愛滋病患者憂鬱程度與自我照顧行為相關因素之探討

Factors Related to Depression and Self Care Behavior With AIDS Patients

張簡英茹(Ying -Ru Chang Chien)

指導教授 ： 鄭綺教授

臺北醫學大學/護理學院/護理學研究所/碩士(2010年)

https://doi.org/10.6831/TMU.2010.00206

摘要

論文名稱：愛滋病患者憂鬱程度與自我照顧行為相關因素之探討
研究所名稱：臺北醫學大學護理學研究所
研究生姓名：張簡英茹
畢業時間：九十八學年度第二學期
指導教授：鄭綺 臺北醫學大學護理學研究所教授
本研究旨在探討愛滋病患者的憂鬱程度與自我照顧行為的相關因素。本研究為描述性、相關性研究，以結構式問卷及訪談方式對研究對象進行橫斷式研究。研究對象以北部區域醫院與關愛之家愛滋病人為母群體，共收案121名，研究工具包括「基本資料表」、自擬之「自我照顧行為量表」與「貝克憂鬱量表」共三部份，自擬之自我照顧行為量表共15題，分為四大類，經專家效度檢定，取內容重要性CVI達 .86之項目，信度檢定採取內在一致性Chronbach’s Alpha值為 .70。研究資料以SPSS 17.0統計軟體進行次數、百分比、平均值、標準差等描述性統計，推論統計則以獨立t檢定(t-test)、單因子變異數分析(One way ANOVA)、皮爾森積差相關值檢定(pearson’s correlation)與Multiple Regression with stepwise進行資料處理與統計分析。研究結果顯示：
一、本研究對象憂鬱程度得分平均值為10.93分(標準差為±8.81分）。
二、自我照顧行為量表得分平均值為33.26分(標準差為±4.79分)。
三、研究對象之基本屬性與憂鬱程度在統計上均未達顯著差異。
四、「是否使用抗病毒藥物」與自我照顧行為在統計上有顯著差異(t= -8.01, p= .00)。
五、整體自我照顧行為與憂鬱未有顯著相關（r＝-.16, p = .08），進一步分析憂鬱與自我照顧行為四大面向的「飲食與運動」項目呈顯著負相關（r= -.19, p= .03）。
六、具有中度憂鬱（n=17）以上的研究對象，其「是否服用抗病毒藥物」為預測憂鬱之主要變項，整體解釋達41.7％（F=10.72, p= .05）。
七、使用抗病毒藥物是預測自我照顧行為之主要變項，整體解釋力達35％（F=64.25, p＝ .00），具輕度憂鬱傾向（BDI＞19）者（n=47），使用抗病毒藥物與經濟情況(薪水)為預測自我照顧行為之主要變項（F=21.17, p＝ .00），整體解釋力達37％。
本研究結果可了解愛滋個案的憂鬱程度與自我照顧行為現況與影響因素，提供臨床醫護人員照護愛滋病人參考，及早察覺其憂鬱傾向，給予適切性護理，使個案能與疾病自然共存，進而達到良好自我照顧行為以增進生活品質。
關鍵字:愛滋病、憂鬱程度、自我照顧行為

關鍵字

愛滋病 ； 憂鬱程度 ； 自我照顧行為

並列摘要

Title of Thesis: Factors Related to Depression and Self care behavior With AIDS Patients
Institution: Graduate Institute of Nursing, Taipei Medical University
Author: Ying-Ru Chang Chien
Thesis directed by: Chii Jeng, Ph.D., Professor

The purpose of this study was to investigate the factors related to depression and self -care behavior in AIDS patients.
The study was in a cross-sectional and correlational research design with convenience sampling technique applied in this study. Participants included 121 AIDS patients recruited from two local teaching hospitals and Harmony Home association in Taipei.
The research instruments administered were as follows:
(1) Demographic and disease characteristics；(2) Beck Depression Inventory；(3) The Self-care behavior Scale. The self-established self-care scale included four dimensions with fifteen items which was carried out under the circumstances of CVI= .86 and Chronbach’s Alpha .70. Data were analyzed by descriptive statistics, correlation, independent sample t-tests, and multiple regression analysis. Data analysis was conducted with the SPSS/17.0 Windows software statistical package.
The main results are as follows: (1)the mean score of Beck Depression Inventory was10.93±4.79；(2) the mean score of self care scale was 33.26±8.80；(3) There were no significant differences in the individual attributes and depression level；(4) significant differences were revealed between “Use the HAART(Anti-viral drugs)” and self care behavior（t =-8.01, p= .00）；(5) There was no significant correlation between depression and self care ( r=-.16, p= .08), but there was a negative correlation between depression and “diet and exercise” of self-care behavior（r＝-.19, p= .03）; (6) “Use the HAART (Anti-viral drugs)” was a significant predictor in moderate depression and explained 41.7% of the variation (F=10.72, p= .05); (7)the significant predictor of self -care behavior was “Use the HAART(Anti-viral drugs)” .The variable could explain 35% of the variation (F=64.25, p= .00 ) and “Use the HAART(Anti-viral drugs)” and individual economic circumstance were predictive factors of self -care behavior in mild depression patients(BDI>19), these variables could be explained as 37% of the variations( F=21.17, p= .00 ).
This study is helpful for clinical staff to understand the importance and factors of depression level and self-care behavior of these patients and early detection of the sign of depression in AIDS patients. Under proper nursing situations, they can help patients to understand the importance of self-care, which elevates the quality of self-care of these patients and improves their live quality.
Key words: AIDS patients, self-care behavior, depression level

並列關鍵字

AIDS patients ； self-care behavior ； depression level

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