髖部骨折老年病人術後身體活動功能、憂鬱及生活品質之變化趨勢與影響因素

Influential Factors and Change Trends Associated with Physical Function, Depression and Quality of Life among Elder Patients with Postoperative Hip Fracture

廖苡凱(Yi-Kai Liao)

指導教授 ： 戴玫瑰

高雄醫學大學/護理學院/護理學系碩士班/碩士(2015年)

摘要

本研究目的為探討髖部骨折老年病人術後之身體活動功能、憂鬱及生活品質之變化趨勢與影響因素。本研究為橫斷式相關性研究設計，採方便取樣之結構式問卷調查，共收案49位南部某醫學中心的髖部骨折老年病人為研究對象。研究工具包含個人基本資料、疼痛量表、活動認知量表、社會支持行為量表、身體功能活動狀態量表、生活品質十二題簡短版及老人憂鬱量表十五題簡短版。研究資料以SPSS/PC 19.0視窗版進行描述性統計、廣義估計方程式、皮爾森積差相關係數及線性迴歸分析。
本研究結果顯示：(1)出院後一個月身體活動功能狀態及生活品質有明顯的提升，憂鬱狀態有明顯的降低；(2)身體活動功能狀態與生活品質呈現正相關；憂鬱與身體功能狀態及生活品質均呈現負相關；(3)線性迴歸分析結果顯示，髖部骨折老人出院後一個月身體活動功能的預測因子為「性別」、「宗教信仰」、「過去病史」及「術式」，具有33.3%的解釋力；憂鬱的預測因子為「職業」及「疼痛分數」，具有15.5%的解釋力；生活品質的預測因子為「婚姻」、「職業」、「術式」及「社會支持」，具有22.5%的解釋力。
本研究結果可作為髖部骨折老年病人相關研究之參考，提供護理人員執行髖部骨折老年病人健康促進、評估及照護之依據。

關鍵字

髖部骨折老年病人 ； 身體活動功能 ； 憂鬱 ； 生活品質

並列摘要

The purpose of this study was to explore the influential factors and change trends associated with physical active function status, depression and quality of life among elder patients with postoperative hip fracture. A correlational and cross-sectional research design has been selected for this research, a convenience sampling survey was conducted using structured questionnaires, total of 49 elder patients with hip fractures were recruited from a medical center hospital in southern Taiwan. The questionnaires included personal background information, pain Visual Analogue Scale (VAS), mobility knowledge scale, Inventory of Socially Supportive Behavior (ISSB), physical active function status scale, Medical Outcomes Study Short-Form (SF-12), Geriatric Depression Scale-Short Form (GDS-SF). All data were analyzed using SPSS version 19.0 statistical software. The statistical methods included descriptive statistics, Generalized Estimating Equations(GEE), Pearson’s product-moment correlation coefficient, and linear regression analysis.
The results of this study were as follows: (1)Physical active function status and quality of life were raised significantly, but depression status were decreased significantly during the first month after hospital discharge; (2) Physical active function status was positively correlated with quality of life, depression status was negatively correlated with physical function status and of quality of life; (3)Linear regression showed that physical function status, depression, the numbers of chronic illness, and gender were the predictors of the physical active function status, and explained 33.3% of the variance; job and pain scale were the predictors of the depression status, and explained 15.5% of the variance; marriage, job, operation and social supports were the predictors of the quality of life, and explained 22.5% of the variance during the first month after hospital discharge.
The results of this study could be helpful for elder patients with hip fractures -related research. The nurse staff member can provides health promotion programs, assessment, and care to elder patients with hip fractures.

並列關鍵字

Elder Patients with Hip Fracture ； Physical Function ； Depression ； Quality of Life

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