神經修復病人術後希望狀態之探討

Hope of Spinal Cord Injury Patients Following Nerve Repair Operation

本研究為追蹤性描述相關型研究，主要目的是探討神經修復手術病人術後二週和三個月的希望狀態。研究對象採立意取樣，以台北市某醫學中心之神經修復病房為收案場所，共收集29位病人，研究方法採結構性問卷進行資料收集，使用工具包括個人基本屬性及疾病特性資料表與希望狀態量表共二部份，所得資料以描述性統計、t檢定、單因子變異數分析方法進行統計分析。研究結果歸納如下：1.神經修復手術後二週和三個月個案其希望狀態處於中等程度以上，術後三個月希望分數高於術後二週，但未達統計顯著差異；2.神經修復手術後二週和三個月的希望狀態六因素前三名均為：『內在的能量』、『主動參與』、『人際關係』。3.神經修復手術後二週和三個月個人基本屬性中，有無參與支持團體者與其希望狀態呈顯著差異，而在疾病特性方面，脊髓損傷A級和C級希望狀態呈顯著差異，另有無合併症亦呈顯著差異，在術後二週中損傷原因中的車禍組和跌落組與其希望狀態呈顯著差異。研究結果可提供臨床對於神經修復手術後照護，定期舉辦支持團體及設計出院衛教計畫之參考，提升個案出院返家之持續性照護及希望程度促進其身心靈社會之調適。

The purpose of this study was to explore the level of hope among SCI patients of two-weekand three-month periods after undergoing a nerve repair operation. The software used in this studywas the Chinese version of the Nowotny Hope Scale (NHS). Some demographic data and characteristicsof illness were also adapted. The statistical analysis was done using SPPS 10.0 software.The major findings of this study were as follows: (1)The levels of hope were moderate two weeksand three months after the operation. (2)The demographic characteristics of the differences in thelevels of hope were significant in the support groups two weeks and three months after operation.The results of this study may provide an effective reference for designing discharge educationplans and for continuous nursing intervention with post-nerve repair patients who have spinal cordinjury after they have been discharged from in-patient wards of medical centers.