| Summary: | 碩士 === 國立高雄師範大學 === 諮商心理與復健諮商研究所 === 106 === Abstract
Objective: This study sought to explore the relationship between participation and quality of life among hemodialysis patients living in the community, and the influence of participation, demographic and sleep-related factors on quality of life in this group.
Methods: 136 hemodialysis patients were recruited from the Kaohsiung Nephropathy Association (n1=56) and the Kidney Disease Community on Facebook (n2=80).The instruments used in this study were the Impact on Participation and Autonomy Questionnaire (IPAQ) and Kidney Disease Quality of Life Scale (KDQOL). The data was analyzed by descriptive statistics, differential analysis, correlation analysis and stepwise multiple linear regression.
Results: The hemodialysis patients’ participation was best on Autonomy Indoors, followed by Social Life and Relationships, Family Roles, Autonomy Outdoor, and Work and Education. Most patients considered their disease and treatment somewhat affect their participation domains. Their quality of life was best on Symptom/Problems, followed by Effect of Kidney Disease, Mental Composite, Physical Composite, and Burden of Kidney Disease. There were low-to-moderate positive correlations among IPA and KDQOL subscales (Pearson’s r = .332~ .689, p< .01). The participation of Autonomy Outdoor, as well as Affects on Participation, was identified as strong predicting factor for the quality of life of hemodialysis patients. Other variables such as the economic status, difficulties in falling asleep, the number of night interruptions, counties of living, and age groups were also identifies as predicting factors.
Conclusion and Discussion: Participation and sleep problems do affect hemodialysis patients’ quality of life. Attention to the solution of such problems are worthy of further studies.
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