本研究以橫斷式相關性研究設計,探討初次腦中風患者之記憶表現及其與個人基本屬性、憂鬱和身體活動功能的相關性。以立意取樣方式,取中部某醫學中心復健科病房腦中風病患共100 名為研究對象,並以信、效度良好之魏氏記憶(WMS-III)量表、憂鬱(TLSA-短版CES-D)量表、日常生活功能評量表(BADL)等為研究工具。將所收集的資料以SPSS 12.0 裝軟體進行描述性及推論性統計分析。 研究結果發現如下:(1)初次腦中風患者在WMS- III 主要八個指數分數之平均值介於81.57(視覺延宕指數)至90.63(聽覺延宕再認指數),屬於中等到中下的水準表現。(2)研究對象性別、年齡、婚姻、教育程度、 中風前職業別、肢體偏癱側、中風部位、發病危險因子及發病時間距離訪談天數在整體記憶表現有顯著性差異,意即男性、年齡較輕、未婚者、受教育程度愈高者及中風前有工作者在整體記憶表現程度愈好;左側偏癱者的聽覺記憶中表現較佳;右側偏癱者則在視覺延宕記憶表現較優;中風部位為腦幹、前、中與後大腦動脈與丘腦在聽覺之語言記憶表現較佳;無發病危險因子及發病時間愈短者其記憶表現較好。(3)憂鬱、身體活動功能與記憶表現呈現顯著相關,意即身體活動功能愈佳者,其記憶表現愈好;愈具憂鬱傾向者,其工作記憶表現愈差。(4)本研究發現年齡、身體活動功能、教育、職業別、及發病時間是復健期初次腦中風患者記憶表現之重要預測因子。 研究結果可提供臨床護理人員進一步瞭解初次腦中風患者的記憶表現與基本屬性、憂鬱及身體活動功能的關係。建議日後加強中風患者的記憶表現之評估,進而提供適宜的護理措施,以增進患者記憶表現及生活品質。
The purpose of this study was to explore factors associated with memory performance among first stroke surviors, which included the following: Demographic factors, depression and physical function. Cross-sectional and correlational design was used. This study consisted of 100 clients with first stroke from a medical center in Taichung city. The questionnaires for this study contained personal demography, WMS-III, TLSA-CES-D, and BADL. The data was analyzed by using SPSS 12.0 for window. Results of the study were as follows:(1)The standardized score of WMS-III on patients with first stroke were 81.57 to 90.63, which classified as below the average.(2)Memory performance was significantly correlated with gender, age, marriage, education years, job, hemiplegia side, stroke location, duration of disease, and disease of risk factors.(3)Memory performance significantly correlated with depression and physical function.(4)Age, physical function, education, job, and duration of disease were significant predictors of memory performance. The result of this study provided clinical nurses with the understanding of the first stroke clients’, in relations to depression, physical function, and memory performance. The clinical nurse could develop to observe and find subjects who is low memory performance,then providing appropriate nursing care to promote memory performance and quality of life in first stroke patients.