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研究生:趙蕙方
論文名稱:社區精神分裂病患生活品質與希望感、自我掌控信念之相關探討
論文名稱(外文):A Study of The Relationships among Quality of life and Hope、Mastery for Schizophrenic Patients in Community.
指導教授:藍育慧藍育慧引用關係
學位類別:碩士
校院名稱:弘光科技大學
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:2011
畢業學年度:99
語文別:中文
論文頁數:89
中文關鍵詞:精神分裂社區病患生活品質希望感自我掌控信念
外文關鍵詞:SchizophreniaThe patients in communityQuality of LifeHopeMastery
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本研究旨在探討社區精神分裂病患生活品質與希望感、自我掌控信念相關性之研究。以橫斷性研究設計,採立意取樣,於台中市某精神專科醫院,診斷為精神分裂疾病之門診成人病患為研究對象,由研究者親自收案,共計收案202名。研究工具採結構式問卷,內容包括個人基本資料、精神病病患生活品質量表、中文版赫氏希望指標及自我掌控信念量表。所得資料以SPSS 12.0套裝軟體進行描述性及推論性統計。
研究結果顯示(1)社區精神分裂病患的整體生活品質平均得分為78.11分(總分135分),八個層面中得分最高為健康維護,最低分為社交活動,整體生活品質與病患基本屬性之職業及教育程度有顯著差異。(2)希望感平均得分為27.84分(總分40分)、自我掌控信念平均得分18.29分(總分28分)。(3)社區精神分裂病患希望感、自我掌控信念與整體生活品質及生活品質八層面為正相關。(4)社區精神分裂病患整體生活品質之顯著預測因子為希望感、大專以上教育程度、有職業及自我掌控信念,共可解釋35.8%之變異量。(5)希望感在生活滿意、自主性、健康維護、家庭支持、經濟功能、社交活動及心理健康等七個生活品質層面,都是顯著預測因子。(6)自我掌控信念在生活滿意、健康維護、家庭支持及身體健康等四個生活品質層面,都是顯著預測因子。
本研究結果可協助護理人員了解社區精神分裂病患生活品質和希望感、自我掌控信念之現況,並作為社區復健照護計畫之參考。

The purpose of the study is to explore the relationships among Quality of life and Hope, Mastery for Schizophrenic patients in community. The study used cross-sectional and correlational design. Convenience sampling was used to collect data from 202 patients recruited, admitted at OPD from an anonymous psychiatric hospital in Taichung city. The structured questionnaire was used to collect data. Measurement instruments were as the following: Quality of Life Scale for Patients with Mental Disorders, Herth Hope Index, and Mastery Scale. All the data are then analyzed using SPSS 12.0 software.
The major finding of the study were as the following (1) the result showed that the average score of the overall Quality of Life of the subjects is 78.11, with the highest scoring factor being ‘Health Maintenance’; the lowest score being ‘Social Activity’. Differences in the patient’s employment status and educational background have significantly affected the overall Quality of Life. (2) The sense of Hope scored with a mean of 27.84 out of 40, while the sense of Mastery scored with a mean of 18.29 out of 28. (3) The relationship between the Hope, Mastery, overall Quality of Life and the Quality of Life eight factors are positively correlated. (4)The Hope, educational background, Mastery, and employment status are the predictors of the overall Quality of Life, covering 35.8% of variance using the stepwise multiple regression analysis. (5) Hope is an important predicting variable for the ‘Life Satisfaction’, ‘Autonomy’, ‘Health Maintenance’, ‘Family Support’, ‘Economic Function’, ‘Social Activity’ and ‘Psychological Health’ factors. (6) Mastery is an important predicting variable for ‘Life Satisfaction’, ‘Health Maintenance’, ‘Family Support’ and ‘Physical Health’ factors.
The finding of this study provides information for psychotic staffs to understand the current situation with the Quality of Life, Hope and Master with Schizophrenic patients in community. It also provides as suggestion guidelines for caregivers on how to improve the patient’s Quality of Life.

致謝
中文摘要
英文摘要
圖表目錄
第一章 緒論
第一節 研究背景與動機……………………………………1
第二節 研究目的…………………………………………….3
第三節 名詞界定…………………………………………….4
第二章 文獻查證
第一節 精神分裂之疾病特性………………………………6
第二節 精神分裂病患的社區生活概況……………………9
第三節 社區精神分裂病患之生活品質…………………..13
第四節 影響社區精神分裂病患生活品質的相關因素….17
第三章 研究方法
第一節 研究架構……………………………………………..26
第二節 研究假設……………………………………………..27
第三節 研究對象與研究場所……………………………….28
第四節 研究工具……………………………………………..29
第五節 研究工具信度及效度之檢定………………………31
第六節 研究步驟………………………………………………32
第七節 倫理考量………………………………………………33
第八節 資料統計與分析……………………………………...34
第四章 研究結果
第一節 研究對象基本屬性描述……………………………..35
第二節 研究變項資料描述…………………………………...37
第三節 社區精神分裂病患基本屬性與生活品質之相關分
析……………………………………………………….42
第四節 社區精神分裂病患生活品質與希望感、自我掌控
信念之相關分析………………………………………47
第五節 社區精神分裂病患生活品質預測情形………………48
第五章 討論
第一節 社區精神分裂病患生活品質及希望感、自我掌控
信念之情形……………………………………………52
第二節 社區精神分裂病患之基本屬性與生活品質之相關
性……………………………………………………….58
第三節 社區精神分裂病患之生活品質與希望感、自我掌
控信念之相關性………………………………………61
第四節 社區精神分裂病患生活品質之重要預測因子…….63
第六章 結論與建議
第一節 結論……………………………………………………..65
第二節 研究限制……………………………………………….68
第三節 護理之應用與建議……………………………………69
參考文獻
中文文獻…………………………………………………………..72
英文文獻…………………………………………………………..76
附錄一 受試者同意書
附錄二 研究問卷
附錄三 研究工具使用同意書
附錄四 人體試驗研究許可書

圖表目次

圖一 「社區精神分裂病患生活品質及希望感、自我掌控
信念之相關探討」研究架………………………………26
表1 研究量表之信度…………………………………………..31
表2 研究樣本基本屬性描述………………………………….36
表3 社區精神分裂病患生活品質各層面得分標準化分數
及排序……………………………………………………...38
表4 社區精神分裂病患生活品質各題得分情形…………...39
表5 社區精神分裂病患希望感各題得分情形………………40
表6 精神分裂病患自我掌控信念各題得分情形……………41
表7 精神分裂病患基本屬性與整體生活品質之相關分析.. 43
表8 社區精神分裂病患年齡、疾病因素與生活品質之相
關分析………………………………………………………43
表9 社區精神分裂病患基本屬性與生活品質各層面比較.. 46
表10 社區精神分裂病患生活品質與希望感、自我掌控信
念之相關分析………………………………………………47
表11 社區精神分裂病患生活品質預測因子之逐步迴歸分
析……………………………………………………………..51

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