精神科住院病人健康促進生活型態與生活品質之研究-以離島某地區醫院精神科病房為例

The Reaserch of Health-Promoting Lifestyle and Quality of Life in Psychiatric Inpatients：A Case Study Psychiatric Ward of a Hospitol in an Outlying Islands

王秀英(Hsiu-Ying Wang)

指導教授 ： 鄧穎懋 ； 李秀玲

義守大學/管理學院/管理碩博士班/碩士(2017年)

摘要

本研究旨在探討精神科住院病人健康促進生活型態與生活品質的現況，比較不同社會人口變項的精神科住院病人健康促進生活型態與生活品質的差異情形。採問卷調查法，選取離島某地區醫院精神科住院病人為研究母群體，共取得80位有效樣本。研究工具包括「個人基本資料」、「健康促進生活型態量表」、「生活品質量表」等三部分的結構式問卷，所得資料以SPSS18.0版進行分析，獲得結果歸納如下：
一、精神科住院病人平均年齡46.89歲，平均住院時間為5年，男性多於女性，未婚、高中(職)以下居多，自覺健康狀況屬於普通。
二、精神科住院病人健康促進生活型態與生活品質屬中上程度。
三、在健康促進生活型態各分量表以「適當營養」平均得分最高，其餘依序自我實現、人際關係、壓力處理、健康責任、運動平均得分最低。健康促進生活型態不受性別、年齡、婚姻狀況、教育程度、身分類別、殘障鑑定、宗教信仰、住院情形不同而有顯著差異；健康促進生活型態與自覺健康狀況因素有明顯差異。
四、在生活品質各分量表以「生理」平均得分最高，其餘依序環境、社會、心理平均得分最低。生活品質不受性別、年齡、婚姻狀況、教育程度、身分類別、殘障鑑定、宗教信仰、住院情形不同而有顯著差異；生活品質則與自覺健康狀況因素有明顯差異。
五、精神科住院病人健康促進生活型態與生活品質有顯著正相關。
本研究結果期望能夠提供相關單位作為精神科住院病人在健康促進生活型態與生活品質策略提升之參考。

關鍵字

精神科住院病人 ； 健康促進生活型態 ； 生活品質

並列摘要

This study was designed to explore the status of health-promotion lifestyle and quality of life in psychiatric inpatients, and to compare the differences in health promotion lifestyle and quality of life among psychiatric inpatients with different social demographic variables. The questionnaire was used to select 80 valid samples from the hospital psychiatric inpatients in a certain area of the outlying islands. The study tools include the "Personal Basic Information", " Health-Promotion Lifestyle Scale", "Quality of Life Scale" and other three parts of the structured questionnaire, the information obtained by SPSS18.0 version of the analysis. The results are summarized as follows:
1.The average age of psychiatric inpatients was 46.89 years old with conscious health status . The average hospital stay was 5 years, men were more than women, most status of the samples are unmarried, high school degree or vocation school education.
2.Psychiatric inpatient health promotion of life style and quality of life are above the average level.
3.In the health promotion of lifestyle sub-scale, "appropriate nutrition" scores the highest average, the rest of the order of self-realization, interpersonal relationships, stress handling, health responsibility follow, sport average scores the lowest. There were significant differences in health promotion lifestyle and gender, age, marital status, educational level, identity type, disability identification, religious belief and hospitalization status. There was a significant difference between health promotion lifestyle and self-health status.
4.In the quality of life of the subscale, "physiological" average scores the highest, the rest of the environment, social follow, psychological average scores the lowest. The quality of life was significantly different among gender, age, marital status, educational level, identity type, disability identification, religious belief and hospitalization status. There was a significant difference between the quality of life and the self-conscious health status.
5.The correlation of psychiatric inpatient health promotion lifestyle and quality of life were significantly positive.
The results of this study are expected to provide relevant units as a reference for psychiatric inpatients in health promotion lifestyle and lifestyle improvement strategies.

並列關鍵字

psychiatric inpatients ； health promotion lifestyle ； quality of life

參考文獻

李純華(2005)。社區老人健康行為與生活品質之研究。美和技術學院，未出版：屏東縣。

王淑清(2006)。精神分裂症患者生活品質之追蹤研究。台灣大學護理研究所，未出版：台北市。

姜逸群(2006)。健康促進與生活型態。學校體與雙月刊，3，31-35。

丁志音、江東亮(1996)。以健康行為型態分類台灣地區之成年人口群聚分析之應用。中華衛誌，3，175-186。

胡海國(2002)。台灣社區精神疾病流行病學的方法論。當代醫學，29(8)，647-653。