腦中風病患之日常活動自我效能及其相關因素

Self-Efficacy in Activities of Daily Living and Related Factors in Patients with Stroke

蕭淑貞(Shu-Chen Hsiao) ； 金繼春(Chi-Chun Chin) ； 劉芹芳(Chi-Fang Liu)

《實證護理》 3卷1期 (2007/03) Pp. 45-53

https://doi.org/10.6225/JEBN.3.1.45

摘要

本研究為一橫斷式相關性研究，目的在探討腦中風病患發病三日至半年內的日常活動自我效能其與個人基本屬性、疾病特性、身體功能、社會支持的相關性。採立意取樣，以結構式問卷在高雄地區三所醫院進行資料收集，共得10份有效問卷。研究結果發現：⑴腦中風病患之日常活動自我效能的平均值為58.87分、中位數為1分，屬於中等程度，意即研究對象執行日常活動之信心屬於中等程度。⑵研究對象之日常活動自我效能與性別、年齡、受教育年數、身體功能、社會支持有顯著正相關。⑶經由逐步複迴歸分析，以身體功能、受教育年數及社會支持可解釋整體日常活動自我效能總變異數的7.7%。根據本研究結果，建議臨床醫護人員加強腦中風病患的身體功能及社會支持的評估，以增進三日至半年內腦中風病患之日常活動自我效能表現。

關鍵字

腦中風 ； 身體功能 ； 社會支持 ； 日常活動自我效能

並列摘要

The purposes of this cross-sectional and correlational study were to explore self-efficacy in relation to physical function and social support in activities of daily living (ADL) among patients with stroke. Subjects consisted of 106 patients with stroke from three medical centers in Kaohsiung. The findings were as follows: (1) The standardized score for ADL self-efficacy in patients with stroke was 58.56, and the median score was 61. (2) ADL self-efficacy correlated positively and strongly with gender, age, years of education, physical function and social support. (3) Under multiple stepwise regression analysis, physical function, years of education and social support were found to explain 79.7% of variance in ADL self-efficacy. The results suggest that clinical nurses should improve evaluations of physical function and social support to promote the self-efficacy of stroke patients in carrying out daily activities.

並列關鍵字

stroke ； physical function ； social support ； activity of daily living ADL self-efficacy