屏東地區居家脊髓損傷者的自我概念及其相關因素之探討

Self-Concept of Home-bound Spinal Cord Injured Patients and Its Correlates in Pingtung Area

10.7081/NR.199902.0051

林月春(Yueh-Chun Lin)；李怡娟(I-Chuan Li)；許秀月(Hsiu-Yueh Hsu)；萬育維(Yu-Wei Wanne)；郭英調(Ing-Tiau Kuo)；盧志輝(Chih-Whei Lu)

脊髓損傷 ； 社會支持 ； 自我概念 ； spinal cord injury ； social support ； self-concept

護理研究

7卷1期（1999 / 02 / 01）

51 - 64

繁體中文

本研究的目的在於探討居家脊髓損傷患者的個人特質、疾病特性、社會支持及自我概念。進而瞭解個人特質、疾病特性、社會支持與自我概念間的關係。以隨機抽樣法選取屏東地區共約150位脊髓損傷患者中的81位爲本研究樣本。結果發現患者之平均年齡爲40.9歲，男多於女(74.1% vs. 25.9%)，損傷年數平均爲9.0年，日常生活能力平均得分爲14.38（總分爲22），標準差爲6.99，得分愈高，愈獨立。社會支持之平均得分爲24.86（總分爲40），標準差爲7.29，得分愈高，社會支持愈差。自我概念之平均得分76.70（總分爲145），標準差爲31.47，得分愈高，自我概念愈趨負向。顯著影響自我概念之因素有：教育程度、有無收入、日常生活能力、損傷類型、損傷年數、及社會支持。本研究結果可提供相關人員有關如何促進居家脊髓損傷患者正向自我概念及建構社會支持網絡的相關訊息。

The purpose of this study was to understand home-bound spinal cord injury (SCI) patients’ characteristics, including demographic, illness, social support, and self-concept. Furthermore, correlates of self-concept were identified. Random sampling was used to collect a total of eighty-one subjects from the population of one hundred and fifty home-bound SCI patients in the Pingtung area. The results showed: (1) The mean age of subjects was 40.9 years; male subjects outnumbered female (74.1% vs. 25.9%); (2)The mean time since injury was 9.0 years, and the mean score of activity of daily living was 14.38 (SD = 6.99) within a total score of 22; the higher the score, the more likely the subject was independent; (3) The mean score of social support was 24,86 (SD = 7.29) within a total score of 40; the higher the score, the more dearth of social support; (4) The mean score of self-concept was 76.70 (SD = 31.47) within a total score of 145; the higher the score, the more negative the self-concept. The significant correlates of self-concept were: educational level, job status, the activities of daily living, the type of injury, the mean year of injury, and social support. Results of this study are proposed as information on how to provide community-based services and networks of social support for SCI patients.

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