門診腦中風患者之生活品質及其相關因素探討

Quality of Life and Related Factors among Stroke Outpatients

高瓊芳(Chiung-Fang Kao) ； 江慧玲(Hui-Ling Chiang) ； 史麗珠(Li-Chu Shih) ； 劉祥仁(Shiang-Jen Liu)

《實證護理》 4卷2期 (2008/06) Pp. 127-137

https://doi.org/10.6225/JEBN.4.2.127

摘要

本研究為一橫斷式調查研究，目的在探討門診腦中風患者生活品質及其相關因素。以北部某醫學中心腦神經內科門診之腦中風患者為研究對象，共收案161位。採結構式問卷進行資料收集，問卷包括：人口學與疾病特性問卷、社會支持量表、維持良好生活品質之自我效能量表、及台灣版中風患者生活品質量表(Stroke Specific Quality of Life Scale-Taiwan Version, SSQOL-TV)。所測得之資料以描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森積差相關、及線性複迴歸進行資料分析。研究結果如下：(1)社會支持、自我效能與生活品質皆屬於中等程度。(2)中風患者之「年齡」、「經濟狀況」、「工作狀況」、「中風次數」、及「日常生活活動功能」的不同，其整體生活品質會有顯著差異。(3)整體社會支持與整體生活品質呈顯著正相關；自我效能與整體生活品質呈顯著正相關。(4)「日常生活活動功能」、「整體社會支持」、「自我效能」、「工作狀況」、及「中風次數」可解釋整體生活品質總變異量80.4%。本研究結果可提供護理人員瞭解門診中風患者社會支持、自我效能、及生活品質，並作為提升中風患者生活品質之參考依據。

關鍵字

腦中風 ； 社會支持 ； 自我效能 ； 生活品質

並列摘要

The purpose of this cross-sectional study was to explore quality of life and related factors among stroke patients in an Outpatient Department (OPD). One hundred and sixty-one stroke patients were recruited from the neurological OPD of a medical center in Taipei. Data collection was done by structured questionnaires. The questionnaires included: Demographic data and disease characteristics, Social Support Scale, Self-Efficacy Scale, and Stroke Specific Quality of Life Scale - Taiwan Version (SSQOL-TV). Data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Pearson product-moment correlation, and multiple linear regression. The main outcomes of this study were: (1) Social support, self-efficacy, and quality of life were at the medium level. (2) There were significant differences between age, financial status, employment status, number of strokes, activities of daily living (ADL), and overall quality of life in stroke patients. (3) Overall social support and overall quality of life were positively correlated. Self-efficacy and overall quality of life were positively correlated. (4) ADL, overall social support, self-efficacy, employment status and number of strokes predicted 80.4% of the total variances in overall quality of life. The results of this study might help nurses to understand social support, self-efficacy and quality of life among stroke patients in OPDs. They might also serve as a reference in the promotion of stroke patients' quality of life.

並列關鍵字

stroke ； social support ； self-efficacy ； quality of life