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研究生:黃子珍
研究生(外文):Huang Tzyy- Jen
論文名稱:探討脊髓損傷病患接受神經再生術後之生活品質與獨立性身體功能
論文名稱(外文):The Effect on Life Quality and Functional Independence Status of Spinal Cord Injury lients after Nerve Regeneration Surgery
指導教授:李麗傳李麗傳引用關係
指導教授(外文):Lee Li- Chuan
學位類別:碩士
校院名稱:國防醫學院
系所名稱:護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2002
畢業學年度:90
語文別:中文
論文頁數:107
中文關鍵詞:脊髓損傷神經再生術生活品質獨立性身體功能
外文關鍵詞:Spinal cord injuryRegenerationQuality of lifeFunctional independence measurement
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本研究目的在探討脊髓損傷病患在接受神經再生術治療後生活品質及獨立性身體功能改善的狀況,及探討脊髓損傷病患在「獨立性身體功能」與「生活品質」之間是否有相關。採用單組縱貫性之追蹤研究,以立意取樣法,選取16位在某醫學中心接受神經再生術治療之脊髓損傷的個案,以生活品質量表及自填式獨立性身體功能測量量表做為研究工具,並追蹤其接神經再生術治療後之生活品質及獨立性身體功能的變化。
研究結果發現,影響脊髓損傷病患接受神經再生術後生活品質的變項包括教育程度、年齡、宗教信仰、受傷當時的年齡、脊髓損傷以後到接受神經再生術治療的時間間隔及復健狀況等。分析影響獨立性身體功能的變項發現,已婚(含已離婚)之獨立性身體功能較未婚者好、腰椎脊髓損傷病患的獨立性身體功能比胸椎損傷的個案好、完全性脊髓損傷之個案的獨立性身體功能比不完全性脊髓損傷差。至於脊髓損傷病患接受神經再生術後生活品質和獨立性身體功能的提昇,可能與接受神經再生術治療後時間的長短有相關。個案在接受神經再生術治療後的時間超過6個月,則生活品質及獨立性身體功能將高於接受再生術治療之前,而且當治療後的時間愈長,生活品質及獨立性身體功能均有上昇的趨勢。
另外,研究發現生理健康、心理健康、環境及社會關係等四大範疇等生活品質之間均具有很強的正相關,而獨立性身體功能則與社會關係之生活品質呈正相關。即當獨立性身體功能得以改善,將可促進社會關係的生活品質,至於獨立性身體功能與生理健康、心理健康及環境相關生活品質間的關係則不甚明顯。
Abstract
The purposes of this study were to explore the relationship between the quality of life and functional independence of spinal cord injury clients and to assess the quality of life and functional independence of clients after nerve regeneration surgery. In this study, 16 clients were selected from a 2000-bed medical center in Taipei that received the nerve regeneration surgery. All participants were completed the Quality of Life and Self-Reported Functional Independence Measurement Questionnaires for assessed the quality of life and functional independence before and after the regeneration surgery.
The results of this study stated that the quality of life of spinal cord injury clients was influenced by educational level, age, religion, age of onset, time from onset to surgery, and recovery status. The functional independence of married participants were better than unmarried ones; lumbar spinal cord injury participants were better than thoracic ones, and incomplete spinal cord injury participants were better than complete ones. The improvement of quality of life and functional independence to clients with spinal cord injury after nerve regeneration surgery might be related to the time after the surgery. Spinal cord injury clients after nerve regeneration surgery over six months performed better quality of life and functional independence than before. The quality of life and functional independence would be improved with time longer after the surgery. In addition, the results showed that there was a high positive correlation during four domains in quality of life including physical health, psychological health, environment, and social relationship. There was significant correlation between functional independence and social relationship in quality of life. That would be applied that social relationship in quality of life might be improved if the functional independence was improved. There was no significant correlation between functional independence and other domains in quality of life.
頁碼
第一章 緒論
第一節 研究動機與重要性…………………………………1
第二節 研究目的……………………………………………4
第三節 名詞界定……………………………………………5
第二章 文獻查證
第一節 脊髓損傷之相關概念……………………………7
第二節 神經再生術之相關概念…………………………10
第三節 生活品質之相關概念……………………………12
第四節 獨立性身體功能之相關概念……………………15
第五節 脊髓損傷和神經再生術的相關性研究…………16
第六節 生活品質之相關性研究…………………………19
第柒節 獨立性身體功能之相關性研究…………………25
第捌節 獨立性身體功能及生活品質之相關性研究……28
第玖節 概念架構、研究問題、研究假設………………32
第三章 研究方法
第一節 研究設計…………………………………………35
第二節 研究對象…………………………………………35
第三節 研究工具…………………………………………36
第四節 資料收集過程……………………………………45
第五節 資料整理與分析…………………………………46
第四章 研究結果
第一節 研究樣本之分佈與屬性…………………………47
第二節 脊髓損傷病患之生活品質評量…………………51
第三節 脊髓損傷病患之獨立性身體功能評量…………67
第四節 生活品質與獨立性身體功能之相關性…………74
第五章 討論
第一節 研究樣本基本屬性探討…………………………76
第二節 脊髓損傷病患接受神經再生術後之生活品質…77
第三節 脊髓損傷病患接受神經再生術治療後之獨立性身體功能……………………………………………………………84
第四節 生活品質與獨立性身體功能之相關性探討……88
第六章 結論與建議
第一節 結論………………………………………………90
第二節 研究貢獻…………………………………………94
第三節 研究限制…………………………………………95
第四節 建議………………………………………………97
參考文獻………………………………………………………100
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