頁籤選單縮合
題名 | 腦中風患者居家日常生活功能進展之相關因素研究=Study of the Activity of Daily Living of the Discharged Stroke Patients |
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作者 | 黃惠滿; 王琪珍; Huang, H. M.; Wang, C. J.; |
期刊 | 大仁學報 |
出版日期 | 19990500 |
卷期 | 17 1999.05[民88.05] |
頁次 | 頁279-292 |
分類號 | 419.73 |
語文 | chi |
關鍵詞 | 腦中風; 居家患者; 日常生活功能進展; Stroke; Activity of daily living; Discharged patients; |
中文摘要 | 本研究目的乃是追蹤台灣南部某醫學中心及四所區域醫院神經內、外科與復健科病房出院的腦中風患者103 位之日常生活功能進展與相關影響因素,於收案當時(即第一次訪視),測量患者日常生活功能得分(score of Barthel Index)、社會心理變項(焦慮與憂鬱、自信心及家庭與庄會支持)、個人健康史、居家時間長短、人口學特徵、有無護理問題...等。於第一次訪視三個月後進行第二次訪視,再次測量日常生活功能得分。社會心理問卷(焦慮與憂鬱自信心及家庭與社會支持) 請專家砰定內容之有效性,並以內在一致性測試信度(Cronbach's alpha)其值分別為0.92,0.90,0.93。結果以逐步邏輯複迴歸調整第一次訪視測得日常生活功能得分,發現出院後居家時間長短、人口學特徵如個案性別、年齡、婚姻狀態、經濟來源... 及個人健康史如風次數、出血性或阻塞性中風等變項與研究對象之日常生活功能有無進展,無統計上的相關,而患者的焦慮與憂鬱程度高低,家庭與社會支持亦與日常生活功能進展與否無統計相關。但研究對象的日常生活功能在此期間無進展者,與其第一次訪視測得的自信心較低、及較多人有一個或以上的護理問題,達統計上顯著差異,此結果將可以提供護理專業人員提高腦中風居家患者日常生活功能進展方案介入之策略擬定參考。 |
英文摘要 | This study evaluated the daily living activities and related correlating factors of 103 discharged stroke patients. According to the duration of discharge, the patients were divided into two groups:(1) 52 patients discharged within three months. (2) 51 patients discharged more than three months. The first interview included measurements of patient's ADL(in term of Barthel index), anxiety and depression, self-confidence, family and social support, healht history, duration of discharge, demographic characteristics, nursing problem, etc. They were revisited and the similar measurements were conducted. The scale of measuring anxiety and depression, Family and social support, and self-confidence was revised according to Wu and Chen(1985), which was tested for its consistent reliability (Cronbach's alpha was 0.82,0.93 and 0.90) The data were converted to Odd's ratio, and were analyzed by Woolf's Methods as well as T-test, Logistical regression analysis was utilized to evaluate the first and second data collected. Through Logistical regression analysis, there were no statistical correlation between ADL and duration of discharge, demographic characteristics, sex, age, marital status, economic status as well as health history. For the patients without improving ADL, Their selfconfidence were lower (βof 95% CI:-0.23∼- 0.02), as well as more likely to have nursing problem (βof 95%CI: 0.58∼ 3.84). In conclusion, the patients wothout improved ADL, showed dower selfconfidence and more likely to have nursing problem. However, there were no statistical correlation between ADL and degree of anxiety and depression. |
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