脊髓損傷者憂鬱症狀及其相關因素之探討

Depressive Symptoms and Related Factors of Patients with Spinal Cord Injuries

10.6974/TCNJ.200704.0064

蔡春金(Chun-Chin Tsai)；黃瓊玉(Chung-Yu Huang)

脊髓損傷 ； 自我概念 ； 憂鬱症狀 ； spinal cord injury ； self concept ； depressive symptoms

志為護理-慈濟護理雜誌

6卷2期（2007 / 04 / 01）

64 - 73

繁體中文

本研究旨在探討脊髓損傷者個人基本屬性、日常生活活動能力、自我概念與憂鬱症狀的相關性。採橫斷式調查及立意取樣方式，選取高屏地區135位脊髓損傷者。測量工具包括個人基本屬性、巴氏日常生活功能量表、自我概念量表與貝氏憂鬱量表。結果發現脊髓傷後34.8%發生憂鬱症狀；損傷時年齡與憂鬱症狀呈顯著正相關；損傷年數、日常生活活動能力與自我概念皆與憂鬱症狀呈顯著負相關；自我概念、教育程度與日常生活活動能力可解釋憂鬱症狀56%之總變異量。本研究結果可提供臨床實務者瞭解脊髓損傷後憂鬱狀況，藉由提高正向自我概念，減少脊髓損傷者憂鬱症狀的產生。

The purpose of this study was to examine the relationships between demographic factors, self-concept and depressive symptoms of patients with spinal cord injuries. A cross-sectional purposive study design was used. All 135 participants with spinal cord injury were in southern Taiwan. Measurements included personal demographic data, the Barthel Index, Self-Concept Questionnaire and the Beck Depression Inventory. Results revealed that the prevalence of depressive symptoms was 34.8%. The age at time of injury was significantly positively related to depressive symptoms. The time since injury, activities of daily living and self-concept were negatively related to the depressive symptoms. The predictors of depressive symptoms were self-concept, education and activities of daily living, and accounted for 56% of variance. These results may help healthcare professionals to learn about the depressive symptoms of patients with spinal cord injuries. Enhancing a positive self-concept for patients with spinal cord injuries may decrease depressive symptoms.

1. 林淑芬(2017)。脊椎壓迫性骨折病人經皮穿刺椎體成形術後之健康相關生活品質探討。義守大學管理碩博士班學位論文。2017。1-84。