SF-36生活品質問卷於髖骨骨折老年患者之適用性探討

Transferability of SF-36 Quality of Life Scale among Hip Fractured Elderly

蔡秀欣(Hsiu-Hsin Tsai) ； 徐亞瑛(Lotus Yea-Ing Shyu)

《新臺北護理期刊》 4卷1期 (2002/02) Pp. 53-63

https://doi.org/10.6540/NTJN.2002.1.005

摘要

本研究目的旨在以質性研究法探討SF-36生活品質問卷在髖骨骨折老年患者之適用性。採立意取樣，於北部某醫學中心收集個案，凡年齡在六十五歲以上、意識清楚、經醫學診斷為髖骨骨折均收為研究對象，資料飽和時即時停止收案，共收得5位個案。資料分析是位Miles和Huberman質性研究分析法加以分析整理，且由文獻查證並依著SF-36量表建立編研表。結果發現幾個概念是老人在髖骨骨折後感受最重要的事情及造成身、心上限制、困擾SF-36問卷本身所包含八大概念(生理功能、因生理功能造成的角色受限、因情緒造成的角色受限、社會功能、身體疼痛、對健康一般性的看法、活力、一盤性心理健康狀況)在大部分資料分析中有被歸納出。而SF-36問卷本身則較缺乏對於疾病本身的症狀，及其症狀所造成的影響等相關問題做探討。且告卷以老年失能病患為施測對象時，環境之相關內容題目也應加入探討，則將對其之生活品質有完整的探討。本研究可提供研究者使用SF-36生活品問卷時之參考。

關鍵字

SF-36生活品質問卷 ； 適用性 ； 髖骨骨折 ； 老人

並列摘要

The purpose of this qualitative study was to test the transferability of Short-Form 36(SF-36) Quality of Life Scale among hip fractured elders. Five fractured patients aged 65 yeas or older who were conscious clear and admitted to the general orthopedic trauma unit of a medical center in Northern Taiwan were recruited. Data were analyzed based on the qualitative data analysis method of Miles and Huberman. The and coding book was established based on the concept of SF-36 and literature review. Some concepts were identified, which included, limitation of daily function, social life, health belief, symptoms, sleep disturbance, mental status, vitality and environmental factors. The identified concepts were almost the same as the eight concepts in SF-36; however the SF-36 scale lacked the symptoms and the symptoms related effects. Furthermore, when using the SF-36 scale in the disabled elderly, environmental questionnaires should be added in the scale. Results of this study can offer researchers further information about SF-36 Quality of life Scale

並列關鍵字

SF-36 Quality of Life Scale ； transferability ； hip fracture ； elderly