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Title: 下半身癱瘓者失能程度與生活品質之相關性研究
The Correlation of Disability Severity and Quality of Life in Patients with Paraplegia
Authors: 吳亭芳
Wu, Ting-Fang
Huang, Wen-Chih
Keywords: 下半身癱瘓
Quality of Life (QoL)
Issue Date: 2015
Abstract: 本研究旨在瞭解下半身癱瘓者的失能程度與其出院後健康相關生活品質(整體生活品質、整體健康、生理健康範疇、心理範疇、社會關係範疇、環境範疇)的相關情況,以及就業與婚姻狀況是否造成其生活品質的差異? 方法:本研究採立意取樣, 共有36位中部某區域教醫院復健科脊髓損傷病患及該地區脊髓損傷協會之會員,年齡18至55歲,認知正常的下半身癱瘓者參與本研究。以身心障礙鑑定功能量表成人個案版測量其失能程度,並利用脊髓損傷生活品質問卷測量其對健康相關生活品質的滿意程度。資料分析以Pearson積差相關係數(γ)來瞭解其失能程度與生活品質之相關;並以t檢定分別分析就業及婚姻狀況在其生活品質上的差異。 研究結果發現:(1) 下半身癱瘓者的失能程度與其生活品質呈現低至中度負相關。(2)有就業的下半身癱瘓者僅在「生理健康範疇」及「環境範疇」的生活品質顯著高於無就業者,其他範疇並無顯著差異。無婚姻之下半身癱瘓者僅在「生理健康範疇」的生活品質顯著高於有婚姻者,其他範疇並無顯著差異。 結論:下半身癱瘓者自覺對生活品質環境範疇的不滿意程度會影響其社會參與及就業,因此,提高個案的社會參與及就業或許可提升脊髓損傷個案的生活品質;此外,無障礙環境及設施、適當的輔具或他人協助、社會參與及就業也會影響下半身癱瘓者的生活品質。
This study aims to investigate the correlation of disability severity and quality of life in patients with paraplegia after discharged from the hospitals. In addition, the study would also explore if there is difference of the quality of life caused by the employment condition and marriage status in patients with paraplegia. Methodology: Thirty-six patients with paraplegia, aged from 18 to 55, recruited from the rehabilitation department of a regional teaching hospital in central Taiwan and the Association of Spinal Cord Injury in that area, participated in this study. These participants are patients with normal cognition. The Functioning Scale of the Disability Evaluation System-Adult Version was used to measure the level of disability severity of the participants. In addition, the questionnaires called ‘Quality of Life of Spinal Cord Injury patients’ was used to measure their satisfaction degrees on the health-related quality of life of these participants. The researcher employed Pearson correlation coefficient (γ) to understand the correlation of disability severity and quality of life for these participants. The t test was used to analyze the difference in Quality of Life between the employment condition and marital status of these participants. The results indicated that there is low to medium negative correlation between disability severity and quality of life in the paraplegia patients. Second, the employed paraplegia patients show higher scores in “Physical Health Category” and “Environmental Category” of quality of life than the unemployed ones. However, there were no significant differences in other domains of quality of life between employed and unemployed paraplegia. Besides, the unmarried paraplegia patients show higher socres in “Physical Health Category” of quality of life than the married paraplegia patients. It also makes no major differences for the other five domains. In conclusion, the paraplegia patients’ sense of the dissatisfaction on “the Environmental Category” in quality of life will affect their social participation as well as their employment. The researcher believes that promoting these patients’ social participation and employment probably can enhance the quality of life for patients with paraplegia. Therefore, the researcher holds the viewpoint that these factors such as offering barrier-free environment and facilities, proper assistive devices or other personal assistance, social participation, and being employed caninfluence the quality of life in patients with paraplegia.
Other Identifiers: G0698170089
Appears in Collections:學位論文

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