應用SF-36情境量表分析腦中風住院患者接受園藝療法之成效

Using the Short-Form-36 to Analyze the Effects of Horticulture Therapy on the Mood State of the Hospitalized Stroke Patients

10.6822/CTUST.2012.00033

張雅玲

園藝治療 ； 中風住院患者心理情緒層面 ； SF-36 情境量表 ； Short-Form-36 ； horticulture therapy ； the mood state of the hospitalized stroke patien

中臺科技大學健康產業管理研究所學位論文

2012年

碩士

應立志

繁體中文

本研究之目的為探討中風後之患者，其因中風後造成情緒之負向影響，是否能藉由園藝治療活動，誘發其朝正向思考並紓發情緒，進而提高生命之價值效益。研究方法：本研究為針對台中市某教學醫院腦中風住院患者，施予一次2小時的園藝治療活動，且在活動前與後各進行一次「SF-36」量表之量測，並使用相依樣本t檢定，分析患者參加園藝活動前、後之是否有顯著差異，同時藉由變異數分析(ANOVA)，依基本人口統計變項分類，視其是否影響SF-36健康量表中各個構面之表現。研究結果發現：在2小時的治療活動之後，45位受測者(有效回收率100%)在「SF-36」量表中之「一般健康」、「活力狀況」、「社會功能」、「因情緒問題角色受限」、「心理健康」等構面皆有顯著的影響(p值皆小於0.01)；另一方面，依「行為依賴程度」、「活動分類」之不同，皆會影響「社會功能」之表現(p值分別為0.016及0.043)，同時，「活動分類」更對「因情緒問題角色受限」及「心理健康」改善情形達顯著差異(p值分別為0.018及0.028)。由此研究結果可知，透過園藝治療活動可以使腦中風住院病患之心理情緒層面改善，而達到促進中風患者之生理、心理健康，並增進其與社會互動之福祉效益。

The purpose of this research is to discuss the effects of horticulture therapy on the mood state of the hospitalized stroke patients using the Short-Form-36 to see if these effects could induce patient to create positive thinking and promote the value of the life. The article includes the hospitalized stroke patients in the teaching hospital in Taichung. Method: All patients should fulfill the scale of “SF-36” before and after the treating of horticulture therapy for 2 hours. This research will be analyzed with paired-t test which is used to see if the difference of result before and after the horticulture therapy is significant and with One-way ANOVA which is used to see if the basic demography would affect the result of the eight aspects in SF-36 scale. The study found that after the horticulture therapy for 2 hours, the score of eight aspects in “SF-36” scale according GH, VT, SF, RE and MH is apparently different from pre-test to post-test (all p-value < 0.01) On the other hand, SF will be different depending on the degree of stroke and what kind of horticulture therapy they took part in (p value is 0.016 and 0.043 respectively). As well as, the kind of horticulture therapy they took part in will also affect RE and MH (value is 0.018 and 0.028 respectively). According to these, we could say that the horticulture therapy might help hospitalized stroke patients raise mood state and improve their mental health. At the same time, they would have more self-confident to interact with the society.

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