SCHFI Taiwanese v7.2
Translated by
陳幸眉 Hsing-Mei Chen, PhD, RN
國立成功大學醫學院護理系副教授 Associate Professor
Department of Nursing, College of Medicine
National Cheng Kung University
Taiwan
Tel: +886-6-2353535 # 6272
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Roman"}.c16{font-size:14pt;font-weight:700}.c8{padding:0;margin:0}.c46{margin-left:18pt;padding-left:0pt}.c201{height:14pt}.c53{font-size:13pt}.c38{height:12pt}.c93{height:23.8pt}.c96{font-weight:700}.c37{page-break-after:avoid}.c143{height:36.4pt}.c55{font-weight:400}.c3{height:0pt}.c135{background-color:#ffffff}.c85{font-size:14pt}.c170{height:13pt}.c34{color:#000000}.c60{background-color:#f2f2f2}.c116{font-size:16pt}.title{padding-top:0pt;-webkit-text-decoration-skip:none;color:#000000;font-weight:700;text-decoration:underline;font-size:14pt;padding-bottom:0pt;line-height:1.0;font-style:italic;text-decoration-skip-ink:none;font-family:"Times New Roman";orphans:2;widows:2;text-align:center}.subtitle{padding-top:18pt;color:#666666;font-size:24pt;padding-bottom:4pt;font-family:"Georgia";line-height:1.0;page-break-after:avoid;font-style:italic;orphans:2;widows:2;text-align:left}li{color:#000000;font-size:12pt;font-family:"Times New Roman"}p{margin:0;color:#000000;font-size:12pt;font-family:"Times New Roman"}h1{padding-top:0pt;color:#000000;font-size:14pt;padding-bottom:0pt;font-family:"Times New Roman";line-height:1.0;page-break-after:avoid;orphans:2;widows:2;text-align:left}h2{padding-top:0pt;color:#000000;font-size:12pt;padding-bottom:0pt;font-family:"Times New Roman";line-height:1.0;page-break-after:avoid;orphans:2;widows:2;text-align:left}h3{padding-top:0pt;color:#000000;font-size:12pt;padding-bottom:0pt;font-family:"Times New Roman";line-height:1.0;page-break-after:avoid;orphans:2;widows:2;text-align:center}h4{padding-top:0pt;color:#000000;font-size:12pt;padding-bottom:0pt;font-family:"Times New Roman";line-height:1.0;page-break-after:avoid;orphans:2;widows:2;text-align:left}h5{padding-top:0pt;color:#000000;font-size:13pt;padding-bottom:0pt;font-family:"Times New Roman";line-height:1.0;page-break-after:avoid;orphans:2;widows:2;text-align:left}h6{padding-top:3pt;color:#000000;font-weight:700;font-size:13pt;padding-bottom:3pt;font-family:"Times New Roman";line-height:1.0;page-break-after:avoid;orphans:2;widows:2;text-align:center}</style></head><body class="c86"><p class="c106"><span class="c71 c75 c34 c116">心臟衰竭自我照顧指標</span></p><p class="c38 c106"><span class="c113 c55 c34"></span></p><p class="c157"><span class="c73 c55 c34 c158">所有回答皆會保密</span></p><p class="c10"><span class="c55 c34 c113"></span></p><p class="c76 c37"><span class="c71 c73 c55 c34">當您填寫此量表時，請回想您在上個月的感覺。 </span></p><p class="c90"><span class="c71 c33 c16">A部分：</span></p><p class="c76"><span class="c85 c34">下列為心臟衰竭病人用於幫助自己的行為。請問您多頻繁或經常做下列事情？</span></p><a id="t.5ee8ff81f8868ef539b3ee3a4c751d59347e2133"></a><a id="t.0"></a><table class="c18"><tbody><tr class="c3"><td class="c60 c136" colspan="1" rowspan="1"><p class="c13 c38"><span class="c4"></span></p></td><td class="c60 c139" colspan="1" rowspan="1"><p class="c0"><span class="c71 c33 c53 c96">從不 </span></p></td><td class="c60 c168" colspan="1" rowspan="1"><h6 class="c0 c37 c170"><span class="c71 c33 c53 c96"></span></h6></td><td class="c60 c204" colspan="1" rowspan="1"><h6 class="c0 c37"><span class="c71 c33 c53 c96">有時候</span></h6></td><td class="c27" colspan="1" rowspan="1"><p class="c0 c38 c37"><span class="c71 c33 c53 c96"></span></p></td><td class="c60 c101" colspan="1" rowspan="1"><p class="c0 c37"><span class="c71 c33 c53 c96">經常 </span></p></td></tr><tr class="c3"><td class="c135 c186" colspan="1" rowspan="1"><ol class="c8 lst-kix_list_2-0 start" start="1"><li class="c46 c124 li-bullet-0"><span class="c53">盡量避免生病（如：洗手）?</span><span class="c4"> </span></li></ol></td><td class="c135 c166" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c135 c163" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c135 c210" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c135 c165" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c135 c147" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c47" colspan="1" rowspan="1"><ol class="c8 lst-kix_list_2-0" start="2"><li class="c13 c46 li-bullet-0"><span class="c53">做運動（如：快走、爬樓梯）?</span></li></ol></td><td class="c45" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c7" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c129 c60" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c5" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c29" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c135 c145" colspan="1" rowspan="1"><ol class="c8 lst-kix_list_2-0" start="3"><li class="c13 c46 li-bullet-0"><span class="c53">吃低鹽飲食?</span></li></ol></td><td class="c83" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c14" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c48" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c66" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c23" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c47" colspan="1" rowspan="1"><ol class="c8 lst-kix_list_2-0" start="4"><li class="c13 c46 li-bullet-0"><span class="c53">按時回醫師門診進行常規照護?