| Summary: | 碩士 === 國立台北護理學院 === 護理研究所 === 92 === ABSTRACT
The purpose of this study was to explore the relationship among the ADL function, self-esteem, and personal interaction in stroke patients. This study utilized a cross-sectional descriptive and correlational research design. For convenience sampling, 62 patients from the medical, neurological and rehabilitative wards of a medical center in northern Taiwan were enrolled in this study. All of these patients were above 55 years, diagnosed to have stroke, and had good cognitive function. Structured survey questionnaire was applied for individual interview. The instruments of this study included Short Portable Mental Status Questionnaire (SPMSQ), demographic sheet, Barthel Index, Rosenberg Self-Esteem Scale and Personal Interaction Scale. Frequency distribution, percentile, mean, standard deviation, Independent t-test, Pearson’s r, Spearman’s rho, One-Way ANOVA, and Pearson’s Correlation etc. were applied to analyze the data for descriptive and inferential statistics.
The major results were as follows: (1) The majority of the stroke patients in this study were mildly affected in their ADL function, and needed ambulatory appliances to move around independently. (2) The mean of self-esteem was above medium level. (3) The stroke patients in this study had a tendency of good personal interaction. (4) The time shared between the stroke patients and their family was almost the same or even longer, in comparison to the time shared prior their stroke attack. (5) The frequency of social telephone calls, visits or personal recreation activities were reduced in the majority of the stroke patients. (6) This study revealed that only the score of the self-esteem and the personal interaction had positive correlation, which indicated that the higher the self-esteem and the better the personal interaction. (7) There was no significant relationship between ADL function and self-esteem, nor significant relationship between ADL function and and personal interaction, which indicated that the disability of the physical function does not really affect the quality of the social interaction.
We can apply the findings of this study to the in-service education of clinical nursing, for nurses to have a better understanding in stroke patients, and therefore could provide appropriate nursing activities and patient health instructions. Hopefully in future studies, longitudinal research design can be utilized to investigate the effect of different time and situation on ADL function, self-esteem, personal interaction and the satisfaction of the whole personal relationship.
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