j.1365-2206.2006.00438.x
Borg, M. & Kristiansen, K. (2004). Recovery-oriented professionals: HRs in mental health services. Journal of Mental Health, 13(5), 493 – 505, http://dx.doi.org/10.1080/09638230400006809
Brooks, A. T., Andrade, R. E., Middleton, K. R., & Wallen, G. R. (2014). Social Support: a Key Variable for Health Promotion and Chronic Disease Management in Hispanic Patients with Rheumatic Diseases. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, 7, 21–26. doi: 10.4137/CMAMD.S13849.
Brooks, A. T., Andrade, R. E., Middleton, K. R., & Wallen, G. R. (2014).Social Support: a Key Variable for Health Promotion and Chronic Disease Management in Hispanic Patients with Rheumatic Diseases. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, 7, 21–26. doi: 10.4137/CMAMD.S13849
Brown, L.J., Clark, P.C., Armstrong, K.A., Liping, Z., & Dunbar, S.B. (2010). Identification of modifiable chronic kidney disease risk factors by gender in an African-American metabolic syndrome cohort. Nephrology Nursing Journal, 37(2), 133-142, 148.
Burke, R. J., & Weir, T. (1977). Marital HRs: the moderators between stress and well-being. The Journal of Psychology, 95, 121-130.
Cameron, G., DeGeer, I., Hazineh, L., Frensch, K. Quosai, T. S., & Freymond, N. (2013). The impacts of accessible service delivery on front-line HRs in child welfare. Child and Family Social Work, 18, 253–263. http://dx.doi.org/10.1111/j.1365-2206.2012.00840.x
Caress, A., Luker, K., & Chalmers, K. (2010). Promoting the health of people with chronic obstructive pulmonary disease: patients’ and carers’ views. Journal of Clinical Nursing, 19, 564–573. doi: 10.1111/j.1365-2702.2009.02982.x
Carron, A. V., Hausenblas, H. A., & Mack D. (1996). Social Influence and Exercise: A Meta-Analysis. Journal of Sport & Exercise Psychology, 18, 1-16.
Chao, S.M., Yen, M., Lin, T. C., Sung, J. M., Wang, M.C., &Hung, S. Y. (2016). Psychometric Properties of the Kidney Disease Quality of Life–36 Questionnaire (KDQOL-36™). Western Journal of Nursing Research, 38(8) 1067–1082.
Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. Journal of chronic diseases, 40(5), 373-83.
Chen, C.M., Kuo, S. F., Chou, Y. H., Chen, H. C. (2007). Postpartum Taiwanese women: their postpartum depression, social support and health-promoting lifestyle profiles. Joural of Clinical Nursing, 16(8), 1550-1560. DOI: 10.1111/j.1365-2702.2006.01837.x ·
Chen, P. Y., Huang, Y. C., Kao, Y. H., & Chen, J. Y. (2010).Effects of an Exercise Program on Blood Biochemical Values and Exercise Stage of Chronic Kidney Disease Patients. Journal of Nursing Research, 18(2), 98-107.
Chen, Y. C., Chang, L. C., Liu, C. Y., Ho, Y. F., Weng, S. C., & Tsai, T, I. (2018). The Roles of Social Support and Health Literacy in Self-Management Among Patients with Chronic Kidney Disease. Journal of Nursing Scholarship, 50(3), 265–275. doi: 10.1111/jnu.12377
Cheng, S. T., Lam, L. C. W., Kwok, T., Ng, N. S. S., & Fung, A. W. T. (2013). The Social Networks of Hong Kong Chinese Family Caregivers of Alzheimer’s Disease: Correlates With Positive Gains and Burden. The Gerontologist, 53(6), 998–1008. doi:10.1093/geront/gns195
Chobanian, A.V., Barkis, G.L, Black, H.R., Cushman, W.C., Green, L.A., Izzo, J.L., et al. (2003). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Journal of the American Medical Association, 289, 2560-2562.
