透過您的圖書館登入
IP:3.80.131.164
  • 學位論文

脊髓損傷患者社會資源應用與生活品質之相關探討

A Correlation Study on Uses of Social Resources and Quality of Life in Individual with Spinal Cord Injury

指導教授 : 楊其璇

摘要


台灣地區每年有1200人以上脊髓損傷新案例產生,脊髓損傷者會因面臨不同程度的身體殘障、心理衝擊與環境障礙等因素,而影響著回歸社會之意願。因此,社會資源的流通與有效落實,將影響脊髓損傷者的心理復原與願意重新面對自我的意願。目前,台灣身心障礙者的社會福利包括:現金補助、醫療復健、養護機構安置、教育保障及職業訓練和就業保障等,本研究即探討脊髓損傷者社會資源應用情形與生活品質之相關性。採橫斷式研究設計,以「脊髓損傷生活品質量表」與研究者自擬之「脊髓損傷患者社會資源應用量表」為研究工具,調查台中市脊髓損傷者協會會員共242位,回收有效問卷102份(回收率48.6%),以平均值、百分比、標準差、皮爾森績差相關及多元迴歸進行資料分析。 研究結果發現:研究對象對政府提供之社會資源主要利用在生活、輔助器具及保險費補助、核發專用停車證、復康巴士服務、票證優待及特別扣除額減免等項目;社會資源應用之滿意度與整體生活品質皆為中等程度滿意;教育程度、就業情形、傷期、社會資源應用情形、社會資源應用之滿意度與生活品質呈正相關,而功能障礙程度與生活品質呈負相關;經多元迴歸分析發現「功能障礙程度」為預測脊髓損傷者生活品質之重要影響因素,可解釋22.2%之變異量。期望藉此研究結果可以提供臨床醫護同仁及政府機關團體有效推廣及應用社會資源,進而增進脊髓損傷者之生活品質。

並列摘要


More than 1200 new cases of spinal cord injury(SCI)are diagnosed every year. Individuals with spinal cord injury could be affected by varied degrees of body disabilities, physical impacts, and environment barriers and these may further impinge on their will of returning to society. The accessibility and availability of social resources play a role in the psychological wellbeing of individuals with SCI. Currently, social resources available to these population include: cash subsidy, rehabilitation care, placement of care institution, education fund, vocational training, and employment. This cross-sectional study explored the relationship between the uses of social resources and the quality of life among individual with SCI. The researcher used two instruments, “Life Quality Scale of Spinal Cord Injury” and “Social Resource Application Scale of Spinal Cord Injurers” to investigate members of Taichung City Spinal Cord Injurers Association. 102 effective questionnaires were returned, with a return rate of 48.6%. The findings of the study were as follow: (1) social resources provided by the government and used by the participants of this study included assistive device and insurance subsidy, handicapped parking permit, Fu-Kang bus service (a rehabilitation bus service), discounted ticket for handicapped individuals, and special tax deduction; (2) participants were moderately satisfied with the social resource and their overall quality of life; (3)education level, employment, injured period, social resource application, social resource application satisfactory are positively related to quality of life, but negative related to functional barrier; (4) results from multiple regression analysis indicated “functional barrier” to be an predictive factor of quality of life among the participants, and it explained 22.2% variance. Findings from this study could serve as references to the healthcare clinician and the government for future planning of social resources to individuals with SCI as well as the promotion of those resources to individuals in need. With available and accessible resources, quality of life of individuals with SCI may be enhanced.

參考文獻


黃全慶(2010)‧瑞士社會福利發展與體制分析‧朝陽學報,15, 141-158。
周俐君、王智弘、姜義村(2009)‧脊髓損傷者就業、工作滿意度與生活品質研究‧復健諮商,3,77-104。
任麗華、林堤塘(2008)‧身心功能障礙者服務需求之探討:學習、醫療、就業服務及照護體系-以彰化縣為例‧復健諮商, 2,29-48。
鳳華、張瑋珊、江奕葶、黃雅蘋(2007)‧脊髓損傷者生涯輔導團體之行動研究‧復健諮商,1,65-104。
林金定(2007)‧澳大利亞身心障礙者福利服務與健康照護概況分析‧身心障礙研究,5(2),121-135。

被引用紀錄


張協源(2007)。論我國公司治理規範-兼論公司內部稽核制度完善〔碩士論文,國立中央大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0031-0207200917351586

延伸閱讀