</span></li></ol></td><td class="c45" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c7" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c129 c60" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c5" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c29" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c145 c135" colspan="1" rowspan="1"><ol class="c8 lst-kix_list_2-0" start="5"><li class="c13 c46 li-bullet-0"><span class="c53">服用處方藥且不會漏服藥?</span></li></ol></td><td class="c83" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c14" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c48" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c66" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c23" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c47" colspan="1" rowspan="1"><ol class="c8 lst-kix_list_2-0" start="6"><li class="c13 c46 li-bullet-0"><span class="c53">當外食時，點低鹽食物？</span></li></ol></td><td class="c45" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c7" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c60 c129" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c5" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c29" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c145 c135" colspan="1" rowspan="1"><ol class="c8 lst-kix_list_2-0" start="7"><li class="c13 c46 li-bullet-0"><span class="c53">確保每年接種流感疫苗？</span></li></ol></td><td class="c83" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c14" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c48" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c66" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c23" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c47" colspan="1" rowspan="1"><ol class="c8 lst-kix_list_2-0" start="8"><li class="c13 c46 li-bullet-0"><span class="c53">當拜訪親友時，要求低鹽食物？</span></li></ol></td><td class="c45" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c7" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c129 c60" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c5" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c29" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c145 c135" colspan="1" rowspan="1"><ol class="c8 lst-kix_list_2-0" start="9"><li class="c13 c46 li-bullet-0"><span class="c53">使用一套系統或方法來幫助您記得服藥？</span></li></ol></td><td class="c83" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c14" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c48" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c66" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c23" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c24" colspan="1" rowspan="1"><ol class="c8 lst-kix_list_2-0" start="10"><li class="c13 c46 li-bullet-0"><span class="c53">向您的健康照護提供者詢問有關您的用藥?</span></li></ol></td><td class="c60 c125" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c49" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c60 c109" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c60 c123" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c60 c134" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr></tbody></table><p class="c25"><span class="c71 c33 c16"></span></p><hr style="page-break-before:always;display:none;"><p class="c20"><span class="c9"></span></p><p class="c76"><span class="c9">B部分：</span></p><p class="c76"><span class="c71 c73 c55 c34">下列為心臟衰竭病人經常監測的改變。請問您多頻繁做下列事情？</span></p><a id="t.feb347e49383b942c941ccef7c008ec556371916"></a><a id="t.1"></a><table class="c18"><tbody><tr class="c3"><td class="c60 c181" colspan="1" rowspan="1"><p class="c13 c38"><span class="c4"></span></p></td><td class="c19" colspan="1" rowspan="1"><p class="c0"><span class="c71 c75 c53 c34">從不</span></p></td><td class="c60 c70" colspan="1" rowspan="1"><h6 class="c0 c37 c170"><span class="c71 c75 c53 c34"></span></h6></td><td class="c60 c108" colspan="1" rowspan="1"><h6 class="c0 c37"><span class="c71 c75 c53 c34">有時候</span></h6></td><td class="c60 c95" colspan="1" rowspan="1"><p class="c0 c38 c37"><span class="c71 c75 c53 c34"></span></p></td><td class="c60 c77" colspan="1" rowspan="1"><p class="c0 c37"><span class="c71 c53 c34 c75">經常</span></p></td></tr><tr class="c3"><td class="c81" colspan="1" rowspan="1"><p class="c64"><span class="c4">11.監測您每天的體重？</span></p></td><td class="c189" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c140" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c121" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c155" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c35" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c60 c72" colspan="1" rowspan="1"><p class="c64"><span class="c4">12.注意您所感受到的變化？</span></p></td><td class="c60 c176" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c60 c94" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c60 c141" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c6" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c60 c137" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c98" colspan="1" rowspan="1"><p class="c13"><span class="c4">13.查看有無出現藥物的副作用?</span></p></td><td class="c197" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c99" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c118" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c195" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c207" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c3"><td class="c60 c151" colspan="1" rowspan="1"><p class="c67"><span class="c4">14.注意您在做正常活動時，是否比平時更容易累？