Cohen, S. (2004). Social Relationshipss and Health. American Psychologist, 676-684.
Cohen, S., & Lichtenstein, E.(1990). Partner behaviors that support quitting smoking. Journal of Consulting and Clinical Psychology, 58(3), 304–309.
Courneya, K. S. & Bobick, T. M. (2000). Integrating the theory of planned behavior with the processes and stages of change in the exercise domain. Psychology of Sport and Exercise, 1, 41–56.
Denhov, A., & Topor, A. (2011). The components of HRs with professionals in psychiatry: users’ perspective. International Journal of Social Psychiatry, 58(4), 417–424. http://dx.doi.org/ 10.1177/0020764011406811.
Di Noia, J., Contento, I. R., & Prochaska, J. O. (2008). Computer-Mediated Intervention Tailored on Transtheoretical Model Stages and Processes of Change Increases Fruit and Vegetable Consumption Among Urban African-American Adolescents. American Journal of Health Promotion, 22(5), 336-341.
Fan, R. & Wang, M. (2015). Taking the Role of the Family Seriously in Treating Chinese Psychiatric Patients: A Confucian Familist Review of China’s First Mental Health Act. Journal of Medicine and Philosophy, 40, 387–399. doi:10.1093/jmp/jhv014
Finaly, K., Rafimow, D. (1998). The relationships between the private self and helping victims of AIDS. Journal of Applied Social Psychology, 28(19), 1798–1809.
Flesher, M., Woo, P., Chiu, A., Charlebois, A., Warburton, D. E., & Leslie, B. (2011). Self-management and biomedical outcomes of a cooking and exercise program for patients with chronic kidney disease. Journal of Renal Nutrition, 21, 188-195. doi:10.1053/j.jrn.2010.03.009
Gallant, M. P. (2003). The influence of social support on chronic illness self-management: a review and directions for research. Health Education & Behavior, 30 (2), 170–195. http://dx.doi.org/ 10.1177/1090198102251030
Gansevoort, R. T., Correa-Rotter, R., Hemmelgarn, B. R., Jafar, T. H., Heerspink, H. J. L., Mann, J. F., Matsushita, K., & Wen, C. P. (2013). Chronic kidney disease and cardiovascular risk: epidemiology, mechanisms, and prevention. Lancet, 382(9889), 339-352.
Han, K. S., Lee, S. J., Park, E. S., Park, Y. J., & Cheol, K. H. (2005). Structural Model for Quality of Life of Patients with Chronic Cardiovascular Disease in Korea. Nursing Research, 54(2), 85-96.
Hawkins, M. S., Sevick, M. A., Richardson, C. R., Fried, L. F., Arena, V. C., & Kriska, A. M. (2011). Association between Physical Activity and Kidney Function: National health and Nutrition Examination Survey. Medicine & Science in Sports & Exercise, 43(8), 1457–1464. DOI: 10.1249/MSS.0b013e31820c0130
Health Promotion Administration Ministry of Health and Welfare (2011). Guideline for Chronic Kidney Disease. Retrived August 15, 2015, from http://health99.hpa.gov.tw/educZone/edu_detail.aspx?CatId=21673&kw=%E8%85%8E%E8%87%9F%E7%97%85
Health Promotion Administration, Ministry of Health and Welfare (2015). 2015 Annual Report of Health Promotion. Taipei: Shu-ti Chiou
Heaney, C. A., Israel, B. A. (2008). Chapter 9: Social networks and social support (pp189-236). In Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education: Theory, research, and practice. San Francisco: Jossey-Bass.
