葉國樑、曾治乾Gwo-Liang Yeh、Chie-Chien Tseng石慧玲Hui-Ling Shih2019-08-282017-07-112019-08-282015http://etds.lib.ntnu.edu.tw/cgi-bin/gs32/gsweb.cgi?o=dstdcdr&s=id=%22G0001053116%22.&%22.id.&http://rportal.lib.ntnu.edu.tw:80/handle/20.500.12235/87254本研究主要運用健康信念模式探討居家鼻胃管灌食病患之主要照顧者使用天然自製配方之現況及相關因素。研究母群體為新北市汐止區某區域醫院居家護理所收案之鼻胃管灌食病患的主要照顧者，以自編結構式問卷進行資料的蒐集，共得有效樣本170份。本研究之結果如下： 一、研究對象對管灌食病患長期缺乏天然食物的自覺罹患性、自覺嚴重性、自 覺行動利益與自覺行動障礙的認知皆屬中上程度。 二、研究對象製作天然自製配方的自我效能介於中間，尤其擔心找不到其他人協助製作配方。目前已規律使用天然自製配方且持續六個月以上的比例只有近兩成五。 三、選擇天然自製配方的行動線索是缺乏的，只有一成五的人看過指導製作天 然自製配方的衛教單張或影片，而研究對象所接收到的行動線索越多，會 提升其「自覺罹患性」、「自覺嚴重性」及「自覺行動利益」，並且降低其 「自覺行動障礙」。 四、研究對象「製作天然自製配方行為」與「覺得家中的設備是否足以製作天 然自製配方」和「自覺行動障礙」呈顯著負相關，可解釋其總變異量為63.1 ％，其中以「自覺行動障礙」的影響力最大，顯示「自覺行動障礙」越低 者，越會採取「製作天然自製配方行為」。This study investigated the current status of primary caregivers applying homemade blenderized formula to the patients with nasogastric tube-feeding. The health belief model was employed to explain the results. The subjects of this study were primary caregivers from a home care center of Xizhi District Regional Hospital in New Taipei City. A total of 170 effective questionnaires were collected. The results of this study revealed as following: 1. The primary caregivers showed above the average scores in four variables: perceived susceptibility, perceived severity, perceived benefits, and perceived barriers. 2. The self-efficacy of caregivers to make homemade recipe was among medium level, especially when they lacked of assistants to help them making homemade blenderized formula. Only 25% of the primary caregivers reported they had consistently used such homecare treatment for more than 6-month. 3. The caregivers did not have enough cue to action. Only 15% of primary caregivers had read health guides or watched the related film. In addition, higher perceived susceptibility, perceived severity, and perceived benefits will be performed if more cues to action were received. 4. Perceived barriers, "enough equipment for home-made blenderized formula", and "The behavior of making home- made blenderized formula" are negative correlated. They can explain 63.1％ of the total variances of the behavior of making home-made blenderized formula. It suggested that the primary caregivers with lower perceived barriers would be more intended to choose homecare treatment.健康信念模式居家營養天然自製配方鼻胃管灌食主要照顧者primary caregivershome carehomemade blenderized formulahealth belief modelnasogastric tube-feeding