環境對髖骨骨折老人出院後三個月生活品質之影響

The Influence of Environment on the Hip Fractured Elders’ Quality of Life Post-Discharge

本研究目的旨在探討環境對髖骨骨折老人出院後三個月生活品質之影響。採描述相關性研究設計，以立意取樣於北部某醫學中心進行收案，共收得53位個案。收案對象為某醫學中心外傷科病房之出院後三個月髖骨骨折、居住在台灣北部、意識清楚及年齡在六十五歲以上的老年病患。研究工具為一結構式問卷，包括個人基本屬性、環境狀況及生活品質(SF-36)量表。研究結果顯示：自覺環境障礙、居家無障礙物理環境及居住型態均會影響髖骨骨折老年病患出院後生活品質。返家後自覺環境障礙越小的髖骨骨折老年病患，其在一般性心理健康狀況、對健康一般性的看法、生理功能及活力的狀況會越好；而居家物理環境越無障礙者，其對健康一般性的看法越好。此外，髖骨骨折老人出院後的居住型態若採固定居住者，其會較輪住者在因情緒造成角色受限層面影響較小。本研究結果可做為護理人員照顧髖骨骨折老人的參考，以提供合宜之護理，並促進病患生活品質。

The purpose of this study was to explore the influence of the home living environment on the older persons' quality of life three months post-discharge from the hospital after undergoing hip fracture repair. The design was descriptive and correctional using purposive sampling to collect data from 53 patients discharged from a general orthopedic trauma unit at a medical center in northern Taipei. All subjects, aged 65 years or older, had been admitted for hip fracture and were oriented to person, place, and time. Structured questionnaires were used to measure demographic information, environmental barriers, and quality of life (SF-36). Results showed that subjective and objective environmental barriers and living conditions were the significant predictors of quality of life for these elderly subjects. Patients who had less subjective environmental barriers reported better quality of life in physical function, vitality, general health, and mental health. Patients who had less objective environmental barriers reported better quality of life in general health only. In addition, patients who lived in a fixed place had better quality of life in role-emotional than those who lived in several places. Findings serve as a reference for providing appropriate nursing care to improve the hip fractured patients' quality of life.