Hoang, V. L., Green, T., & Bonner, A. (2018). Informal caregivers’ experiences of caring for people receiving dialysis: A mixed‐methods systematic review. Journal of Renal Care, 44(2), 82-95. https://doi.org/10.1111/jorc.12235
Hong, M., De Gagne, J. C., & Shin, H. (2018). Social networks, health promoting-behavior, and health-related quality of life in older Korean adults. Nursing and Health Sciences, 20, 79–88. DOI: 10.1111/nhs.12390
Hu, H. H., Li, G., & Arao, T. (2015). The association of family social support, depression, anxiety and self-efficacy with specific hypertension self-care behaviours in Chinese local community. Journal of Human Hypertension, 29, 198–203. doi:10.1038/jhh.2014.58
Huang, S.J., Hung, W.C., Chang, M., & Chang, J. (2009). The effect of an internet-based, stage-matched message intervention on young Taiwanese women’s physical activity. Journal of Health Communication, 14(3), 210–227. https://doi.org/10.1080/10810730902805788
Hughes, J., Wood, E., & Smith, G. (2009). Exploring kidney patients’ experiences of receiving individual peer support. Health Expectations, 12, 396–406. doi: 10.1111/j.1369-7625.2009.00568.x
Hutchison, A. J., Breckon, J. D., & Johnston, L. H. (2009). Physical activity behavior change interventions based on the transtheoretical model: A systematic review. Health Education & Behavior, 36, 829-845. doi.org/10.1177/1090198108318491
Ibrahim, N., Teo, S. S. L., Che Din, N., Abdul Gafor, A. H., Ismail, R. (2015). The Role of Personality and Social Support in Health-Related Quality of Life in Chronic Kidney Disease Patients. PLoS ONE, 10(7), e0129015. doi:10.1371/journal.pone.0129015
Jafar, T. H., Stark, P. C., Schmid, C. H., Landa, M., Maschio, G., de Jong, P. E., Zeeuw, D. d., Shahinfar, S., Toto, R., & Levey, A, S. (2003). Progression of Chronic Kidney Disease: The Role of Blood Pressure. Annals of Internal Medicine, 139(4), 244-252. DOI: 10.7326/0003-4819-139-4-200308190-00006
James, M. T., Hemmelgarn, B. R., & Tonelli, M. (2010). Early recognition and prevention of chronic kidney disease. Lancet, 375(9722), 1296–1309. doi: 10.1016/S0140-6736(09)62004-3
Johnson, S. S., Paiva, A. L., Cummins, C. O., Johnsona, J. L., Dyment, S. J., Wright, J. A., Prochaska, J. O., Prochaska, J. M., & Sherman, K. (2008). Transtheoretical Model-based multiple behavior intervention for weight management: Effectiveness on a population basis. Preventive Medicine, 46, 238–246. doi:10.1016/j.ypmed.2007.09.010
K/DOQI Work Group. (2002). KDOQI clinical practice guidelines for chronic kidney disease: Evaluation, classification, and stratification kidney disease outcome quality initiative. American Journal of Kidney Diseases, 39(Suppl. 1), S37-S169.
K/DOQI Work Group. (2002). KDOQI clinical practice guidelines for chronic kidney disease: Evaluation, classification, and stratification kidney disease outcome quality initiative. American Journal of Kidney Diseases, 39(Suppl. 1), S37-S169.
Keller, C., Allan, J., & Tinkle, M. B. (2006). Stages of Change, Processes of Change, and Social Support for Exercise and Weight Gain in Postpartum Women. Journal of Obstetric, Gynecologic & Neonatal Nursing, 35(2), 232-240. DOI: 10.1111/J.1552-6909.2006.00030.x
Kim, Y. (2008). A stage-matched intervention for exercise behavior change based onthe transtheoretical model. Psychological Reports, 102, 939-950. doi.org/10.2466/pr0.102.3.939-950
Kirk, A., MacMillan, F., & Webster, N. (2010). Application of the Transtheoretical model to physical activity in older adults with Type 2 diabetes and/or cardiovascular disease. Psychology of Sport and Exercise, 11, 320-324. doi:10.1016/j.psychsport.2010.03.001
Koniak-Griffin, D., Brecht, M., & Takayanagi, S., Villegas, J., Melendrez, M., & Balca´ zar, H. (2015). A community health worker-led lifestyle behavior intervention for Latina (Hispanic) women: Feasibility and outcomes of a randomized controlled trial. International Journal of Nursing Studies, 52 (1), 75–87. http://dx.doi.org/10.1016/j.ijnurstu.2014.09.005
Korfmacher, J., Green, B., Spellmann, M., Thornburg, K. R. (2007). The HR and Program Participation in Early Childhood Home Visiting. Infant Mental Health Journal, 28(5), 459–480. http://dx.doi.org/0.1002/imhj.20148
Kramer, H., Shoham, D., McClure, L. A., Durazo-Arvizu, R., Howard, G., Judd, S.,…& Warnock, D. G. (2011). Association of waist circumference and body mass index with all-cause mortality in CKD: The REGARDS (Reasons for Geographic and Racial Differences in Stroke Study. American Journal of Kidney Disease, 58(2), 177-185.
