跳到主要內容

臺灣博碩士論文加值系統

(2600:1f28:365:80b0:dbb8:8235:aad7:a019) 您好!臺灣時間:2024/12/08 06:02
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

: 
twitterline
研究生:陳珮君
研究生(外文):Chen, Pei-June
論文名稱:照護機構智能障礙者生活品質 及其相關因素之探討
論文名稱(外文):Quality of Life for People with Intellectual Disabilities in Care Facilities Discussion on Its Related Factors
指導教授:林富宮林富宮引用關係
指導教授(外文):LIN, FU-GONG
口試委員:林富宮邱于容陸瑞玲
口試委員(外文):LIN, FU-GONGCHIU, YU-LUNGLUH, RAY-LING
口試日期:2022-05-11
學位類別:碩士
校院名稱:國防醫學院
系所名稱:公共衛生學研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2022
畢業學年度:110
語文別:中文
論文頁數:61
中文關鍵詞:成年智能障礙者精神徵狀量表(PIMRA)生活品質
外文關鍵詞:Psychopathology Inventory for Mentally Retarded Adults (PIMRA)Quality of life
相關次數:
  • 被引用被引用:0
  • 點閱點閱:150
  • 評分評分:
  • 下載下載:46
  • 收藏至我的研究室書目清單書目收藏:1
研究背景:
根據衛生福利部統計處統計2022年3月資料顯示,至2021年12月,全國身心障礙人數共計有1,203,754人,其中男性身心障礙者人數計有667,925人,女性身心障礙者人數計有535,829人,依資料顯示男性障礙者多於女性,由於智能障礙者的心智功能不足導致他們的認知功能低下,缺乏自我照顧能力,與他人溝通具有某程度障礙,不僅容易罹患各式疾病而不自知,也因為受到社會中其他人各種形式的歧視,更容易罹患心理與精神疾患,本研究將探討照護機構與智能障礙者生活品質的相關因素。
研究目的:
(一) 了解智能障礙者人口學特質之情形
(二) 分析智能障礙者人口學特質、障礙等級、家庭狀況、同儕相處狀況與生活品質之關係。
研究方法:
本研究為單時期橫斷性資料調查分析,使用ANOVA及廣義線性模型分析,比較機構內智能障礙者基本特質、家庭因素、機構環境、機構照護方式對生活品質是否有統計上顯著差異。
研究結果:
本研究為單時期橫斷性資料調查分析,針對機構內智能障礙者生活品質相關因素進行探討,人數共計183人,本研究發現智能障礙者本身的性別、教育程度、障礙程度、有無合併精神疾病、有無用藥、有無使用精神疾病用藥、父母婚姻狀況、家庭收入、被同儕毆打及被同儕孤立排擠的平均分數皆低於生活品質的平均分數,且分析結果皆達統計上的顯著差異。
結論:
可多多鼓勵照護機構內智能障礙住民參與構構內提供相關課程,並注意機構內智能障礙者之間的互動情形,避免機構內智能障礙者出現霸凌行為,藉由課程的參與來增加和同儕感情與互動,進而改善同儕相處的情形,提升智能障礙住民的成就感並降低同儕間霸凌的狀況。

Research Background:
According to the statistics of the Ministry of Health and Welfare in March 2022, as of December 2021, there will be 1,203,754 people with disabilities nationwide, including 667,925 males and 535,829 females. According to the data, there are more males with disabilities than females. Due to the insufficient mental function of intellectually handicapped people, their cognitive function is low, they lack the ability to take care of themselves, and they have a certain degree of difficulty in communicating with others. They are not only prone to various diseases without knowing it, but also Because of various forms of discrimination from other people in society, they are more likely to suffer from psychological and psychiatric disorders. This study will explore the factors related to the quality of life of people with intellectual disabilities in care institutions.
Research purposes:
(1) Understanding the demographic characteristics of people with intellectual disabilities
(2) To analyze the relationship between the demographic characteristics, disability level, family status, peer relationship status and quality of life of people with intellectual disabilities.
Research methods:
This study is a single-period cross-sectional data survey and analysis, using ANOVA and generalized linear model analysis to compare whether the basic characteristics, family factors, institutional environment, and institutional care methods have statistically significant differences in the quality of life of intellectually disabled persons in institutions.
Research result:
This study is a single-period cross-sectional data survey and analysis, and discusses the factors related to the quality of life of the mentally handicapped people in the institution, with a total of 183 people. , drug use, drug use for mental illness, parental marital status, family income, peer beatings, and peer isolation and exclusion were all lower than the average scores for quality of life, and the results of the analysis were all statistically significant.
in conclusion:
Encourage residents with intellectual disabilities in care institutions to participate in relevant courses provided in the institution, and pay attention to the interaction between people with intellectual disabilities in the institution, so as to avoid bullying behavior of intellectually disabled people in the institution, and increase the relationship with peers through participation in courses and interact with each other, thereby improving the situation of getting along with peers, enhancing the sense of achievement of residents with intellectual disabilities and reducing the situation of peer bullying.

