長照機構腦中風住民休閒活動參與和生活品質之研究

A Study on Leisure Participation and Quality of Life Among Stroke Residents in Long-term Care Facilities

吳佩珊(Pei-Shan Wu)

指導教授 ： 黃惠滿

長榮大學/健康科學學院/護理學系(所)/碩士(2016年)

摘要

中文摘要
背景︰長照機構腦中風住民因疾病後遺症造成日常生活活動能力及休閒活動參與的頻率降低，進而影響生活品質。
目的︰探討長照機構腦中風住民休閒活動參與、生活品質及其關係，並找出生活品質之預測因子。
方法︰採橫斷式量性研究設計，以方便取樣方式選取70位長照機構腦中風住民，並以三份問卷收集資料︰個人基本資料表、休閒活動參與量表以及中風衝擊量表。
結果︰長照機構腦中風住民(1)女性在動態性休閒活動參與頻率高於男性。(2)自覺健康狀況與休閒活動參與總頻率、靜態性休閒活動、動態性休閒活動呈顯著正相關；日常生活活動能力與休閒活動參與總頻率、靜態性休閒活動、動態性休閒活動、機構定期活動呈顯著正相關。(3)日常生活活動能力與整體生活品質呈顯著正相關。(4)休閒活動參與總頻率、靜態性休閒活動、動態性休閒活動與整體生活品質呈顯著正相關。(5)日常生活活動能力、自覺健康狀況為生活品質的預測因子，可解釋總變異量之66.2％。
結論/實務應用︰結果強調長照機構護理人員可藉由提供腦中風住民個別性照護、加強日常生活活動能力，增加腦中風住民休閒活動參與的頻率，以提升機構腦中風住民之生活品質。
關鍵詞︰長照機構、腦中風住民、休閒活動參與、生活品質。

關鍵字

長照機構 ； 腦中風住民 ； 休閒活動參與 ； 生活品質

並列摘要

Abstract
Background: Stroke residents at long-term care facilities suffer from sequelae, which impair their quality of life because of lowered abilities of daily living and reduced participation in leisure activities.

Objective: To investigate the relationship between stroke resident’s participation in leisure activities and quality of life at long-term care facilities as well as to identify predictors of their quality of life.

Method: This study employed a cross-sectional quantitative research design. A convenience sampling method was applied to select 70 stroke residents at long-term care facilities as the subjects of the study. Three scales were used to collect data on their basic demographic information, leisure activity participation, and stroke impact scale.

Results:
1)Of the sampled stroke residents at long-term care facilities, the female residents had a higher level of participation in leisure activities than did the male residents.
2)A significant positive correlation was found between perceived health conditions and overall frequency of leisure activity participation, passive leisure activities, and active leisure activities; a significant positive correlation was found between abilities of daily living and overall frequency of leisure activity participation, passive leisure activities, active leisure activities, and periodic activities organized by the facilities.
3)A significant positive correlation was found between abilities of daily living and overall quality of life.
4)A significant positive correlation was found between overall quality of life and overall frequency of leisure activity participation, passive leisure activities, as well as active leisure activities.
5)Abilities of daily living and perceived health conditions were determined to be the predictors of quality of life, in which they explained 66.2% of the variance in quality of life.

Conclusion/practical implications: The findings indicate that to improve quality of life in stroke residents, staff at long-term care facilities may provide individualized care to these residents by enhancing their abilities of daily living and increasing their participation in leisure activities.

Keywords:long-term care facilities, stroke residents, participation in leisure activities, quality of life.

並列關鍵字

long-term care facilities ； stroke residents ； participation in leisure activities ； quality of life.

參考文獻

王思涵、王俊毅（2013）．台灣中老年人慢性期中風患者身心健康之退化狀況．台灣衛誌，32 (4)，383-392。

李雅珍、吳姿誼、邱恩綺、凃富籌、謝清麟（2012）．中風病人整體健康相關生活品質之關聯因素探討．職能治療學會雜誌，30 (1)，53-67。

李炳昭、陳秋曇（2009）．論述休閒、休閒活動與休閒運動．國立台中教育大學體育學系學刊，4，48-57。

李玲玲、徐少慧、顏嘉楓（2012）．基層醫療慢性期腦中風治療與預防成效探討．台灣家醫誌，22 (4)，165-176。

李宗派（2011）．老人的情緒與心理保健．台灣老人保健學刊，7，1-32。