Kwan, B. C, Murtaugh, M. A., & Beddhu, S. (2007). Associations of body size with metabolic syndrome and mortality in moderate chronic kidney disease. Clinical Journal of the American Society of Nephrology, 2(5), 992-998.
Lawler, S. P., Winkler, E. A. H., Goode, A. D., Fjeldsoe, B. S., Reeves, M. M., & Eakin, E. G.( 2014). Moderators of health behavior initiation and maintenance in a randomized telephone counseling trial. Preventive Medicine 61, 34–41. http://dx.doi.org/10.1016/j.ypmed.2014.01.002
Lee, T. W., Ko, I. S., & Lee, K. J. (2006). Health promotion behaviors and quality of life among community-dwelling elderly in Korea: A cross-sectional survey. International Journal of Nursing Studies, 43(3), 293–300. doi:10.1016/j.ijnurstu.2005.06.009
Li, Y., Du, X., Zhang, C., & Wang, S. (2013). Physical activity among the elderly in China: a qualitative study. British Journal of Community Nursing, 18(7), 340-350.
Liang, K. Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73, 13-22.
Lichtenstein, E., Andrews, J. A., Barckley, M., Akers, L., Severson, H. H. (2002). Women Helping Chewers: Partner Support and Smokeless Tobacco Cessation. Health Psychology, 21(3), 273–278. 0278-6133/02/$5.00 DOI: 10.1037//0278-6133.21.3.273
Lin, C. C., Wu, C. C., Wu, L. M., Chen, H. M., & Chang, S. C. (2012). Psychometric evaluation of a new instrument to measure disease self-management of the early stage chronic kidney disease patients. Journal of Clinical Nursing, 22, 1073–1079. doi: 10.1111/j.1365-2702.2011.04048.x
Litt, M.D., Kleppinger, A., & Judge, J.O. (2002). Initiation and maintenance of exercise behavior in older women: predictors from the Social Learning Model. Journal of Behavioral Medicine, 25(1), 83-97.
Loprinzi, P. D. & Crush, E. A. (2018). Source and Size of Social Support Network on Sedentary Behavior Among Older Adults. American Journal of Health Promotion, 32(1), 28-31. DOI: 10.1177/0890117116686888
Lora, C. M., Gordon, E. J., Sharp, L. K., Fischer, M. J., Gerber, B. S., & Lash, J. P. (2011). Progression of CKD in Hispanics: Potential Roles of Health Literacy, Acculturation, and Social Support. American Journal of Kidney Disease, 58(2), 282-290. doi:10.1053/j.ajkd.2011.05.004
MacKinnon, H. J., Clarke, A. L., Young, H. L., Hull, K. L., Burton, J. O., & Smith, A. C. (2015). Creating a SPARK: Investigating exercise behaviour and preferences in patients with chronic kidney disease to aid the design of exercise programmes. International Journal of Therapy & Rehabilitation, 22(Supplement), 52.
