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題名：失能者社會參與及其相關因素探討
書刊名：護理暨健康照護研究
作者：田秀娟／邱啟潤 引用關係
作者(外文)：Tien, Hsiu-chuan／Chiou, Chii-jun
出版日期：2013
卷期：9:3
頁次：頁182-191
主題關鍵詞：失能；社會參與；憂鬱；社會支持；Disability；Social participation；Depression；Social support
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:7
  • 點閱點閱:203
背景：「失能」對個體影響甚大，同時還可能帶來家庭與社會的負擔。失能者面臨疾病或創傷的衝擊後，往往使其社會參與受限，甚至日漸退縮，喪失生命活力。 目的：本研究目的旨在探討失能者社會參與情形及人口學與疾病特性、憂鬱及社會支持等與其社會參與之關係。 方法：採橫斷性研究，以高雄市某一醫學中心、兩家區域醫院及十二家長期照護機構之失能者為研究對象，採結構性問卷，包括基本資料、憂鬱、社會支持及社會參與量表，以專家效度及內部一致性信度檢測，具良好信效度；回收有效問卷100份。資料運用描述性及推論性統計方法進行分析。 結果：失能者社會參與平均值(標準差)為28.38(7.63)，屬中等程度。失能者年齡、居住狀況、教育程度及自我照顧功能對其社會參與有顯著影響(p < .001)；居住於長期照護機構、憂鬱及社會支持為社會參與重要解釋因子，解釋變異量達44.8%。 結論/實務應用：由研究結果顯示，長期照護機構、憂鬱及社會支持為社會參與重要解釋因子。建議醫護人員宜儘早瞭解所照護失能者社會參與的相關因素，並適時處理個案之憂鬱情緒、增進其社會支持，以避免失能者社會參與受限。
Background: The restricted social participation of people with disabilities often results in reduced physical activity and a loss of vitality. Purpose: This study explores the social participation of the disabled and its correlation with factors including demographics, illness, depression, and social support. Methods: A cross‐sectional study was used and study participants were chosen from 1 medical center, 2 regional hospitals, and 12 long‐term care institutions in Kaohsiung City, Taiwan. Structured questionnaire surveys included scales that gathered data on demographics, depression, social support and social participation. Collected data were analyzed using descriptive and inferential statistics. Results: The results showed that the mean score of social participation for participants was at the middle level (M = 28.38, SD = 7.63). Furthermore, age, living status, education level, and self‐care function (p < .001) correlated significantly with social participation. The most important explanatory factors of social participation among people with disability were live in long‐term care unit, depression, and social support; these factors explained 44.8% of the total variation. Conclusions / Implications for Practice: Study results demonstrate that the social participation of people with disabilities is significantly affected by living in long‐term care institution, having depression, and receiving social support. We suggest that medical and nursing personnel should work to better understand the factors that significantly influence the social participation of people with disabilities and provide timely social support to encourage increased social participation.
期刊論文
1.黃俐綾、宋琇鈺、劉麗芳、張彩秀(20100900)。慢性C型肝炎病患接受干擾素與Ribavirin合併治療之症狀困擾、憂鬱與生活品質之探討。護理暨健康照護研究，6(3)，183-190。new window  延伸查詢new window
2.Adamson, J.、Lawlor, D.、Ebrahim, S.(2004)。Chronic diseases, locomotor activity limitation and social participation in older women: Cross sectional survey of British women's heart and health study。Age and Ageing，33(3)，10-1093。  new window
3.Anaby, D.、Miller, W. C.、Eng, J. J.、Jarus, T.、Noreau, L.、Luc PACC Research Group(2009)。Can personal and environmental factors explain participation of older adults?。Disability and Rehabilitation，31(15)，1275-1282。  new window
4.Andelic, N.、,Sigurdardottir, S、Schanke, A. K.、Sandvik, L、Sveen, U、Roe, C.(2010)。Disability, physical health and mental health 1 year after traumatic brain injury。Disability and Rehabilitation，32(13)，1122-1131。  new window
5.Chau, J. P.、Thompson, D. R.、Twinn, S.、Chang, A.M.、Woo,J.(2009)。Determinants of participation restriction among community dwelling stroke survivors: A path analysis.BMC Neurology。BMC Neurology，9(1)，10-1186。  new window
6.Chen, H. Y.、Lai, C. H.、Wu, T. J.(2011)。A study of factors affecting moving-forward behavior among people with spinal cord injury。Rehabilitation Nursing，36(3)，91-127。  new window
7.Daniel, K.、Wolfe, C. D. A、Busch, M. A、McKevitt, C(2009)。What are the social consequences of stroke for working-aged adults? A systematic review。Stroke，40(6)，10-1161。  new window
8.Desrosiers, J、Noreau, L、Rochette, A.、Bourbonnais, D.、Bravo,G、Bourget, A.(2006)。Predictors of long-term participation after stroke。Disability and Rehabilitation，28(4)，10-1080。  new window
9.Desrosiers, J、Wanet-Defalque, M.-C、Temisjian, K.、Gresset,J.、Dubois, M-F、Renaud, J.、Overbury,O(2009)。Participation in daily activities and social roles of older adults with visual impairment。Disability and Rehabilitation,，31(15)，1227-1234。  new window
