失能患者日常生活活動與其生活滿意度之相關性

Association Between Activities of Daily Living and Life Satisfaction Among Disabled Patients

劉千琪(Chien-Chi Liu) ； 洪麗珍(Li-Chen Hung) ； 郭憲文(Hsien-Wen Kuo)

《Mid-Taiwan Journal of Medicine》 6卷3期 (2001/09) Pp. 157-166

https://doi.org/10.6558/MTJM.2001.6(3).5

摘要

Object. To investigate the relationship between activities of daily living (ADL) and life satisfaction among disabled patients.
Methods. The method of cross-sectional investigation was used in our research. In Taichung County, 226 disabled patients were enrolled in this study based on two criteria: Barthel Index Score (＜80), and age (over 18 years). A structured questionnaire included patients' demographic information, health status, activities of daily life (ADL), pharmacological history and life satisfaction.
Results. The results showed that 89.8% of disabled patients were ADL dependent. Life satisfaction depended on chronic disease, sex, age, duration of daily care, perceived financial burden, perceived health status and ADL dependency (p＜0.05).ADL dependency was negatively related to duration of daily care, but positively related to perceived financial burden and perceived health status. Patients' satisfaction with life and satisfaction with physical condition can be assessed by ADL (Barthel index) scores. Using stepwise multiple regression, perceived health status, ADL dependency, perceived financial burden, and education levels among disabled patients can explain 30% of the total variance in life satisfaction for ADL dependency. Conclusions. Patients with greater ADL dependency were less satisfied with life. The factors influencing life satisfaction were: perceived health status, ADL dependency, perceived financial burden and level of education.

關鍵字

日常生活活動依賴,失能病患,生活滿意度

並列摘要

Object. To investigate the relationship between activities of daily living (ADL) and life satisfaction among disabled patients.
Methods. The method of cross-sectional investigation was used in our research. In Taichung County, 226 disabled patients were enrolled in this study based on two criteria: Barthel Index Score (＜80), and age (over 18 years). A structured questionnaire included patients' demographic information, health status, activities of daily life (ADL), pharmacological history and life satisfaction.
Results. The results showed that 89.8% of disabled patients were ADL dependent. Life satisfaction depended on chronic disease, sex, age, duration of daily care, perceived financial burden, perceived health status and ADL dependency (p＜0.05).ADL dependency was negatively related to duration of daily care, but positively related to perceived financial burden and perceived health status. Patients' satisfaction with life and satisfaction with physical condition can be assessed by ADL (Barthel index) scores. Using stepwise multiple regression, perceived health status, ADL dependency, perceived financial burden, and education levels among disabled patients can explain 30% of the total variance in life satisfaction for ADL dependency. Conclusions. Patients with greater ADL dependency were less satisfied with life. The factors influencing life satisfaction were: perceived health status, ADL dependency, perceived financial burden and level of education.

並列關鍵字

ADL dependency,disabled patients,life satisfaction