中風復原期病人復原力及其相關因素之探討

Exploring Resilience and Related Factors Among Patients With Stroke in the Recovery Stage

背景：當面臨突發中風與遺留後遺症之危機時，復原力會影響疾病適應及衝擊的程度，然國內鮮少針對此族群的復原力及相關因素探討。目的：探討影響中風復原期病人復原力及其相關因素。方法：採橫斷式、相關性研究設計，採方便取樣以北台灣某地區教學醫院復健住院病房中風病人為研究對象，採結構式問卷，包括：社會支持量表和復原力量表進行資料收集。以描述性、推論性統計、逐步迴歸進行資料分析。結果：共收案128位中風復原期住院病人，平均年齡57.2±11.6歲、男性居多。結果顯示整體復原力為中等程度，整體社會支持與復原力達顯著正相關。年齡、婚姻狀況及整體實質社會支持對復原力之解釋總變異量為25.0%。結論：實務應用年齡、婚姻狀況、整體實質社會支持是中風病人復原力重要影響因子。建議臨床醫護人員可透過在職教育訓練提升知識及技能、主動關懷、鼓勵病人學習自我照顧，以增強病人復健動機及信心程度、並藉由跨領域醫療團隊合作及支持性關係，促使疾病恢復及生活因應能力。 Background: Resilience is known to affect the degree to which individuals adapt to the impact of stroke and its sequelae. However, few studies have examined resilience and related factors among stroke patients in Taiwan. Purpose: To explore resilience and related factors among stroke patients in the recovery stage. Methods: A cross-sectional and correlational study design was adopted. Convenience sampling was employed to recruit participants from the rehabilitation inpatient wards of a regional teaching hospital in northern Taiwan. A structured questionnaire, including the social support scale and the Chinese version of the resilience scale, was used for data collection. Data were analyzed using descriptive and inferential statistics and stepwise regression analysis. Results: A total of 128 stroke recovery in-patients who averaged 57.2 ± 11.6 years of age and were predominantly male were recruited. The results of this study showed that the global resilience of participants was moderate and that a significantly positive correlation existed between global social support and resilience. Age, marital status, and global tangible social support accounted for 25.0% of the total variation in resilience. Conclusions/Implications for Practical: Age, marital status and global tangible social support were identified as the crucial predictive factors of resilience in stroke patients. The results support the recommendation that healthcare providers should acquire advanced knowledge and skills through in-service education, proactive caring, and encouraging patients to learn self-care in order to enhance rehabilitation motivation and confidence levels and subsequently promote disease recovery and the ability to adapt to life through cross-disciplinary medical team cooperation and supportive relationships.