| Summary: | 碩士 === 國立陽明大學 === 醫務管理研究所 === 92 === Owing to the economic advancement and the achievement of medical technical, the physical problems of our citizen due from the change of daily life style directly influence their health, the most of all to threaten the health of our people is nothing but chronic disease. Chronic disease affects both health and life quality of patients, and furthermore is due in an economical heavy burden for persons, families and society. Hence it is expected to be on a prime authority of both the references to the hospitals clinical services treating to chronic disease patients and the demonstration of health education that is by the way of the impersonally assessing on the health-related quality of life to study the influencing factors
about the life quality of chronic disease patients,
This research is developed by the way of adopting purposive sampling 753 citizen in Pu-Li township, and colligate their names to the hospitalization application files of national health insurance at a local teaching hospital in Pu-Li township, the valid samples consisted of 443 females (58.83%) and 310 males (41.17%). This valid samples consisted of 369 CHRONIC DISEASE patients (49%), 193 chronic disease female patients (43.57%) and 176 non- chronic disease male patients (56.77%) are included.
The questionnaire named as WHOQOL-BREF Taiwan version, developed by Yao Kai-Ping et al., is used in this study as the measurement of HRQOL, which is divided into four domains: physical domain, psychological domain, social domain-Taiwan version and environmental domain-Taiwan version.
Results of this study indicate that the reliability (Cronbach’s α) of the questionnaire is higher than 0.70 except for the social domain (slightly lower than 0.70), revealing good internal consistency. Comparing four domains in HRQOL of chronic disease patients with non- chronic disease ones, the result shows the scoring in physical domain of non- chronic disease patients is significantly higher than chronic disease patients. This demonstrates that having or not having chronic disease indeed affects the HRQOL. Moreover, after generalizing this research about factors affecting HRQOL of chronic disease patients with statistical analysis, consciously feeling healthy, happily and society position are the main affecting factors, and the importance of health education could be found by these affecting factors. Results of this study indeed reveal the different quality of life from individual chronic disease patients. Hence, in the light of hospital management, feasible suggestions about the community medical service policy for taking care of chronic disease patients according to the priorities should be made by whose hospitals. In this way medical resource consuming can be reduced, and patients would be able to acquire improved health and better quality of life.
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