機構內榮民生命意義及生活品質相關性探討

本研究探討機構內榮民生命意義與生活品質之相關性。研究目的為(1)探討機構內榮民的生活品質的現況；(2)探討機構內榮民生命意義的現況；(3)探討機構內榮民的個人屬性、生命意義與生活品質的關係；(4)探討機構內榮民的生活品質重要之解釋因子。本研究採橫斷式相關研究設計，以機構內榮民為研究對象。採立意取樣徵得高雄市、高雄縣及台南市三所榮民之家同意參與研究，各榮家內堂隊為單位，採集束抽樣方式抽樣，共獲得有效問卷225份。研究工具為結構式問卷包括個人屬性、生命意義量表、生活品質量表。量表經過信度檢定，包括內在一致性信度及再測信度。所得資料以百分比、平均值、標準差、獨立樣本t檢定、單因子變異數分析、皮爾森相關分析及逐步複回歸分析。研究結果發現(1)機構內榮民的整體生活品質標準化得分為50.29，屬中等程度；(2)機構內榮民的生命意義標準化得分為42.75，屬中等程度；(3)機構內榮民的整體生活品質，得分最高範疇為環境範疇、得分最低範疇為心理範疇；(4)「校將級」退役榮民生活品質優於「兵」退役榮民、信仰「基督教」的生活品質優於其他宗教信仰或無信仰者、經濟有「結餘」榮民的生活品質優於「不夠用」及「十份困窘」；(5)曾返鄉探親的榮民生命意義高於未返鄉榮民、「校將級」退役榮民生命意義高於其他退役官階榮民、有信仰的榮民生命意義高於無信仰榮民、「大陸」「台灣」有子女的榮民生命意義高於無子女的榮民；不同婚姻狀況的榮民其生命意義高於單身榮民；(6)生命意義愈正向，生理健康範疇、心理範疇、社會關係範疇及環境範疇滿意度愈好，整體生活品質也愈高；(7)慢性疾病數目、經濟狀況、個人價值感、充實感及方向感為重要解釋因子。根據本研究結果，讓臨床護理人員瞭解榮民的生活品質與個人屬性、生命意義的關係，提供臨床實務、護理研究及護理教育之參考。

關鍵字

榮民；生命意義；生活品質

並列摘要

This research was to explore the relevance between meaning of life and quality of life of veterans in institutions. Four purposes of the study were:(1)to explore present quality of life of the institutional veterans,(2)to explore present meaning of life of the institutional veterans,(3)to explore the relationship of demographic data the meaning of life and quality of life among institutional veterans,(4)to explore important explanatory factors of quality of life among institutional veterans. This is a cross sectional research, and institutional veterans are the research subjects. Convenience sampling was used. Three veteran institutional houses were involved in the study, in Kaoshung City, Kaoshung County and Tainan City. Each veteran institutional house was used cluster sampling.225 questionnaires were collected. Structured questionnaire as the research tool, namely the question were of the data of demographic characteristic, meaning of life and quality of life were included. Inner consistency and re-test were applied for the questionnaire reliability. These data have been analyzed by percentage, average, standard deviation, single t-test, Oneway ANOVA, Pearson K-square and Logistic Regression Analysis. Results show that (1) SD score of quality of life for institutional veteran was 50.29, which was in the middle level. (2) SD score of meaning of life for institutional veteran was 42.75, which was in the middle level. (3) Total quality of life for institutional veteran, the highest score was the environment field, and the lowest score was the psychological field. The score was higher for those veterans retired from officer ranking than those lower ranking soldier. Christians were higher than other religious beliefs and none religious beliefs. Economic status with surplusage ones were higher than those insufficient or shortage status. (5) Those who have visited their relatives in mainland China were higher than those never visited. Veterans retired from army commanders ranking were higher than those who retired from other soldies ranking.Veterans with religious beliefs were higher than those who have no religious beliefs. Veterans who have offsprings in mainland China or in Taiwan were higher than those who have none. Veterans with marriage were higher than who keep single. (6)Veterans with positive meaning of life, and high score of satisfactory in physical filed, psychological category, social category and environmental category, would have higher total score of quality of life. (7)Diffenert categories of chronic diseases, economic status, individual value system, sense of fulfillment and sense of direction are important factors of explanatory the quality of life. The result of the research was intended to help clinical nurses understand the relationships among veterans’ quality of life, demographic data and their meaning of life, as a reference for clinical care, research and education.