| Summary: | 博士 === 臺灣大學 === 護理學研究所 === 96 === 【Purpose】
This research is to investigate the factors influencing intention of treatment seeking among women with urinary incontinence. In order to comprehend the influential causes and mechanism behind such type of women, the framework of this study is based on common sense model as well as some important variables according to the deduction of the literature.
【Methods】
Participants are community women who are more than 20 years old in conjunction with stress, urge or mixed urinary incontinence. There are 334 valid samples recruited through convenient sampling. Data corrected by structured questionnaire investigation. The quantitative data is primarily analysis by multinominal logistic regression.
【Conclusions】
The results of this research given as following:
1. Among the women, 40.1% of them have the intention of treatment seeking; the proportion 38.8% to seek both Chinese and western medical treatment is close to that 37.7% to seek simply western medical treatment. Seeking simply Chinese medical treatment is at the proportion of 23.8%. Hence this result is congruent with the scholars’ attention to the tendency of the people to harmonize Chinese and western medical treatment.
2.While it is appropriate to assist the intention of treatment seeking among women with urinary incontinence based on common sense model, the important factors to influence them is illness representation. When women perceived that urinary incontinence is an illness, may cause serious consequence, treatment controllable, the more they have intention to seek medical treatment. On the contrary, if they perceived urinary incontinence is chronic, then there is less intention to seek medical treatment. This result is congruence with scholars who concluded earlier.
3.The factor to influence women to seek either Chinese or western medical treatment is the recognition of the effect of treatment control. Hence the recognition by itself is pivotal, therefore this is a practical approach to construct the knowledge of treatment in order guide them.
4.There is no direct or indirect influence between either variety or severity of urinary incontinence, and the intention to seek medical treatment. It can’t be neglected that nearly half of the women who have serious urinary incontinence have no intention to seek medical treatment.
5.The new theory proposed by this study is verified. The impact of urinary incontinence doesn’t influence the intention to seek medical treatment directly, but only through the recognition of illness, the controllability of treatment, timeline and the encouragement of family members. To change woman’s behaviors is possible by constructing illness representation and the encouragement of family members.
6.It shows a heavy weight for family members to encouragement the woman to seek medical treatment under the milieu of oriental culture background.
7.Under controlling age, education and effective of coping strategies, the mechanism of women with urinary incontinence who is intention to seek medical treatment is that there is no direct or indirect influence between either variety or severity of urinary incontinence, and the impact of urinary incontinence doesn’t influence the intention to seek medical treatment directly, but only through the recognition of illness, the controllability of treatment, timeline and the encouragement of family members.
8.With respect to the illness representation, women agree that urinary incontinence is an illness, may be controlled by individual and treatment, comprehensible and chronic. They disagree that it is recyclical, may cause serious consequence and emotional disturbance. They tend to consent that internal factors are more influential than external causes.
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