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護理研究 MEDLINEScopus

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篇名 血液透析病患生活品質及其相關因素之探討
卷期 6:5
並列篇名 Factors Associated with Quality of Life among Patients on Hemodialysis
作者 陳美玲顧乃平
頁次 393-404
關鍵字 血液透析生活品質症狀困擾社會支持HemodialysisLife qualitySymptom distressSocial supportTSCIMEDLINEScopus
出刊日期 199810

中文摘要

本研究目的在瞭解血液透析病患生活品質情形及其相關因素。本研究為橫斷式兼具敘述性與相關性的研究,研究對象為台北地區四所醫院之86位血液透析患者,以「生活品質」、「身體症狀困擾」、「社會支持」等量表來收集資料。將所得的資料以描述性統計、單因子變異數分析、皮爾森積差相關及逐步迴歸等統計方法進行資料分析。主要研究結果如下:(1)整體來看,血液透析病患有中等程度的生活品質;在生活品質所涵蓋的範園中,以「親密因素」的得分最高,「心理社會因素」最低。(2)「婚姻狀況」、「身體症狀困擾」、「社會支持」與「生活品質」有關(p<0.05)。 (3)「婚姻狀況」、「身體症狀困擾」與「社會支持」,此三個變項共可解釋生活品質總變異量的40.35%,其中影響力最大的因素為「社會支持」。(4)所有自變項之間對於生活品質並未存在交互作用。本研究針對研究設計、護理實務、道理教育與護理行政各方面提出建議,作為護理人員臨床照護的參考。

英文摘要

The purpose of this study was to explore the life quality of hemodialysis patients and the factors correlated with life quality. This is a crosssectional descriptive and correlational research. Eighty-six hemodialysis patients were recruited from four hemodialysis centers in Taipei. The test instruments used in the study were “Qualityof LifeIndex”,“PhysicalSymptom Distress Checklist” and “SocialSupport Scale” . Data were statistically analyzed by means of descriptive analysis, One-way ANOYA, Pearson product moment correlation and multiple regression. The major findings of this study were as follows: (1) Generally speaking, hemodialysis patients had medium life quality. The mean score on the family subscale was the highest, psychosocial subscale was the lowest. (2) Marital status, physical symptom distress and social support were correlated with patients' life quality (p< 0.05). (3) Patients' life quality could be predicted by their marital status, physical symptom distress and social support. The total variance was 40.35%. The most predictive factor was social support. (4)Between independent variables there was no interactive influence on life quality. The implications for nursing practice, nursing education and nursing administration are discussed, and further study is suggested.

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