腦中風患者復健期之生活品質及其相關因子之研究

王寶珍

doi:10.6834/csmu202100106

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腦中風患者復健期之生活品質及其相關因子之研究

Quality of life and related factors among patients with stroke during rehabilitation

王寶珍 , Masters　　Advisor：白香菊　　

繁體中文 DOI： 10.6834/csmu202100106

腦中風患者；淡漠；活動參與；生活品質； stroke patients ； apathy ； activity participation ； quality of life

Abstract │ Reference (43) │ Altmetrics

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Background: Stroke is the fourth leading cause of death in Taiwan with the number of stroke survivors gradually increasing. The treatment goals of stroke patients have also evolved from a traditional focus on maintaining and restoring physiological function to aiming to improve patients’ overall quality of life. However, apathy may have an impact on the stroke survivor caregivers’ stress level, patients’ own disability, and quality of life. Furthermore, there is a lack of relevant research on apathy, activity participation, and quality of life for stroke survivors.
Objective: The purpose of this study was to explore the related factors that affect stroke survivors’ quality of life during their rehabilitation, and to further analyse the impact of apathy and activity participation on their quality of life.
Methods: A cross-sectional correlation study design was adopted. Participants were sampled from neurosurgery ward and rehabilitation ward, and the outpatient clinic of a medical center in Taiwan. The Barthel Index, Stroke Specific Quality of Life Scale, and Apathy Evaluation Scale were used to collect data, and all data is analyzed using the SPSS 22.0 Chinese version package software for descriptive statistics, independent sample t-test, single factor variance analysis, and multiple stepwise regression analysis.
Results: A total sample of 100 stroke patients was enrolled in this study with a mean age of 59.89 years (SD = 12.139). The findings show that quality of life was significantly negatively correlated with apathy (r = -0.702, p = .000), that is, patients which reported higher apathy presented lower the quality of life. Conversely, quality of life was significantly positively correlated with activity participation (r = 0.860, p = .000), that is, patients reporting higher activity participation presented a higher quality of life. The regression analysis shows that the beta value of participation in activities was the largest (beta = 0.689), indicating that it has a greater predictive power for ‘quality of life’, which could explain 79.3% of the total variation. Activity participation, apathy, history of hypertension, and age explain 84.5% of the total variation in ‘quality of life’.
Conclusion: Important factors that affect the quality of life of stroke patients during the rehabilitation period include activity participation, apathy, and a history of hypertension.

Reference ( 43 ) 〈TOP〉

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．台灣公共衛生雜誌，32（4），383–392。
李金和、王俊毅、林怡儒（2012）．慢性腦中風復健門診患者之健康相關生活品質及其相關因素探討．長期照護雜誌，12（2），143–158。
李雅珍、吳姿誼、邱恩琦、涂富籌、謝清麟（2012）．中風病患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。
冼鴻曦、劉文欽、楊儀華（2015）．有效提升中風患者的日常生活功能—急性後期照護之成效分析．臺灣老年醫學暨老年學雜誌，10（3），159–171。
林佩欣（2008）．中風患者的成效測量—生活品質．台灣腦中風學會會訊，15（1），7–9。

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