</span></p></td><td class="c60 c80" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c60 c208" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c60 c193" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c60 c174" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c60 c154" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c93"><td class="c122" colspan="1" rowspan="1"><p class="c54"><span class="c4">15.詢問您的健康照護人員您的狀況如何？</span></p></td><td class="c161" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c111" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c187" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c61" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c179" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c93"><td class="c43" colspan="1" rowspan="1"><p class="c64"><span class="c4">16.密切監測症狀?</span></p></td><td class="c69 c60" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c60 c68" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c52" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c131 c60" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c60 c150" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c93"><td class="c114" colspan="1" rowspan="1"><p class="c64"><span class="c4">17.檢查您的腳踝是否水腫?</span></p></td><td class="c69" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c68" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c202" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c131" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c150" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c93"><td class="c43" colspan="1" rowspan="1"><p class="c54"><span class="c4">18.確認活動呼吸短促情形，如洗澡或穿衣服時?</span></p></td><td class="c69 c60" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c68 c60" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c52" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c60 c131" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c60 c88" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr><tr class="c93"><td class="c149" colspan="1" rowspan="1"><p class="c64"><span class="c4">19.持續記錄症狀？</span></p></td><td class="c62" colspan="1" rowspan="1"><p class="c0"><span class="c4">1</span></p></td><td class="c190" colspan="1" rowspan="1"><p class="c0"><span class="c4">2</span></p></td><td class="c183" colspan="1" rowspan="1"><p class="c0"><span class="c4">3</span></p></td><td class="c180" colspan="1" rowspan="1"><p class="c0"><span class="c4">4</span></p></td><td class="c127" colspan="1" rowspan="1"><p class="c0"><span class="c4">5</span></p></td></tr></tbody></table><h5 class="c74 c37 c170"><span class="c4"></span></h5><h5 class="c37 c74"><span>最近一次您有症狀時</span><span class="c96">…</span><span> </span><span class="c33 c55">(請圈選出</span><span class="c33 c96">1個</span><span class="c71 c33 c53 c55">數字)</span></h5><a id="t.b2e9b56369e5ee3710cb0380032d07e2625f549f"></a><a id="t.2"></a><table class="c18"><tbody><tr class="c3"><td class="c60 c162" colspan="1" rowspan="1"><p class="c0 c38"><span class="c30"></span></p></td><td class="c77 c60" colspan="1" rowspan="1"><p class="c0"><span class="c12">從來沒有症狀</span></p></td><td class="c44" colspan="1" rowspan="1"><p class="c0"><span class="c12">我沒有辨認出症狀</span></p></td><td class="c60 c107" colspan="1" rowspan="1"><p class="c0"><span class="c12">沒有很快</span></p></td><td class="c60 c164" colspan="1" rowspan="1"><p class="c0 c38"><span class="c12"></span></p></td><td class="c77 c60" colspan="1" rowspan="1"><p class="c0"><span class="c12">有點快</span></p></td><td class="c60 c192" colspan="1" rowspan="1"><p class="c0 c38"><span class="c12"></span></p></td><td class="c60 c200" colspan="1" rowspan="1"><p class="c0"><span class="c12">非常快</span></p></td></tr><tr class="c3"><td class="c152" colspan="1" rowspan="1"><p class="c76 c100"><span class="c4">20.您多快辨識出您有症狀？</span></p></td><td class="c17" colspan="1" rowspan="1"><p class="c0"><span class="c71 c33 c53 c55">不適用</span></p></td><td class="c105" colspan="1" rowspan="1"><p class="c0"><span class="c4">0</span></p></td><td class="c184" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c115" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c17" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c199" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c159" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c60 c212" colspan="1" rowspan="1"><p class="c76 c100"><span class="c53">21.</span><span> </span><span class="c4">您多快知道那個症狀是因心臟衰竭引起的？</span></p></td><td class="c60 c178" colspan="1" rowspan="1"><p class="c0"><span class="c71 c33 c53 c55">不適用</span></p></td><td class="c60 c211" colspan="1" rowspan="1"><p class="c0"><span class="c4">0</span></p></td><td class="c60 c182" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c60 c206" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c178 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c60 c172" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c60 c142" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr></tbody></table><p class="c25"><span class="c1"></span></p><hr style="page-break-before:always;display:none;"><p class="c20" id="h.gjdgxs"><span class="c33 c16 c71"></span></p><p class="c56"><span class="c71 c33 c16">C部分：</span></p><p class="c76"><span class="c71 c73 c55 c34">下列為心臟衰竭病人用於控制他們的症狀的行為。當您有症狀時，您有多可能採取它們其中的一個行為？ (請於各治療題項中圈選出</span><span class="c9">1個</span><span class="c71 c73 c55 c34">數字)</span></p><a id="t.d43b98b9f8b139184827a274d3b36651bb304209"></a><a id="t.3"></a><table class="c18"><tbody><tr class="c143"><td class="c60 c209" colspan="1" rowspan="1"><p class="c13 c38"><span class="c1"></span></p></td><td class="c60 c78" colspan="1" rowspan="1"><p class="c0"><span class="c30">不可能</span></p></td><td class="c78 c60" colspan="1" rowspan="1"><p class="c0 c38"><span class="c30"></span></p></td><td class="c78 c60" colspan="1" rowspan="1"><p class="c0"><span class="c30">有可能</span></p></td><td class="c60 c87" colspan="1" rowspan="1"><p class="c0 c38"><span class="c30"></span></p></td><td class="c60 c185" colspan="1" rowspan="1"><p class="c0"><span class="c30">非常可能</span></p></td></tr><tr class="c3"><td class="c133" colspan="1" rowspan="1"><p class="c13"><span class="c4">22.進一步限制您那天吃的鹽份？</span></p></td><td class="c120" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c120" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c120" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c58" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c130" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c60 c112" colspan="1" rowspan="1"><p class="c13"><span class="c4">23.減少您的水分攝取?</span></p></td><td class="c31" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c31" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c31" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c57 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c26 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c112" colspan="1" rowspan="1"><p class="c13"><span class="c4">24.吃藥?</span></p></td><td class="c59" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c59" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c59" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c57" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c26" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c112 c60" colspan="1" rowspan="1"><p class="c13 c100"><span class="c4">25.打電話請求您的健康照護人員的指導？</span></p></td><td class="c31" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c31" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c31" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c57 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c26 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c112" colspan="1" rowspan="1"><p class="c13"><span class="c4">26.詢問親友的建議?</span></p></td><td class="c59" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c59" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c59" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c57" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c26" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c112 c60" colspan="1" rowspan="1"><p class="c13"><span class="c4">27.試著釐清為何您有這些症狀?</span></p></td><td class="c31" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c31" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c31" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c57 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c26 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c126" colspan="1" rowspan="1"><p class="c13"><span class="c4">28.限制您的活動直到您感到好些？</span></p></td><td class="c97" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c97" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c97" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c156" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c194" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr></tbody></table><p class="c25"><span class="c71 c73 c55 c34"></span></p><p class="c76"><span class="c85">回想最近一次您出現症狀時，您所採取的一個治療方法 </span><span class="c16"> </span><span class="c33 c55 c85">(請圈選出</span><span class="c16 c34">1</span><span class="c16 c33">個</span><span class="c71 c33 c55 c85">數字)</span></p><a id="t.a36a2c9522310c35864e6e75425490baaab39e41"></a><a id="t.4"></a><table class="c18"><tbody><tr class="c3"><td class="c60 c128" colspan="1" rowspan="1"><p class="c13 c38"><span class="c1"></span></p></td><td class="c60 c198" colspan="1" rowspan="1"><p class="c0"><span class="c12">我沒有做任何措施</span></p></td><td class="c60 c146" colspan="1" rowspan="1"><p class="c0"><span class="c12">不確定</span></p></td><td class="c60 c191" colspan="1" rowspan="1"><p class="c0 c38"><span class="c12"></span></p></td><td class="c36" colspan="1" rowspan="1"><p class="c0"><span class="c12">有點確定</span></p></td><td class="c60 c205" colspan="1" rowspan="1"><p class="c0 c38"><span class="c12"></span></p></td><td class="c107 c60" colspan="1" rowspan="1"><p class="c0"><span class="c12">非常確定</span></p></td></tr><tr class="c3"><td class="c15" colspan="1" rowspan="1"><p class="c100 c144"><span class="c4">29.您所使用的治療方法有讓您感到好些嗎?