康復之家住民的社會支持與生活品質之研究
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2024
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本研究旨在探討我國康復之家住民的康復之家服務使用經驗、社會支持及生活品質三者間之關係，並檢驗社會支持對康復之家服務使用經驗與生活品質的中介效果。本研究採問卷調查法施測，共收集212位康復之家住民，問卷內容包含「個人背景資料」、「康復之家服務使用程度量表」、「康復之家居住之自主性感受量表」、「社會支持量表」、及「臺灣簡明版世界衛生組織生活品質問卷」，所收集的資料透過 SPSS Statistics 29 軟體進行分析與假設驗證。研究主要發現如下：
一、 康復之家服務使用程度情形，以居家生活自理服務的使用程度高於人際互動與社區適應的服務。
二、 康復之家住民的社會支持，以訊息性支持的最多，其次分別為評價性支持及協助性支持，而情緒性支持則最少。
三、 康復之家住民的生活品質以環境的評價最佳，其次分別為社會關係及生理健康，而心理的評價則最差。然而，比較NHIS的常模資料，康復之家住民的生活品質仍低於一般臺灣民眾。
四、 康復之家住民的整體康復之家服務使用經驗、社會支持皆與生活品質呈顯著正相關。
五、 整體階層迴歸模型對整體生活品質的解釋力達46.2％，「目前使用藥物的副作用」、「康復之家服務使用程度之人際互動與社區適應」、「康復之家居住之自主性感受」、「評價性支持」及「協助性支持」皆為整體生活品質的重要預測因子。
六、 康復之家住民的整體社會支持在整體服務使用程度及整體生活品質之間，具有部分中介效果。
七、 康復之家住民的整體社會支持在整體自主性感受及整體生活品質之間，具有完全中介效果。
八、 康復之家住民的評價性支持在人際互動與社區適應構面、自主性感受及生活品質之間，具有部分中介效果。
九、 康復之家住民的協助性支持在人際互動與社區適應構面、自主性感受及生活品質之間，具有部分中介效果。
研究建議如下：
ㄧ、持續增進康復之家人際互動與社區適應服務。
二、提倡康復之家管理方式以自主性為主。
三、持續提升專業人員所提供的情緒性支持及評價性支持。
四、發展減緩藥物副作用的處遇服務，且針對因藥物副作用不便的康復之家住民，給予支持協助，以提升生活品質。
The purpose of this research is to discuss the relationship among the experience of the halfway house services using, social support and life quality of the residents of the halfway houses in Taiwan, and to test the mediated effect of social support on the experience of the halfway-house services using and the quality of life.This research adopted the questionnaire survey method and collected a total of 212 residents’ data of the halfway houses. The questionnaire consisted of 5 sessions, the first of which is demographic information of the respondents; the second of which is the scale of service using of halfway houses; the third of which is the scale of the autonomy perception for the residents of the halfway houses; the fourth of which is the scale of social support and the fifth of which is Taiwan condensed version of the World Health Organization Quality of Life Questionnaire. The data collected was analyzed and hypothesis validated through SPSS Statistics 29 software.The main findings of the research are as follows:1. Regarding the degree of service using of the residents of halfway houses, the use of home life self-care services was higher than that of interpersonal interaction and community adaptation services.2. Regarding the social supports for the residents of halfway houses, the informational support was the most common followed by the appraisal support and assistive support, and the emotional support was the least.3. Regarding the quality of life of the residents of the halfway house, the evaluation of the environment was rated best, followed by social relations and physical health, and the psychological quality was the worst. However, comparing the norm data of NHIS, the quality of life of residents of the halfway houses was still lower than that of the general Taiwanese population.4. There was a significant positive correlation between the overall experience of the halfway houses service using and social support and the quality of life of the residents of the halfway houses.5. The explanatory power of the class regression model on the overall quality of life was 46.2%, and"side effects of current drug use", "interpersonal interaction and community adaptation to the degree of the halfway house services using", "autonomy of living in halfway houses", " evaluative support" and "assistive support" were all important predictors of the overall quality of life. 6. The overall social supports for the residents of the residents of halfway houses had a partial mediate effect between the overall service using and the overall quality of life. 7.The overall social supports for the residents of the halfway houses had a complete mediate effect between the overall autonomy perception and the overall quality of life.8. The evaluative support for the residents of halfway houses had a partial mediate effect on interpersonal interaction and community adaptation, autonomy and quality of life.9. The assistive support for the residents of halfway houses had a partial mediate effect on interpersonal interaction and community adaptation, autonomy and quality of life.The suggestions of the research are as follows:1. Continue to enhance the interaction and community adaptation services provided by the halfway houses.2. Advocate that the main way of halfway house management should be the autonomic way.3.Continuously improve the emotional and apparel support provided by professionals.4. Develop treatment services to alleviate the side effects of medications, and provide support and assistance to the residents of halfway houses who are inconvenient due to the side effects of medications to improve their quality of life
The purpose of this research is to discuss the relationship among the experience of the halfway house services using, social support and life quality of the residents of the halfway houses in Taiwan, and to test the mediated effect of social support on the experience of the halfway-house services using and the quality of life.This research adopted the questionnaire survey method and collected a total of 212 residents’ data of the halfway houses. The questionnaire consisted of 5 sessions, the first of which is demographic information of the respondents; the second of which is the scale of service using of halfway houses; the third of which is the scale of the autonomy perception for the residents of the halfway houses; the fourth of which is the scale of social support and the fifth of which is Taiwan condensed version of the World Health Organization Quality of Life Questionnaire. The data collected was analyzed and hypothesis validated through SPSS Statistics 29 software.The main findings of the research are as follows:1. Regarding the degree of service using of the residents of halfway houses, the use of home life self-care services was higher than that of interpersonal interaction and community adaptation services.2. Regarding the social supports for the residents of halfway houses, the informational support was the most common followed by the appraisal support and assistive support, and the emotional support was the least.3. Regarding the quality of life of the residents of the halfway house, the evaluation of the environment was rated best, followed by social relations and physical health, and the psychological quality was the worst. However, comparing the norm data of NHIS, the quality of life of residents of the halfway houses was still lower than that of the general Taiwanese population.4. There was a significant positive correlation between the overall experience of the halfway houses service using and social support and the quality of life of the residents of the halfway houses.5. The explanatory power of the class regression model on the overall quality of life was 46.2%, and"side effects of current drug use", "interpersonal interaction and community adaptation to the degree of the halfway house services using", "autonomy of living in halfway houses", " evaluative support" and "assistive support" were all important predictors of the overall quality of life. 6. The overall social supports for the residents of the residents of halfway houses had a partial mediate effect between the overall service using and the overall quality of life. 7.The overall social supports for the residents of the halfway houses had a complete mediate effect between the overall autonomy perception and the overall quality of life.8. The evaluative support for the residents of halfway houses had a partial mediate effect on interpersonal interaction and community adaptation, autonomy and quality of life.9. The assistive support for the residents of halfway houses had a partial mediate effect on interpersonal interaction and community adaptation, autonomy and quality of life.The suggestions of the research are as follows:1. Continue to enhance the interaction and community adaptation services provided by the halfway houses.2. Advocate that the main way of halfway house management should be the autonomic way.3.Continuously improve the emotional and apparel support provided by professionals.4. Develop treatment services to alleviate the side effects of medications, and provide support and assistance to the residents of halfway houses who are inconvenient due to the side effects of medications to improve their quality of life
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康復之家, 慢性精神障礙者, 服務使用經驗, 社會支持, 生活品質, halfway house, people with chronic mental disorders, the experience of service using, social support, quality of life