Maner, J. K., Gailliot, M. T. (2007). Altruism and egoism: prosocial motivations for helping depend on relationships context. European Journal of Social Psychology, 37, 347–358. http://dx.doi.org/ 10.1002/ejsp.364
Mapes, D. L., Lopes, A. A., Satayathum, S., McCullough, K. P., Goodkin, D. A., Locatelli, F., . . . Port, F. K. (2003). Health-related quality of life as a predictor of mortality and hospitalization: The Dialysis Outcomes and Practice Patterns Study (DOPPS). Kidney International, 64(1), 339–349. doi: 10.1046/j.1523-1755.2003.00072.x
Martini, T. S., Grusec, J. E., Bernardini, S. C. (2001). Effects of interpersonal control, perspective taking, and attributions on older mothers' and adult daughters' satisfaction with their HRs. Journal of Family Psychology, 15(4), 688–705. http://dx.doi.org/10.1037//0893-3200.15.4.688
Mazzeschi, C., Pazzagli, C., Buratta, L., Reboldi, G. P., Battistini, D., Piana, N.,…De Feo, P. (2012). Mutual interactions between depression/quality of life and adherence to a multidisciplinary lifestyle intervention in obesity. The Journal of Clinical Endocrinology & Metabolism, 97, E2261–E2265.
Mittal, S. K., Ahern, L., Flaster, E., Maesaka, J. K., & Fishbane, S. (2001). Self-assessed physical and mental function of haemodialysis patients. Nephrology Dialysis transplantation, 16, 1387-1394.
National Health Insurance Administration, Ministry of Health and Welfarea (2016). The national health insurance statistics. Retrieved August 5 2016, from http://www.mohw.gov.tw/CHT/DOS/Statistic.aspx?f_list_no=312&fod_list_no=6201
National Health Insurance Administration, Ministry of Health and Welfareb. (2016). Treatments and prevention of Chronic Kidney Disease. Retrieved August 5 2016, from http://www.nhi.gov.tw/Resource/webdata/26254_1_Early%20CKD%E8%A8%88%E7%95%AB.pdf
National Kidney Foundation. (2012). KDOQI clinical practice guideline for diabetes and CKD: 2012 update. American Journal of Kidney Diseases, 60 (5), 850-886.
Naumann, S. E. & Ehrhart, M. G. (2011). Moderators of the Relationships Between Group Helping Norms and Individual Helping. Small Group Research, 42(2), 225–248. DOI: 10.1177/1046496410391280
Navaneethan S., Yehnert H., Moustarah F., Schreiber M., Schauer P.R., Beddhu S. (2009). Weight loss interventions in chronic kidney disease: a systematic review and meta-analysis. Clinical Journal of the American Society of Nephrology, 4(10), 1565-1574. doi: 10.2215/CJN.02250409
Navaneethan, S. D, Yehnert, H., Moustarah, F., Schreiber, M.J., Schauer, P. R., Beddhu, S. (2009). Weight loss interventions in chronic kidney disease: a systematic review and meta-analysis. Clinical Journal of the American Society of Nephrology, 4(10), 1565-1574. http://doi.org/10.2215/CJN.02250409
Navaneethan, S. D., Fealy, C. E., Scelsi, A. C., Arrigain, S., Malin, S. K.,& Kirwan, J. P. (2015).A Trial of Lifestyle Modification on Cardiopulmonary, Inflammatory, and Metabolic Effects among Obese with Chronic Kidney Disease. American Journal Of Nephrology, 42(4), 274–281. doi: 10.1159/000441155
Nguyen, N. T., Douglas, C., & Bonner, A. (2019). Effectiveness of self‐management programme in people with chronic kidney disease: A pragmatic randomized controlled trial. Journal of Advanced Nursing,75(3), 652–664. DOI: 10.1111/jan.13924
Oyserman, D., Coon, H. M., & Kemmelmeier, M. (2002). Rethinking Individualism and Collectivism: Evaluation of Theoretical Assumptions and Meta-Analyses. Psychological Bulletin, 128(1), 3–72.
