Hwu Y J
Rehabil Nurs. 1995 Jul-Aug;20(4):221-5. doi: 10.1002/j.2048-7940.1995.tb01632.x.
The purpose of this study was to assess the impact of chronic illness on patients in relation to its physical, psychological, and social effects, and its effects on activities of daily living. A structured questionnaire was used to interview 177 patients. Chronic illness had the greatest effect on psychological functioning, followed by physical and social functioning. The least affected aspects of a patient's functioning were related to performing activities of daily living (ADLs). Results indicated that the diagnosis, duration of disease, and developmental stage of the patient's children were useful in predicting the impact of a chronic illness on a patient's physical functioning. Diagnosis, duration of disease, and economic status had a significant impact on a patient's psychological functioning. Diagnosis, duration of disease, age, sex, occupation, education, and marital and economic status were important factors relative to social functioning. Diagnosis, age, marital status, the developmental stage of the children, and the primary caregiver were the most important factors related to the effects of chronic illness on ADLs. The results of the study serve as a guide for a comprehensive assessment of chronically ill patients.
本研究的目的是评估慢性病对患者在身体、心理和社会方面的影响，以及对其日常生活活动的影响。采用结构化问卷对177名患者进行访谈。慢性病对心理功能的影响最大，其次是身体和社会功能。患者功能受影响最小的方面与日常生活活动（ADL）的执行有关。结果表明，患者的诊断、疾病持续时间以及子女的发育阶段有助于预测慢性病对患者身体功能的影响。诊断、疾病持续时间和经济状况对患者的心理功能有显著影响。诊断、疾病持续时间、年龄、性别、职业、教育程度以及婚姻和经济状况是与社会功能相关的重要因素。诊断、年龄、婚姻状况、子女的发育阶段以及主要照顾者是与慢性病对ADL影响相关的最重要因素。研究结果可为慢性病患者的综合评估提供指导。
