肢體障礙學童主觀感受生活品質的影響因素

背景和目的：本研究目的為調查肢體障礙學生之主觀感受生活品質，並分析影響其生活品質的相關因素。方法：徵召63位來自於高雄市國小五年級至高中（職）階段之11~18歲的肢體障礙學生，使用學生版全面性生活品質量表(Student Version of the Comprehensive Quality of Life Scale)主觀感受測量部分作為問卷調查研究工具，雙樣本t檢定分析具有不同因素特性（性別、年齡、障礙等級及班級類型）之學生其主觀生活品質的差異情況。結果：男女性別對於肢障學生其平均得分沒有顯著差異，相較於國小／國中階段學生的得分，高中（職）學生之主觀生活品質中健康、安全感及快樂感三個層面之得分在統計學上呈現顯著較低的分數，而在社區地位暨人際關係層面之得分則較高；比較輕／中度障礙等級之學生及重度／極重度等級的學生，兩組之得分並沒有顯著的差異；在班級類型方面，就讀特殊班學生之主觀生活品質快樂感層面得分顯著地高於融合班的學生。結論：年齡因素對於肢障學生之健康、安全感、快樂感及社區地位暨人際關係層面，以及班級因素對於快樂感層面的主觀感受生活品質有顯著的影響。這些結果可作為學校單位及家長在協助肢障學童生活品質不同層面的適應及改進學習情況時之參考。

關鍵字

生活品質；主觀感受；肢體障礙

並列摘要

Background and Purpose: The aims of this study were to investigate the self-perceived quality of life (QOL) in childhood and adolescent students with physical disability (PD), and to examine factors associated with their QOL. Methods; Sixty-three children and adolescents with PD aged 11-18 years were recruited from primary to high schools (5th grade or above) in Kaohsiung city to participate in the study. The Student Version of the Comprehensive Quality of Life Scale (ComQOL) was used to measure self-perceived QOL. Two-sample t-test was used to test any significant differences in QOL scores between genders, age groups, disability levels and class settings. Results: There were no significant differences in QOL score among genders or disability levels. Significantly lower QOL score in the domains of health, safety and emotion wellbeing were found in the older age (16 to 18 years) group compared with those of the younger age (11 to 15 years) group. Higher QOL score domain of the place in community was also found in the older age group. Compared with students of special class and inclusive class had significantly lower QOL score in the domain of emotional wellbeing. Conclusions: Age and class setting are likely to affect self-perceived QOL in children and adolescents with PD. These should be taken into considerations when special educators and parents attempt to improve life adaptation and learning performance for students with PD.

並列關鍵字

Quality of life ； Subjective perceive ； Physical disability

國際替代計量

肢體障礙學童主觀感受生活品質的影響因素

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