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器官移植病人生命意義感與生活品質之研究
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| 作者 |
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靳瑞芳 |
| 學校系所 |
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高雄師範大學教育學系生命教育碩士班 |
| 地點 |
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全臺 全部
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| 研究內容 |
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本研究設計是橫斷式調查研究法、以立意取樣、針對接受肝臟、心臟、腎臟器官移植受贈者168名居家病人為研究。研究工具運用「生命意義感量表」與「生活品質量表」作為研究資料之收集，之後並以SPSS 11.0 Window 版本分析資料包括：描述分析、t 檢定、單因子變異數分析、卡方檢定、皮爾遜相關積差等等分析，來探討器官移植受贈者生命意義感與生活品質之現況與相關性。本研究結果歸納如下：
一、器官移植受贈者的生命意義感普遍在中等程度。其中以「求意義的意志」感受程度最高，「死亡接納」最低。
二、器官移植受贈者的生活品質感普遍在中等程度。其中以「環境健康」感受程度最高，「社會健康」最低。
三、器官移植受贈者在生理健康、社會健康、及環境健康中以肝臟移植受贈者最佳、在心理健康及整體生活品質感上以心臟移植受贈者最佳。
四、器官移植受贈者的生活品質在年齡、家人支持度、婚姻狀況、經濟狀況、移植種類、器官穩定性、合併症、與自覺健康狀況上有顯著之影響。
五、器官移植受贈者在生理健康方面與生命目的呈現顯著正相關 : 在心裡健康方面與存在盈實、生命目的、生命控制、整體生命意義呈現相關；在社會健康方面與生命目的
呈現顯著相關；在環境健康方面與存在盈實、生命目的、生命控制呈現顯著相關；在整體生活品質方面與存在盈實、生命目的、生命控制呈現顯著相關。
最後：本研究依據上述結果，提出具體建議，做為臨床醫療專業人員與器官移植國家相關公共政策未來進一步研究之參考。
關鍵詞：移植、器官移植受贈者、生命意義感、生活品質
[ 英文摘要 ]
Abstract
A study on the meaning and quality of life in patients after organ transplantation
This is a cross-sectional, purposive sampling study. One hundred and sixty-eight patients who received liver, heart, and kidney organ transplants were included in our study. The meaning of life scale and life quality scale were used in the data collections. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) software version 11.0. Values of two-sided p < 0.05 were considered statistically significant. Statistic methods include descriptive statistics, t-test, one-way ANOVA, chi-square test, and Pearson product-moment correlation analysis. We want to determine whether the associations between the meaning of life and life quality exist in organ transplant recipients.
The result of our study is summarized as follows:
1. The organ transplant recipients have above medium meaning of life. The mean score on the Life Purpose dimension subscale is the highest; the Death Acceptance dimension subscale is the lowest.
2. The organ transplant recipients have above medium quality of life. The mean score on the healthy factor dimension subscale is the highest; the environmental factor dimension subscale is the lowest.
3. The health, social adaptation, and environmental adaptation are best in the liver transplant recipients. The mental health and quality of life are best in heart transplant recipients.
4. The organ transplant may bring significant influence on the life quality, especially in the family support、marriage、economic impact, the types of donor organs、stablization of organ、complications、and self health condition.
5. Positive correlation between health and life purpose is noted in organ transplant recipients. Mental health is correlated with existential vacuum. Life purpose, life control, and meaning of life. Social health is highly correlated with life purpose. Environmental health is correlated with existential vacuum, life purpose, and life control.
In conclusion, our preliminary result may bring a contribution to clinical physicians, organ transplant teams and public policies.
Key words: Organ recipient, the meaning of life scale, quality of life
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