Pagels, A. A., Hylander, B., & Alvarsson, M. A. (2015). Multi-dimensional support programme for patients with diabetic kidney disease. Journal of Reneal Care, 41(3), 187-194.
Pender, N. J., & Barkaskas, V. H. (1992). Health promotion and disease prevention: Toward excellence in nursing practice and education. Nursing Outlook, 40(3), 106–112.
Pender, N. (2011). The Health Promotion Model. Retrieved July 20, 2016, from http://nursingtheories.weebly.com/nola-pender.html http://hdl.handle.net/2027.42/85350
Pereira, B. d. S., Fernandes, N. d. S., Melo, N. P. d., Abrita, R., Grincenkov, F. R. d. S., & Fernandes,Natália, M. d. S. (2017). Beyond quality of life: a cross sectional study on the mental health of patients with chronic kidney disease undergoing dialysis and their caregivers. Health and Quality of Life Outcomes, 15:74. DOI 10.1186/s12955-017-0646-4
Postorino, M., Marino, C., Tripepi, G., & Zoccali, C. (2009). Abdominal Obesity and All-Cause and Cardiovascular Mortality in End-Stage Renal Disease. Journal of the American College of Cardiology, 53(15), 1265–1272. doi:10.1016/j.jacc.2008.12.040
Poulin, J., Young, T., 1997. Development of a HR inventory for social work practice. Research on Social Work Practice, 7, 463–489. http://dx.doi.org/10.1177/104973159700700403
Prochaska, J. O., Johnson, S., & Lee, P. (2008). Chapter 5: The transtheoretical model of behavior change, in: Shumaker, S. A., Ockene, J. K., Riekert, K. A., The Handbook of Health Behavior Changes (3rd. Eds., pp. 97–121.). Springer, New York.
RAND. (2000). Kidney Disease Quality of Life Instrument (KDQOL). Retrieved from http://www.rand.org/health/surveys_tools/kdqol.html
Ribner, D. S., & Knei-Paz, C. (2002). Client’s view of a successful HR. Social Work, 47(4), 379–387.
Ricardo, A. C., Madero, M., Yang, W., Anderson, C., Menezes, M., Fischer, M. J., Turyk, M., Daviglus, M. L., & Lash, J.P. (2013). Adherence to a Healthy Lifestyle and All-Cause Mortality in CKD. Clinical Journal of the American Society Nephrology, 8(4), 515-517. doi: 10.2215/CJN.00600112
Rogers, C. (1957). On Becoming a Person: A Therapist’s View of Psychotherapy. Houghton Mifflin, Boston.
Romain, A. J., Horwath, C., & Bernard, P. (2018). Prediction of Physical Activity Level Using Processes of Change from the Transtheoretical Model: Experiential, Behavioral, or an Interaction Effect? American Journal of Health Promotion, 32(1), 16-23. DOI: 10.1177/0890117116686900
Rosland, A. M. & Piette, J. D. (2010). Emerging Models for Mobilizing Family Support for Chronic Disease Management: A Structured Review. Chronic Illness, 6(1), 7–21. doi:10.1177/1742395309352254.
Ryn, M. V., & Heaney, C. A. (1997). Developing Effective HRs in Health Education Practice. Health Education & Behavior, 24, 683-702. DOI: 10.1177/109019819702400603
Saccomano, S. J. & DeLuca, D. A. (2012). Living with chronic kidney disease: Related issues and treatment. The Nurse Practitioner, 37(8), 32-38. DOI-10.1097/01.NPR.0000415873.61843.68
Salander, P. & Henriksson, R. (2005). Severely diseased lung cancer patients narrate the importance of being included in a HR. Lung Cancer, 50, 155-162. http://dx.doi.org/10.1016/j.lungcan.2005.05.023
Sallis, J. F., Grossman, R. M., Pinski, R. B., Patterson, T. L., & Nader, P. R. (1987). The development of scales to measure social support for diet and exercise behaviors. Preventive Medicine, 16 (6), 825–836. https://doi.org/10.1016/0091-7435(87)90022-3
Schroeder, S. A. (2007). We Can Do Better — Improving the Health of the American People. The New England Journal of Medicine, 357, 1221-1228. DOI: 10.1056/NEJMsa073350
Serour, M., Alqhenaei, H., Al-Saqabi, S., Mustafa, A. R., & Ben-Nakhi, A. (2007). Cultural factors and patients' adherence to lifestyle measures. British Journal of General Practice, 57 (537), 291-295.
