脊髓損傷病人身心社會調適之探討

Bio-psychosocial Adjustment in Spinal Cord Injury Patients

張昭容(Jan-Rong Chang) ； 程敏華(Mein-Hua Cheng) ； 張維琴(Wei-Chin Chang) ； 黃子珍(Tzyy-Jen Huang)

《榮總護理》 27卷4期 (2010/12) Pp. 373-381

https://doi.org/10.6142/VGHN.27.4.373

摘要

本文為一追蹤性描述相關性研究，目的是探討脊髓損傷病人身心社會調適之狀況，分二階段收案，住院三天內為第一階段，間隔三個月為第二階段，於台北某神經修復科病房，立意取樣共收案42位病人，採結構性問卷進行資料之收集。結果顯示：(1)在二階段病人的生理困擾調適均以神經痛、性功能障礙最感困擾；而心理社會調適程度，均以工作和性生活調適較差；(2)二階段分析均發現心理社會調適和社會支持均呈顯著正相關；(3)二階段分析病人生理困擾調適與整體心理社會調適，均呈顯著負相關；(4)病人在二階段的身心社會調適並無顯著差異。研究結果可提供臨床照護脊髓損傷病人生活照護藍圖設計，提供出院準備護理指導計畫和持續性照護之參考。

關鍵字

脊髓損傷 ； 身心社會調適 ； 社會支持

並列摘要

The purpose of this descriptive survey study was to investigate bio-psychosocial adjustment in SCI patients admitted into a hospital. The initial three days were considered as the first stage and the subsequent three-month intervals were the second stage. The study consisted of 42 patients with SCI selected by purposive sampling from a medical center in Taipei. The results were: (1) Neuralgia and sexual dysfunction were the most difficult physical distress adjustments in both stages of SCI patients. (2) Vocational environment and sexual relation adjustment were the most difficult bio-psychosocial adjustment in both stages. (3) Physical distress adjustment was significantly correlated with overall psychosocial adjustment for patients in both stages of SCI. (4) Bio-psychosocial adjustment was not significantly correlated with both stages of SCI patients.
The results of this study may provide guidance for designing hospital and home care plan, discharge program and continuous nursing intervention in SCI patients.

並列關鍵字

spinal cord injury ； bio-psychosocial adjustment ； social support