肺結核患者社會支持與生活品質的相關研究

Research of Correlation between Social Support and Quality of Life of Tuberculosis Patients

簡聖潔(Sheng-Chieh Chien) ； 姜逸群(I-Chyun Chiang) ； 葉國樑(Gwo-Liang Yeh) ； 黃雅文(Ya-Wen Huang)

《健康促進暨衛生教育雜誌》 38期 (2014/12) Pp. 55-66

摘要

本研究目的為瞭解肺結核患者生活品質和社會支持的關係。研究對象以2012年北部某縣18歲以上初次治療服藥中的肺結核病患1005人為母群體。以配額抽樣的方式抽取樣本，並以問卷訪視的方式進行調查，獲得有效問卷330份，回收率為84.6%，主要結論如下：一、研究對象生活品質構面中最低二名為「生理角色受限」與「情緒角色受限」。二、與結核病患生活品質有關的社會人口學因素，包含年齡、婚姻狀況、家庭收入、社經地位、合併其他慢性病及藥物副作用。三、研究對象感受社會支持的程度屬中度。其排序為：情緒性支持、訊息性支持、實質性支持。而對都治關懷員的支持感受最多，對親戚朋友支持感受最少。四、社會支持與「心理健康」構面得分呈顯著正相關。且對患者提供越多的情緒與訊息支持，將可改善其「心理健康」狀況。

關鍵字

肺結核病 ； 社會支持 ； 生活品質

並列摘要

The purpose of this study was to find out the correlation between tuberculosis patients' self-awareness regarding social support and quality of life. The subjects were chosen from 1005 new diagnosed tuberculosis patients who first time received medication treatment in 2012. The data were collected by structured questionnaire; 330 person's questionnaires were collected. The results were as follows: 1. The results show that the patients only felt moderate support from the society. Most patients felt the emotional support, message support and essentiality support. 2. The ＂role limitation due to physical problems＂ and ＂role limitation due to emotional problems＂ were two lowest dimension for quality of life. Because of the illness, tuberculosis patients' daily life have been greatly affected by physiological and psychological dimension. 3. The demographical factors that affected the patients' quality of life were: marital status, family income, socioeconomic status, combination with chronic disease and medication side effects. 4. we found that there was positive correlation between social support and ＂mental health＂ dimensions. In other words, when the tuberculosis patients obtain more social support, their ＂mental health＂ were better.

並列關鍵字

tuberculosis ； social support ； quality of life