Sieverdes, J. C., Raynor, P. A., Armstrong, T., Jenkins, C. H., Sox, L. R., & Treiber, F. A. (2015). Attitudes and Perceptions of Patients on the Kidney Transplant Waiting List toward Mobile Health—Delivered Physical Activity Programs. Progress in Transplantation, 25(1), 26-34. doi: http://dx.doi.org/10.7182/pit2015884
Soto, S. H., Arredondo, E. M., Haughton, J., & Shakya, H. (2018). Leisure-Time Physical Activity and Characteristics of Social Network Support for Exercise Among Latinas. American Journal of Health Promotion, 32(2), 432-439. DOI: 10.1177/0890117117699927
Stuifbergen, A. K., Seraphine, A., & Roberts, G. (2000). An Explanatory Model of Health Promotion and Quality of Life in Chronic Disabling Conditions. Nursing Research, 49(3), 122-129.
Svetkey, L. P., Erlinger, T. P., Vollmer, W. M., Feldstein, A., Cooper, L. S. Appel, L. J., Ard, J. D., Elmer, P. J., Harsha, D., & Stevens, V. J. (2005). Effect of lifestyle modifications on blood pressure by race, sex, hypertension status, and age. Journal of Human Hypertension, 19, 21–31. doi:10.1038/sj.jhh.1001770
Taiwan Society of Nephrology (2010). The pamphlet of chronic kidney disease. Taipei. Retrieved November 22, 2016, from National Health Insurance Administration Ministry of Health and Welfare.
Takahashi, K., & Sakamoto, A. (2000). Assessing social relationships in adolescents and adults: constructing and validating the Affective Relationships Scale. International Journal of Behavioral Development, 24 (4), 451–463. http://www.tandf.co.uk/journals/pp/01650254.html
Teng, H. L., Yen, M., & Fetzer, S. (2010). Health promotion lifestyle profile-II: Chinese version short form. Journal of Advanced Nursing, 66(8), 1864–1873. http://dx.doi.org/10.1111/j.1365-2648.2010.05353.x
Teng, H. L., Yen, M., Fetzer, S., Sung, J. M., & Hung, S. Y. (2013). Effects of targeted interventions on lifestyle modifications of chronic kidney disease patients randomized controlled trial. Western Journal of Nursing Research, 35(9), 1107–1127. http://dx.doi.org/10.1177/0193945913486202
Tuot, D. S., Plantinga, L. C., Judd, S. E., Muntner, P. Hsu, C. Y., Warnock, D. G…., McClellan, W. M. (2013). Healthy Behaviors, Risk Factor Control and Awareness of Chronic Kidney Disease. American Journal of Nephrology, 37, 135–143. DOI: 10.1159/000346712
U.S. Department of Health and Human Services (no date). Nutrition, Physical Activity, and Obesity. Retrieved August 15, 2016, from https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Nutrition-Physical-Activity-and-Obesity
Walker S.N., Sechrist K.R. & Pender N.J. (1987) The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nursing Research, 36(2), 76–81.
