社會支持介入措施對居家中風個案身心健康之影響－以宜蘭地區為例

The Effect of Social Support Intervention on Home-Bound Stroke Patients' Physical and Mental Health in the Ilan Area

張萃珉(Tsui-Ming Chang) ； 李怡娟(I-Chuan Li)

《護理研究》 8卷4期 (2000/08) Pp. 423-434

https://doi.org/10.7081/NR.200008.0423

摘要

本研究之目的主要探討中風個案社會支持系統的來源及運用的情形，藉由社會支持介入措施，期望改變中風個案的身心健康狀況。研究群體來自宜蘭地區中老年人神經疾患之流行病學調查結果，採亂數表隨機抽樣分實驗組與控制組各29名，以實驗研究設計進行。研究結果發現：1.中風個案以六十五歲以上老人爲多，男性多於女性，已婚較多，教育程度以不識字爲主，皆至少有一種宗教信仰且大多爲民間信仰，目前大多無工作，與配偶及其他家人同住者居多。2.中風年數平均7.02年，多數只有過一次中風而沒有複發情形，疾病類別多爲腦梗塞，偏癱部位以左側居多。3.社會支援種類以實質支援最多，訊息支援最少；支援來源以其他家人及配偶爲最主要的支援提供者。4.社會支持介入措施後對身心健康的影響如下：(1)社會支持介入措施後，其生理健康情形較好，其中以功能活動能力最顯著；(2)社會支持介入措施後，其心理健康情形改善，但未達統計上顯著意義，其中以睡眠幹擾改善情形較明顯。建議發展及連結社區正式及非正式支持綱絡，以強化患者社會支持，進而增進其身心健康。

關鍵字

社會支持介入措施 ； 居家護理 ； 身心健康 ； 中風

並列摘要

The purpose of this study was to understand the resources and the utilization of the social support system among stroke patients residing in the Ilan area. The effect of social support interventions on patients physical and mental health status was tested. The research population was obtained from a community-based epidemiological study of neurological disorder patients in middle or old age. The sample was divided into control and experimental group which included twenty-nine subjects each. The study derived several results as follows: 1. Male subjects outnumbered female. Most subjects were over 65 years old. The majority of subjects were married. A majority of subjects reported their educational level as illiterate. All subjects had at least one kind of religious belief, folk beliefs were the most prevalent. In terms of their job status, most were unemployed. Most subjects lived together with their spouses and other family members. 2. The mean time since stroke was 7.02 years. Most had only had one attack and had not suffered any relapses. The most common type of stroke was cerebral infarction, hemiplegia on the left side was significant. 3. The most frequent type of social support was substantial support, the least was informational; Subjects’ families and spouses were the main support source for them. 4. The effects of social support intervention on physical and mental health were as follows: (1) Physical health tended to become better which showed in subjects’ abilities of functional activity. (2) Mental health was improved, however there was no statistical significance. Results of this study are proposed as the development and coordination of social support networks both formal and informal, for home-bound stroke patients in order to improve their physical and mental health.

並列關鍵字

social support interventions ； home care ； physical and mental health ； stroke

參考文獻

Antoncicci, T. C.(1985).Social support: Theoretical advances, recent findings and pressing issues.(Social support: Theory, research, and applications).

Chapman, N. J.,Pancoast, D. L.(1985).Working with the informal helping networks of the elderly: The experience of three programs.Journal of Social Issues.41,47-63.

Cifu, D. X.,Stewart, D. G.(1999).Factors affecting functional outcome after stroke: A critical review of rehabilitation interventions.(Archives of Physical Medicine & Rehabilitation).

Clipp, E. C.,Moore, M. J.,George, L. K.(1996).The content and properties of the Caregiver Activities Time Survey (CATS): An outcome measure for use in clinical trial research on Alzheimer`s disease.American Journal of Alzheimer`s Disease.11(6),3-9.

Cohen, S.,Syme, S. L.(1985).Issues in the study and application of social support.(Social support and health).