結核病患社會支持與生活品質的相關性探討

Research of Correlation between Social Support and Quality of Life of Tuberculosis Patients

簡聖潔(SHENG-CHIEH CHIEN)

指導教授 ： 姜逸群 ； 葉國樑

國立臺灣師範大學/教育學院/健康促進與衛生教育學系在職進修碩士班/碩士(2013年)

摘要

中文摘要
本研究乃藉由了解結核病患者自覺獲得社會支持及整體生活品質的狀況，進而瞭解兩者的相關性，以利各相關單位擬定策略強化支持性的環境，使病患獲得更優質的生活。研究對象以101年桃園縣診斷確認為結核病，初次治療並服藥中的1005人為母群體，獲得有效問卷數330份，回收率為84.6％，主要研究結果如下：
一、研究結果顯示研究對象感受社會支持的程度屬中度。社會支持功能排序為：情緒性支持、訊息性支持、實質性支持。而對都治關懷員的支持感受最多，對親戚朋友支持感受最少。
二、研究對象生活品質構面中最低之二名為「生理角色受限」與「情緒角色受限」，可得知結核病患者因疾病關係在生活品質上，不管是生理或心理上皆受到許多的限制，嚴重影響生活品質，
三、社會人口學資料中影響肺結核病人生活品質的因素，有年齡、婚姻狀況、家庭收入、社經地位、合併其他慢性病及藥物副作用。
四、相關性結果上發現社會支持與「心理健康」構面得分呈顯著正相關，換言之當結核病患者獲得越多社會支持其「心理健康」狀況越佳。且對病患提供越多的情緒與訊息支持，將可改善其「心理健康」狀況。
五、所有預測變項共可解釋生活品質其總變異量的25.3%。

關鍵字

結核病 ； 社會支持 ； 生活品質

並列摘要

Abstract

The purpose of this study is to find out the correlation between tuberculosis patients’ self –-awareness regarding social support and quality of life. It can be used for other health institutions to introduce associated policies to enhance supportive environments so that patients can have quality life. The study subjects were basically chosen from 1005 new diagnosed tuberculosis patients who first time received medication treatment at Tao Yuan County in 2012. The questionnaire was used for data collection; 330 questionnaires were collected and the effective response rate was 84.6%. The results were as follows:

1.The results show that the participants only felt moderate support from the society. The order of different kinds of social support was: emotional support, message support and essentiality support. In addition, the study participants felt most support from the careing members of Direct Observed Treatment , but least support from friends.
2.The 「role limitation due to physical problems」 and 「role limitation due to emotional problems」were two lowest dimension for quality of life in the analysis results. From the results, we have learned that because of the illness, tuberculosis patients’ daily life have been greatly affected physiologically and psychologically.
3.In demography, the causes of tuberculosis patients’ quality of life were: ago, marital status, family income, socioeconomic status, combination with chronic disease and medication side effects.
4.we found that there was positive correlation between society support and 「mental health」dimensions. In other words, when the tuberculosis patients obtain more social support, their 「mental health」were better. Furthermore, if we provide more emotional and message supports, the patients mental health can be increased.
5.All the predicted variables explain 25.3% Variance of quality of life.

並列關鍵字

Tuberculosis ； Social support ； Quality of life

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