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。
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.
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