10.Fougeyrollas, P.、Noreau, L.、Bergeron, H.、Cloutier, R.、Dion, S. A.、St. Michel, G.(1998)。Social consequences of long term impairments and disabilities: Conceptual approach and assessment of handicap。International Journal of Rehabilitation Research，21(2)，127-141。  new window
11.Hammel, J.、Magasi, S.、Heinemann, A.、Whiteneck, G.、Bogner,J、Rodriguez, E.(2008)。What does participation mean?An insider perspective from people with disabilities。Disability and Rehabilitation，30(19)，1445-1460。  new window
12.Kennedy, P.、Smithson, E、McClelland, M.、Short,D.、Royle, J.、Wilson, C(2010)。Life satisfaction, appraisals and functional outcomes in spinal cord-injured people living in the community。Spinal Cord，48(2)，144-148。  new window
13.Lawrence, M.(2010)。Young adults' experience of stroke: Aqualitative review of the literature。British Journal of Nursing，19(4)，241-248。  new window
14.McKibbin, C. L、Twamley, E.、Patterson, T. L、Golshan, S、Lebowitz, B.、Feiner, L.、Jeste, D. V.(2008)。participation restriction in middle-aged and older persons with schizophrenia.。The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry，16(9)，777-780。  new window
15.Misajon, R.、Manderson, L.、Pallant, J. F、Omar, Z.、Bennett, E、Rahim, R. B. A(2006)。Impact, distress and HRQoL among Malaysian men and women with a mobility impairment。Health and Quality of Life Outcomes，4，95。  new window
16.Ostir, G. V.、Ottenbacher, K. J、Fried, L. P、Guralnik, J. M.(2007)。The effect of depressive symptoms on the association between functional status and social participation。Social Indicators Research，80(2)，379-392。  new window
17.Park, S. K.、Yoon, J. Y、Henderson, T(2007)。Factors affecting employment among people with mobility disabilities in South Korea。International Journal of Rehabilitation Research，30(1)，19-25.。  new window
18.Sjoqvist Natterlund, B.(2010)。A new life with aphasia:Everyday activities and social support。Scandinavian Journal of Occupational Therapy，17(2)，117-129。  new window
19.van der Mei, S. F.、Krol, B.、van Son, W. J.、De Jong, P. E.、Groothoff, J. W.、van den Heuvel, W. J.(2006)。Social participation and employment status after kidney transplantation:A systematic review。Quality of Life，15(6)，979-994。  new window
20.Verdonschot, M. M. L.、de Witte, L. P.、Reichrath, E.、Buntinx, W. H. E.、Curfs, L. M. G.(2009)。Impact of environmental factors on community participation of persons with an intellectual disability: A systematic review。Journal of Intellectual Disability Research，53(1)，54-64。  new window
21.Whitney, J. C、Lord, S. R、Close, J. C. T(2005)。Streamlining assessment and intervention in a falls clinic using the timed up and go test and physiological profile assessments.。Age and Ageing，34(6)，567-571。  new window
22.Chen, H. Y.、Boore, J. R. P.(2006)。Considering the physiological and psychological consequences of spinal cord injury。British Journal of Neuroscience Nursing，1(5)，225-232。  new window
23.Bowsher, J.、Maloney, J. P.、Lillis, P. P.、Hinson-Langford, C. P.(1997)。Social support: A conceptual analysis。Journal of Advanced Nursing，25(1)，95-100。  new window
24.張紀萍、蔡芸芳、陳月枝、黃秀梨(20010400)。燒傷病人憂鬱及其相關因素之探討。護理雜誌，48(2)，37-48。new window  延伸查詢new window
25.陳筱瑀、吳姿蓉(20090400)。協助脊髓損傷患者社會參與之復健護理。長期照護雜誌，13(1)，87-94。  延伸查詢new window
26.李昱、楊明仁、賴德仁、邱念睦、周騰達(20001100)。Development of the Taiwanese Depression Questionnaire。長庚醫學，23(11)，688-694。  延伸查詢new window
學位論文
1.簡文嫆(2008)。社會排除或自我抉擇？罹患口腔癌者之社會參與分析(碩士論文)。高雄醫學大學。  延伸查詢new window
2.張梅玲(2007)。老人自我概念、社會參與與自殺意念之探討(碩士論文)。亞洲大學，臺中市。  延伸查詢new window
圖書
1.Cohen, S.、Underwood, L. G.、Gottlieb, B. H.(2000)。Social Support Measurement and Intervention: A Guide for Health and Social Scientists。Oxford University Press。  new window
2.World Health Organization(2001)。International classification of functioning, disability, and health。Geneva：World Health Organization。  new window
其他
1.內政部統計處(2013)。101年上半年身心障礙福利統計，http://sowf.moi.gov.tw/stat/week/list.htm。  延伸查詢new window
2.全國法規資料庫(2009)。身心障礙者權益保障法‧，http://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=D0050046。  延伸查詢new window
3.Centers for Disease Control and Prevention.(2009)。How many people have disabilities，http://www.cdc.gov/ncbddd/documents/Disability%20tip%20sheet%20_PHPa_1.pdf。  new window
4.World Health Organization.(2002)。Towards a common language for functioning, disability and health: ICF.，http://www.who.int/entity/classifications/icf/training/icfbeginnersguide.pdf。  new window
 
 
 
 
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