</span></p></td><td class="c117" colspan="1" rowspan="1"><p class="c0"><span class="c1">0</span></p></td><td class="c2" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c21" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c42" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c40" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c92" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr></tbody></table><p class="c25"><span class="c71 c33 c16"></span></p><hr style="page-break-before:always;display:none;"><p class="c20"><span class="c9"></span></p><p class="c76"><span class="c9">D部分：</span></p><p class="c76" id="h.30j0zll"><span class="c85">一般來說，您有多少信心能夠做到以下： </span><span class="c34"> </span><span class="c85 c34"> (請於各敘述圈選出</span><span class="c16 c34">1個</span><span class="c71 c55 c34 c73">數字)</span></p><a id="t.81161ba2f0c5d8d83266092cc9c8769376ca2649"></a><a id="t.5"></a><table class="c18"><tbody><tr class="c3"><td class="c11" colspan="1" rowspan="1"><p class="c144 c38 c167"><span class="c1"></span></p></td><td class="c60 c102" colspan="1" rowspan="1"><h3 class="c0 c37"><span class="c30">沒信心</span></h3></td><td class="c60 c91" colspan="1" rowspan="1"><h3 class="c0 c37 c201"><span class="c30"></span></h3></td><td class="c60 c79" colspan="1" rowspan="1"><p class="c0"><span class="c30">有點信心</span></p></td><td class="c60 c84" colspan="1" rowspan="1"><p class="c0 c38"><span class="c30"></span></p></td><td class="c60 c132" colspan="1" rowspan="1"><p class="c0"><span class="c30">非常有信心</span></p></td></tr><tr class="c3"><td class="c135 c196" colspan="1" rowspan="1"><p class="c67"><span class="c4">30.維持您的狀態穩定且無症狀？</span></p></td><td class="c135 c138" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c119" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c135 c175" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c135 c173" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c135 c169" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c39" colspan="1" rowspan="1"><p class="c67"><span class="c53">31.遵循給您的治療計畫?</span></p></td><td class="c50" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c63 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c32 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c28" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c82 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c148" colspan="1" rowspan="1"><p class="c67"><span class="c53">32.即使碰到困難，也能持續遵循治療計畫?</span></p></td><td class="c89" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c63" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c32" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c153" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c82" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c39" colspan="1" rowspan="1"><p class="c67"><span class="c4">33.定期監測您的狀況?</span></p></td><td class="c50" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c63 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c32 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c28" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c60 c82" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c148" colspan="1" rowspan="1"><p class="c76 c100"><span class="c4">34.即使碰到困難，也能持續定期監測您的狀況?</span></p></td><td class="c89" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c63" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c32" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c153" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c82" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c39" colspan="1" rowspan="1"><p class="c13 c100"><span class="c4">35.若發生變化時，能辨認出您的健康狀況的改變？</span></p></td><td class="c50" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c63 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c32 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c28" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c82 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c135 c148" colspan="1" rowspan="1"><p class="c67"><span class="c4">36.評值您的症狀的重要性？</span></p></td><td class="c22" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c63 c135" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c32 c135" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c41" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c65" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c39" colspan="1" rowspan="1"><p class="c13 c100"><span class="c4">37.做一些事情來緩解您的症狀？</span></p></td><td class="c50" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c63 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c32 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c28" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c82 c60" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c148 c135" colspan="1" rowspan="1"><p class="c67"><span class="c4">38.即使碰到困難，也能持續尋找症狀的治療方法?</span></p></td><td class="c22" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c63 c135" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c32 c135" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c41" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c65" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr><tr class="c3"><td class="c60 c188" colspan="1" rowspan="1"><p class="c67"><span class="c53">39.評值一個治療方法多有效?</span></p></td><td class="c60 c177" colspan="1" rowspan="1"><p class="c0"><span class="c1">1</span></p></td><td class="c60 c203" colspan="1" rowspan="1"><p class="c0"><span class="c1">2</span></p></td><td class="c60 c110" colspan="1" rowspan="1"><p class="c0"><span class="c1">3</span></p></td><td class="c60 c171" colspan="1" rowspan="1"><p class="c0"><span class="c1">4</span></p></td><td class="c60 c160" colspan="1" rowspan="1"><p class="c0"><span class="c1">5</span></p></td></tr></tbody></table><h5 class="c76 c37 c170"><span class="c71 c73 c55 c34"></span></h5><p class="c74"><span class="c71 c73 c55 c34">感謝您完成此量表！</span></p><div><p class="c38 c213"><span class="c1"></span></p><p class="c103"><span class="c71 c55 c34 c104">SCHFI version 7.2, 5-10-2018 版本一 2021.04.06</span></p></div></body></html>