慢性阻塞性肺部疾病病人習得智謀、憂鬱症狀與健康相關的生活品質之相關因素探討

Related factors, learned resourcefulness, depressive symptoms, and health related factors quality of life in patients with chronic obstructive pulmonary disease

吳香勳(Hsiang-Hsun Wu)

指導教授 ： 黃瓊玉

義守大學/醫學院/護理學系/碩士(2017年)

摘要

慢性阻塞性肺部疾病為一慢性疾病，隨著罹病時間延長對於生活品質的影響相對增強，而當自我控制調適不佳時，甚至會有憂鬱症狀進而影響慢性阻塞肺疾病病人身、心、靈性的平衡。本研究目的為探討慢性阻塞性肺部疾病病人習得智謀、憂鬱症狀與健康相關的生活品質之相關因素。此研究方法為橫斷性、描述相關性研究，採便利取樣，於南部某區域教學醫院收案，共60位。研究工具包括基本屬性、疾病特性、自我控制量表、台灣人憂鬱量表、生活品質量表。使用SPSS17.0統計軟體，進行描述性統計；包括百分比、平均值、標準差、最大值、最小值；推論性統計分析包括獨立樣本t檢定、皮爾森積差分析、線性迴歸分析方法。
研究結果顯示，慢性阻塞性肺疾病病人基本屬性與整體生活品質之關係中，罹病年數與整體生活品質之間呈現負相關；整體生活品質與習得智謀呈現正相關，顯示當自我控制能力越好，在生活品質上也會越好；而憂鬱症狀與整體生活品質呈現負相關(P<0.01)。於整體生活品質中，可分為生理、心理、社會及環境四構面，其中，年齡與生理、環境構面呈現正相關(P<0.01；P<0.05)；習得智謀與心理構面呈現正相關(P<0.01)。憂鬱症狀與習得智謀呈現負相關(P<0.01)。研究結果能提供醫療人員照護訊息，提供未來運用在衛生教育提升病人習得智謀(自我控制力)，讓病人學習自我照顧技能，進而提升生活品質，並降低憂鬱症狀的產生。

關鍵字

慢性阻塞性肺疾病 ； 習得智謀 ； 憂鬱症狀 ； 生活品質

並列摘要

Chronic obstructive pulmonary disease as a chronic disease, with the affected time extension for enhancing quality of life, and when controlling self-adjustment is poor, even with depressive symptoms and chronic obstructive pulmonary disease person, mind and spiritual balance. The purpose of this study for patients with chronic obstructive pulmonary disease acquisition resourcefulness, depressive symptoms and related factors of health-related quality of life. This research method is cross-sectional, descriptive correlational research, convenience sampling, the inclusion in a regional teaching hospital in the South, attended by 60. Includes basic properties, disease-specific research tools, self-control scale, Taiwan people depression scale, quality of life scale. SPSS17.0 software, descriptive statistics, including percentages, mean, standard deviation, maximum and minimum values; inferential statistical analysis including independent samples t test, Pearson, linear regression analysis method.
Results showed that patients with chronic obstructive pulmonary disease basic attribute relationship and overall quality of life, suffering from years of negative correlation with the overall quality of life; the overall quality of life associated with the acquisition of wisdom is, shows better self-control, on the quality of life will be better and depressive symptoms and overall quality of life negatively correlated (P<0.01). In the overall quality of life, can be divided into four dimensions of physical, psychological, social and environment, in which the age associated with the physiological and environmental dimensions are (P<0.01;P<0.05)； the acquisition of wisdom and psychological dimensions of positive correlation (P< 0.01). Depressive symptoms and the acquisition of wisdom, a negative correlation (P< 0.01). Research results will provide medical care information, future use in promoting patient health education acquisition of ingenuity ( self-control ), let the patient learn self-care skills, and enhance their quality of life and reduce depressive symptoms.

並列關鍵字

Chronic obstructive pulmonary disease ； acquisition ； depressive symptoms ； quality of life

參考文獻

余民寧、黃馨瑩、劉育如(2012)．「台灣憂鬱症量表」心理計量特質分析報告．測驗學刊，58(3)，479-500。

余美惠、吳柏翰、李彥弘、徐錦興(2013)．身體活動對慢性阻塞性肺病患者肺功能與生活品質成效評估．南台灣醫學雜誌，9(1)，40-49。

吳蕙屏、范國聖、蔡宗益(2012)．臺灣慢性阻塞性肺疾病患者憂鬱症發生率之世代追蹤研究．志為護理，11(6)，66-75。

呂碧英、陳美黛、陳明仁(2010)．重度慢性阻塞性肺疾病患者的緩和呼吸照護．呼吸治療，9(1)，53-62。

周麗華(2009)．透析患者的憂鬱現象及其護理處置．臺灣腎臟護理學會雜誌，8(2)，18-28。