目錄
摘要 1
第一章 緒論 3
第一節 研究背景 3
第二節 研究動機 9
第三節 研究目的 9
第二章 文獻探討 10
第一節 智能障礙者心理健康情形 10
第二節 智能障礙定義及分類 11
一、智能障礙的定義 11
二、智能障礙之分類 11
第三節 智能障礙者與照護機構 15
一、 智能障礙者與照護機構 15
二、 身心障礙福利機構設施及人員配置 16
第四節 照護機構與生活品質 17
第五節 霸凌的定義與類型 18
一、霸凌的定義 18
二、霸凌的類型 18
第三章 研究方法與步驟 19
第一節 研究架構 19
第二節 研究假設 19
第三節 研究對象及流程 20
第四節 研究工具 21
一、資料來源 21
二、成人智能障礙者生活品質量表 22
第五節 研究變項操作型定義 22
第六節 資料處理暨統計方法 26
一、資料處理 26
二、資料分析 27
三、推論性統計 27
四、預期結果 27
第四章 研究結果與討論 28
第一節 研究對象人口學分布 28
第二節 基本人口學與生活品質分數之關係 30
第三節 基本人口學與生活品質分數之關係事後檢定 32
第四節 基本人口學及同儕霸凌經驗與生活品質廣義線性模型分析 33
第五章 結論與建議 34
第一節 同儕霸凌與生活品質關係之探討 34
第二節 機構照護與生活品質之關係 35
第三節 結論 35
第六章 限制與建議 37
第一節 研究限制 37
第二節 研究建議 37
參考文獻 38
中文參考文獻 41


