| Summary: | 碩士 === 長庚大學 === 護理學研究所 === 93 === The purpose of this study was to understand the hardiness, insight, social support and quality of life for patients of depressive disorder in Out-Patient Department, to further explore the relationships among them and to find the predictors for quality of life. Cross- sectional design was used and two hundred and forty-one subjects were recrewed in the study. To collect the data, Beck Depression Inventory Scale, Health Related Hardiness Scale, Mood Disorders Insight Scale, Social Supportive Scale and Medical Outcomes Study Short Form-36 (SF-36) were applied. Using SPSS 10.0 for Windows, the data were analyzed by the methods of t-test, ANOVA, Pearson's correlation and multiple regression.
The results indicated: (l) The patients of depressive disorder in Out-Patient Department had serious depression and moderate hardiness, insight and social support. Moreover, their quality of life was significantly worse than the norm. In Out-Patient Department, depressive patients’ best quality of life was physical functioning and the worst was role limitation due to emotional problems. (2)There was significant relationship among depression and hardiness, depression and social support, depression and insight, hardiness and social support. As to quality of life, depression, hardiness and social support all significantly correlated with 8 dimensions of life quality. However, insight only significantly correlated with 6 dimensions of life quality. There was no significant relationship among insight and physical functioning, insight and bodily pain.（3）The predictors of physical functioning were depression, education and age of onset. These three variables accounted for 31.8% of total variance. The predictors of role limitation due to physical problems were depression, employment, gender, the duration of disease, regular OPD follow-up , ever been hospitalized or not and age of onset. These seven variables explained 43.8% of total variance. Role limitation due to emotional problems was predicted by depression which accounted for 30.9% of total variance. The predictors of social functioning were depression, age and regular OPD follow-up. There was 49.3％ of total variance predicted by these three variables. The predictor of bodily pain was depression. This variable accounted for 34.5% of total variance. Vitality was predicted by depression. This variable accounted for 57% of total variance. When the 59.7％ of mental health’s variance was explained by depression and age , the predictors of general health were depression, hardiness, age and insight. These four variables accounted for 55.6% of total variance.
In practice, nurses should increase the hardiness, insight and social support of depressive patients in Out-Patient Department in order to promote their quality of life.
|
|---|
