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题名:	慢性腎臟病患者之自覺健康狀況、身體症狀困擾與生活品質相關性之研究
作者:	黃美玲
贡献者:	經國管理暨健康學院 健康產業管理研究所 尤瑞崇指導
关键词:	慢性腎臟病 自覺健康狀況 身體症狀困擾 生活品質 Chronicle Kidney Disease Self-perceived health Physical Symptom Distress Quality of Life Effect
日期:	2016-01
上传时间:	2016-03-07T01:57:33Z
出版者:	基隆市：經國管理暨健康學院
摘要:	本研究旨在瞭解慢性腎臟病患者之自覺健康狀況、身體症狀困擾與生活品質相關因素，探討慢性腎臟病患者自覺健康狀況、身體健康狀況與生活品質之相關性之研究。 研究樣本採立意取樣，以基隆地區血液透析診所中慢性腎臟病患者為主要研究對象，問卷內容為「個人基本資料表」、「自覺健康量表」、「身體症狀量表」及「SF-36 台灣版生活品質量表」為樣本，共發出並回收206份問卷。 資料收集後採用線性結構方程模式等工具，來分析自覺健康狀況、身體症狀困擾、生活品質間整體架構間關係，經資料處理後之結果分析討論發現如下： 一、在自覺健康狀況與身體症狀困擾構面上，受測慢性腎臟病患者偏向負面且顯著的影響。因從統計資料中可以看出「自覺健康狀況」越佳，影響「身體症狀困擾」就越低，故呈負向相關聯性。 二、在自覺健康狀況與生活品質構面上，自覺健康狀況與生活品質、健康促進生活型態、健康責任行為、自我實現行為皆呈顯著正向相關聯，亦即自覺健康狀況越好者，其慢性腎臟病患者健康促進生活型態越佳。 三、在身體症狀困擾與生活品質構面上，受測慢性腎臟病患者「身體症狀」對「生活品質」大部分也有負向相關聯性，說明慢性腎臟病患者身體症狀困擾與生活品質關係具有負向影響力，其中受到「睡眠困難」、「皮膚癢」此身體困擾對身體功能上的改變影響最大。 經研究結果分析後，提供醫理人員更多慢性腎臟病影響病人的生活品質相關資訊，提供適切護理指導與諮詢，提升護理照護品質及病患自我照顧之能力，進而可以改善慢性腎臟病患者生活品質。 This study aims at understanding chronic kidney disease patients whose self-perceived health status, physical symptom distress and quality of life related factors and explores the correlation between those three factors. Purposive sampling method was used to collect the patient data. The patient information gathered with chronic kidney dialysis clinics in Keelung area. The questionnaire came from the "personal basic information table", "self perceived health scale", "physical symptoms scale" and "SF-36 Taiwan version of the quality of life scale ", and issued a total of 206 questionnaires were recovered. After data collection using linear structural equation modeling and other statistical tools to analyze the data, the result of post-processing and analysis of data found in the following discussion: Firstly, in the construct of the quality of life and the physical symptoms of distress, the chronic kidney disease patients showed a negative and significant impact. Because it can be analysed from the statistics, "perceived health status," the better the impact of "physical symptoms of distress," the less, it was a negative relationship. Secondly, in the construct of self-perceived health status and the quality of life, perceived health status and health-promoting lifestyle, health responsible behavior and self-fulfilling behavior were highly significant positive correlation. The better perceived health status was combined with the better health promotion and the chronic kidney disease patients had the better living quality. Finally, in the construct of the physical symptoms of distress and the quality of life, subjects with chronic kidney disease tend to agree with the negative view. Both "difficulty sleeping" and "itching" were the major physical distresses and also affected the function of the human body. After studying the results of analysis, the conclusion to offer the medical knowledge workers to understand the patient's quality of life related information, to provide appropriate care and guidance and counseling, to enhance the capacity and quality of nursing care of patients with self-care, in turn, can improve the quality of life in chronic kidney disease .
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