參考文獻
Acheampong, A. K., & Aziato, L. (2018). Suicidal ideations and coping strategies of mothers living with physical disabilities: a qualitative exploratory study in Ghana. BMC psychiatry, 18(1), 360.
Belva, B. C., & Matson, J. L. (2015). Examining the psychometrics of the Psychopathology Inventory for Mentally Retarded Adults-II for individuals with mild and moderate intellectual disabilities. Research in developmental disabilities, 36, 291-302.
Bergvall, Å., Nilsson, T., & Hansen, S. (2003). Exploring the link between character, personality disorder, and neuropsychological function. European Psychiatry, 18(7), 334-344.
Bergvall, Å., Wessely, H., Forsman, A., & Hansen, S. (2001). A deficit in attentional set-shifting of violent offenders. Psychological Medicine, 31(6), 1095-1105.
Casey, P., & Bailey, S. (2011). Adjustment disorders: the state of the art. World Psychiatry, 10(1), 11-18.
Casey, P., & Doherty, A. (2012). Adjustment disorder: implications for ICD-11 and DSM-5. Br J Psychiatry, 201, 90-92. doi:10.1192/bjp.bp.112.110494
Cohen-Kettenis, P. T., Owen, A., Kaijser, V. G., Bradley, S. J., & Zucker, K. J. (2003). Demographic characteristics, social competence, and behavior problems in children with gender identity disorder: A cross-national, cross-clinic comparative analysis. Journal of abnormal child psychology, 31(1), 41-53.
Greiner, T., Haack, B., Toto, S., Bleich, S., Grohmann, R., Faltraco, F., . . . Schneider, M. (2019). Pharmacotherapy of psychiatric inpatients with adjustment disorder: current status and changes between 2000 and 2016. Eur Arch Psychiatry Clin Neurosci. doi:10.1007/s00406-019-01058-1
Gustafsson, C. (1997). The prevalence of people with intellectual disability admitted to general hospital psychiatric units: level of handicap, psychiatric diagnoses and care utilization. J Intellect Disabil Res, 41, 8.
Johnson, J. G., Cohen, P., Smailes, E., Kasen, S., Oldham, J. M., Skodol, A. E., & Brook, J. S. (2000). Adolescent personality disorders associated with violence and criminal behavior during adolescence and early adulthood. American journal of psychiatry, 157(9), 1406-1412.
Matson Johnny L, Matson Michael L, Belva, B. C., & Hattier, M. A. (2012). Scaling methods to measure psychopathology in persons with intellectual disabilities. Research in developmental disabilities, 33(2), 549-562.
Bobińska, K., Florkowski, A., & Gałecki, P. (2008). Characteristics of mental disorders in psychiatric patients with mental retardation--preliminary communication. Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego, 25, 8-12.
Borthwick-Duffy, S. A. (1994). Epidemiology and prevalence of psychopathology in people with mental retardation. Journal of Consulting and Clinical psychology, 62(1), 17.
Bouras, N., Cowley, A., Holt, G., Newton, J., & Sturmey, P. (2003). Referral trends of people with intellectual disabilities and psychiatric disorders. J Intellect Disabil Res, 47, 8.
Disability Consultants. (2006). Psychopathology - PIMRA. Disability Consultants. http://www.disabilityconsultants.org/PIMRA.php
Eaton, L. F., & Menolascino, F. J. (1982). Psychiatric disorders in the mentally retarded: Types, problems, and challenges. The American journal of psychiatry.
Einfeld, S., & Tonge, B. (1996). Population prevalence of psychopathology in children and adolescents with intellectual disability II epidemiological findings. J Intellect Disabil Res, 40, 11.
Emerson, E. (2003). Prevalence of psychiatric disorders in children and adolescents with and without intellectual disability. Journal of Intellectual Disability Research, 47, 8.
Gustafsson, C., & Sonnander, K. (2004). Occurrence of mental health problems in Swedish samples of adults with intellectual disabilities. Soc Psychiatry Psychiatr Epidemiol, 39(6), 448-456. https://doi.org/10.1007/s00127-004-0774-0
Hurley, A., Folstein, M., & Lam, N. (2003). Patients with and without intellectual disability seeking outpatient psychiatric services: diagnoses and prescribing pattern. J Intellect Disabil Res, 47, 11.
Kishore, M., Nizamie, A., Nizamie, S., & Jahan, M. (2004). Psychiatric diagnosis in persons with intellectual disability in India. Journal of Intellectual Disability Research, 48(1), 19-24.
McGrother, C. W., Hauck, A., Bhaumik, S., Thorp, C., & Taub, N. (1996). Community care for adults with learning disability and their carers: needs and outcomes from the Leicestershire register. Journal of Intellectual Disability Research, 40(2), 8. https://doi.org/doi.org/10.1046/j.1365-2788.1996.784784.x
Reid, A. H., & Ballinger, B. R. (1995). Behaviour symptoms among severely and profoundly mentally retarded patients: A 16–18 year follow-up study. The British Journal of Psychiatry, 167(4), 452-455.
Xenitidis K., Gratsa A., Bouras N., Hammond R., Ditchfied H., Holt G., J., M., & D., B. (2004). Psychiatric inpatient care for adults with intellectual disabilities. Journal of Intellectual Disability Research, 48, 8.




中文參考文獻
林金定、林藍萍。(民97)。智能障礙者老化:失智症與健康照護。臺灣老人保健學刊。4(1),58-74。
林金定。 (民97)。 身心障礙者健康政策。身心障礙研究,6,1-11。
林惠芳。 (民101)。 認識成年心智障礙朋友的生活挑戰與服務選擇。 取自: http://www.taea.org.tw/article-share/article2。
周月清。(民94)。 台灣智障者居住服務探討-型態、規模、對象與變遷。 臺灣社會工作學刊,42。doi:10.29814/TSW.200507.0002。
黃育晟(2003)。身心障礙福利機構管理與服務之探討。元智大學管理研究所,桃園市。
楊馥宣(2013)。智能障礙雙重老化家庭使用住宿型機構之決策歷程。高雄醫學大學醫學社會學與社會工作學系碩士論文,高雄市。
衛生福利部(2018)。中華民國105年身心障礙者生活狀況及需求調查報告。台北:衛生福利部。
羅春月(2010)。老年智能障礙者養護問題,以某機構為例。南華大學非營利事業管理研究碩士論文,嘉義縣。
吳佳玲, & 林金定. (2016). 推動身心障礙福利機構邁向健康促進照護機構理論實踐-以新北市春暉啟能中心為例. 身心障礙研究季刊, 14(3), 222-235.
林金定, 蔡艷清, 嚴嘉楓, 吳佳玲, 羅元婷, & 張書菱. (2004). 健康促進: 身心障礙福利機構健康管理新策略. 身心障礙研究季刊, 2(1), 1-13.
洪玉昭. (2012). 臺北市中重度智能障礙者家長對住宿型機構安置服務福利需求與滿意度之研究
陳妮葦. (2015). 機構照顧者對智障者健康老化認知與健康服務需求評估 國防醫學院]. 台北市. https://hdl.handle.net/11296/pymf57


QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top