臺灣博碩士論文加值系統

摘要
研究目的: 採用社會調整評估量表Social Readjustment Rating Scale去評分生活中壓力性事件的大小。本研究目的為從社區裡的老人家當樣本去評估生活中壓力性事件的大小。
方法: 我們招募了台灣的社區裡生活的 55歲以及以上的老人家進行調查。參與者以生活中的11個壓力性事件使用好壞評分表來給壓力評分。我們採用‘’Case One’’ (object case) 當最好和最壞的評分，每一題給參與者後他們需要表示出來說壓力最大和壓力最小的事件。　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　
結果: 總共有61 位參與者給可以分析的有效回覆。66%為女性而平均年齡64.8 years (SD = 8.6)。最好的和最壞的壓力事件評分表裡顯示，”家人生病”為壓力最大而”性生活困擾”為壓力最小的事情。評分等級的部分” 個人重大疾病” 為壓力最大” 性生活困擾” 為壓力最小。事件分等級的方法類似，但跟社會調整評估量表Social Readjustment Rating Scale不大一樣。
結論: 最好和最壞評分表是估計生活壓力大小事件的一種可行的方法。我們採用估計事件大小的方法跟有些常見的測量生活壓力事件的結果不同。
關鍵字: 壓力性生活事件、最好最壞評分表、評分等級表、社會調整評估量表、病人偏愛

Abstract
Objectives: Magnitude of stressful life events has been measured using the rating scale, e.g., the Social Readjustment Rating Scale. This study aimed to estimate the magnitude of stressful life events using the best-worst scaling approach in a sample of community-living older persons.
Methods: We conducted a survey among community-living persons aged 55 years or older in Taiwan. Participants were asked to rate the stressfulness of 11 life events via the rating scale and the best-worst scaling. We used the ‘’Case One’’ (object case) best-worst scaling design, where in each task a list of events was presented to participants, and they were asked to indicate the events that were considered to be the most and the least stressful.
Results: A total of 61 individuals provided valid responses for analysis. Sixty-six percent were females and the mean age were 64.8 years (SD = 8.6). For best-worst scaling, “major illness of family member” (mean best-minus-worst score = 128) was rated most stressful and “sexual difficulties” least stressful (mean score = -153). For rating scale, “major personal illness’’ was rated most stressful (mean rating= 6.95) and ‘’sexual difficulties’’ was again least stressful (mean rating=2.05). Rankings of events based on both methods were similar, but were different from those based on the Social Readjustment Rating Scale.
Conclusion: Best-worst scaling is a feasible approach to estimating the magnitude of stressful life events. The magnitude of events estimated in our study was found different from the ones used in some common scales for measuring stressful life events.

Keywords: Stressful life events, best-worst scaling, rating scale, social readjustment rating scale, patient preference.

List of Contents
Chapter 1 Introduction 1
1.1 Research background and motivation 1
1.2 Research purpose 5
1.3 Research importance 5
1.4 Research questions and hypotheses 6
1.5 Research structure 6
Chapter 2 Literature review 7
Chapter 3 Research methods 10
3.1 Identification of stressful life event 10
3.2 Questionnaire design 10
3.3 Study participants 11
3.4 Statistical analysis 13
Chapter 4 Results 14
4.1 Participant characteristics 14
4.2 Estimates of magnitude of stressful life events 15
4.3 Stratified analysis 16
Chapter 5 Discussion 17
5.1 Strength and limitation 20
Chapter 6 Conclusion 21
References 22
Appendix 34

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