Walker, R. C., Marshall, M., & Polaschek, N. R. (2014). A prospective clinical trial of specialist renal nursing in the primary care setting to prevent progression of chronic kidney: a quality improvement report. BMC Family Practice, 15,155. http://www.biomedcentral.com/1471-2296/15/155
Wallace, L. S., Buckworth,J., Kirby, T. E., & Sherman, W. M. (2000). Characteristics of Exercise Behavior among College Students: Application of Social Cognitive Theory to Predicting Stage of Change. Preventive Medicine, 31, 494-505. doi:10.1006/pmed.2000.0736
Welch, J. L., Johnson, M., Zimmerman, L., Russell, C. L., Perkins, S. M., Decker, B. S. (2015). Self-management interventions in stages 1 to 4 chronic kidney disease: an integrative review. Western Journal of Nursing Research, 37(5), 652–678. http://dx.doi.org/10.1177/0193945914551007
Wen, C. P, Cheng, T. Y, Tsai, M. K., Chang Y. C., Chan, H. T., Tsai, S. P., Chiang, P. H., Hsu, C. C., Sung, P. K., Hsu, Y. H., Wen, S. F. (2008). All-cause mortality attributable to chronic kidney disease: a prospective cohort study based on 462,293 adults in Taiwan. Lancet, 371, 2173–82. http://dx.doi.org/10.1016/S0140-6736(08)60952-6.
World Health Organization (1986). The Ottawa Charter for Health Promotion. Ottawa: World Health Organization. Retrieved August 15, 2015, from http://www.who.int/healthpromotion/conferences/previous/ottawa/en/
World Health Organization (2008). Waist circumference and waist–hip ratio: report of a WHO expert consultation. Geneva: WHO. Retrieved June 18, 2019. from https://www.who.int/nutrition/publications/obesity/WHO_report_waistcircumference_and_waisthip_ratio/en/
World Health Organization (2010). Global recommendations on physical activity for health. Geneva, Switzerland: World Health Organization. (Accessed 22, 11, 16)
World Health Organization. (no date). The World Health Organization Quality of Life (WHOQOL). Retrieved June, 18, 2019, from http://who.int/about/definition/en/print.html
Wu, T. Y., & Pender, N. (2002). Determinants of Physical Activity Among Taiwanese Adolescents: An Application of the Health Promotion Model. Research in Nursing & Health, 25, 25-36. DOI 10.1002/nur.10021
Yao, G., Chung, C. W., Yu, C. F., & Wang, J. D. (2002). Development and verification of validity and reliability of the WHOQOL-BREF in Taiwan version. Journal of the Formosan Medical Association, 101(5), 342–351.
Yoshida, T., Takei, T., Shirota, S., Tsukada, M., Sugiura, H., Itabashi, M., et al. (2008). Risk factors for progression in patients with early-stage chronic kidney disease in the Japanese population. Internal Medicine, 47(21), 1859-1864. DOI: 10.2169/internalmedicine.47.1171
Yu, H. D. & Petrini, M. A. (2010). The HRQoL of Chinese patients undergoing haemodialysis. Journal of Clinical Nursing, 19, 658–665. doi: 10.1111/j.1365-2702.2009.03071.x
Yu, H., Petrini, M. (2010). The HRQoL of Chinese patients undergoing hemodialysis. Journal of Clinical Nursing, 19 (5-6), 658.-665.
Yu, I., & Tsai, Y. F. (2013). From silence to storm—patient illness trajectory from diabetes diagnosis to hemodialysis in Taiwan: a qualitative study of patients' perceptions. Journal of Advanced Nursing, 69(9), 1943–1952. http://dx.doi.org/10.1111/jan.12055
Zhou, B., Chen, K., Yu, Y., Wang, H., Zhang, S., & Zheng, W. (2010). Individualized Health Intervention: Behavioral Change and Quality of Life in an Older Rural Chinese Population. Educational Gerontology, 36(10-11), 919-939, DOI:10.1080/03601271003689514
Zhu, L. X., Ho, S. C., Sit, J. W. H., & He, H. G. (2014). The effects of a transtheoretical model-based exercise stage-matched intervention on exercise behavior in patients with coronary heart disease: A randomized controlled trial. Patient Education and Counseling, 95(3), 384-392. http://dx.doi.org/10.1016/j.pec.2014.03.013
Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 55(3 & 4), 610-617. DOI: 10.1080/00223891.1990.9674095
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