脊髓損傷者因神經受損造成不等程度的日常生活活動弁鉬棆炕A可能引起負向自我概念與憂鬱症狀。憂鬱症狀容易導致健康問題或自殺企圖。本研究目的旨在探討脊髓損傷者個人基本屬性、自我概念及社會支持與憂鬱症狀的相關性。採橫斷式調查法，以立意取樣方式，選取高高屏地區135位18歲以上脊髓損傷者。測量工具包括人口學基本屬性、肢體殘障者自我概念量表、社會支持量表、巴氏日常生活弁銃q表與貝氏憂鬱量表。資料以描述性統計、t檢定、皮爾森積差相關、單因子變異數分析與逐步迴歸進行分析。結果發現脊髓損傷後34.8％發生不等程度的憂鬱症狀；脊髓損傷者受傷時年齡與憂鬱症狀呈顯著正相關；受傷年數、日常生活活動能力、自我概念及社會支持皆與憂鬱症狀呈顯著負相關；自我概念與社會支持呈顯著正相關。本研究結果可提供臨床實務者瞭解脊髓損傷後憂鬱狀況及其相關因素，藉由提高社會支持滿意度與正向自我概念，減少脊髓損傷者憂鬱症狀的產生。

Spinal cord injury patients usually have some degrees of physically impairments of activity of daily living, which may consequently result in negative self-concept and depressive symptoms. Depressive symptoms may consequently have health problems or suicidal attempts. The purpose of this study was to examine the relationships among demography factors, social support, self-concept, and depressive symptoms of patients with spinal cord injury. A cross-sectional approach was used. The convenience sampling was used to collect data. All 135 participants with spinal cord injury were age 18 or above in the southern Taiwan. Measures included the Beck Depression Inventory, the Barthel Index, the Self-Concept, and the Social Support Questionnaire. Statistical analysis methods included t-test, pearson correlation, analysis of variance (ANOVA), and stepwise multiple regression. Results indicated that the prevalence of depressive symptoms was 34.8 %. The age at time of injury was positively related to depressive symptoms. The time since injury, activities of daily living, self-concept, and social support were negatively related to depressive symptoms. Self-concept was positively related to social support. The results may help healthcare professional to learn depressive symptoms of patients with spinal cord injury. Enhancing positive self-concept and social support on the spinal cord injury patients may decrease depressive symptoms.

中文摘要 3
英文摘要 4
目錄 6
圖表目錄 9
第一章 緒論 11
第一節 研究動機及重要性 11
第二節 研究目的 14
第二章 文獻查證 16
第一節 疾病特性與概況 16
第二節 脊髓損傷後患者的憂鬱症狀概況 20
第三節 基本屬性與憂鬱症狀之相關研究 26
第四節 自我概念與憂鬱症狀之相關研究 28
第五節 社會支持與憂鬱症狀之相關研究 31
第三章 研究方法 35
第一節 研究架構 35
第二節 研究假設 36
第三節 名詞定義 37
第四節 研究對象 40
第五節 研究工具 41
第六節 研究工具之信、效度 45
第七節 資料收集過程 47
第八節 資料分析 48
第四章 研究結果 51
第一節 脊髓損傷者人口學特性 51
第二節 脊髓損傷者自我概念之描述 61
第三節 脊髓損傷者社會支持之描述 65
第四節 脊髓損傷者憂鬱症狀之現況 68
第五節 基本屬性、自我概念、社會支持與憂鬱症狀之
相關性 71
第六節 脊髓損傷者憂鬱症狀的重要研解釋因素 77
第五章 討論 80
第一節 脊髓損傷者個人基本屬性之現況與憂鬱相關性 80
第二節 脊髓損傷者自我概念、社會支持與憂鬱症狀之
現況及相關性 91
第三節 脊髓損傷者基本屬性、自我概念與社會支持
對憂鬱症狀之預測 95
第四節 結論 96
第五節 應用建議 98
第六節 研究限制 103
參考資料 104
中文部分 104
英文部分 108
附錄一 參與研究同意書暨研究問卷 118

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