SF-36生活品質問卷於髖骨骨折老年患者之適用性探討

Transferability of SF-36 Quality ofLife Scale among Hip Fractured Elderly

本研究目的旨在以質性研究法探討SF-36生活品質問卷在髖骨骨折老年患者的適用性。採立意取樣，於北部某醫學中心收集個案，凡年齡在六十五歲以上、意識清楚、經醫學診斷為髖骨骨折均收為研究對象，資料飽和時即停止收案，共收得5個案。資料分析是依Miles和Huberman質性研究分析法加以分析整理，且由文獻查換並依著SF-36量表建立編碼表。結果發現幾個概念是老人在髖骨骨折後感受最重的事情及造身、心一限制、困擾事件，分別為：日常活動功能受限、社會生活、健康信念、症狀、睡眠障礙、心情症狀、氣力及環境。顯示SF-36問卷本身所包含八大概念（生理功能、因生理功能造成的角色受限、因情緒造成的角色受限、社會功能、身體疼痛、對健康一般性的看法、活力、一般性心理健康狀況）在大部份的資料分析中有被歸納出。而SF-36問卷本身則較缺乏對於疾病本身的症狀，及其症狀所造成的影響等相關問題做探討。且當問卷以老年失能病患為施測對象時，環境之相關內容題目也應加入探討，則將對其之金活品質有完整的探討。本研究可提供研究者使用SF-36生活品質問卷時之參考。The purpose of this qualitative study was to test to test the transferability of Short-Form 36 (SF-36)Quality of Life Scale among hip fractured elders. Five hip fractured patients aged 65 years or older who were conscious clear and admitted to the general orthopedic trauma unit of a medical center in Northern Taiwan were recruited. Data were analyzed based on the qualitative data analysis method of Miles and Huberman. The and coding book was established based on the concept of SF-3 and literature review. Some concepts were identified, which included, limitation of daily function, social life, health belief, symptoms, sleep disturbance, mental status, vitality and environmental factors. The identified concepts were almost the same as the eight concepts in SF-36; however the SF-36 scale lacked the symptoms and the symptoms related effects. Furthermore, when using the SF-36 scale in the disabled elderly, environmental questionnaires should be added in the scale. Results of this study can offer researchers further information about SF-36 Quality of life Scale.