職業性肌肉骨骼疾病患者心理困擾程度及其相關因素之探討

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Title:	職業性肌肉骨骼疾病患者心理困擾程度及其相關因素之探討 The Extent of Psychological Distress and Its Related Factors Among the Patients with Work-Related Musculoskeletal Disorders
Authors:	莊琇菱
Contributors:	心理輔導學系
Keywords:	職業性肌肉骨骼疾病心理困擾工作能力社會支持 work-related musculoskeletal disorders psychological distress work ability social support
Date:	2016-06
Issue Date:	2016-08-17 10:19:34 (UTC+8)
Abstract:	本研究旨在瞭解職業性肌肉骨骼疾病患者的心理困擾狀況；探討患者的疼痛情形、工作能力與社會支持對心理困擾的預測力；並分別考驗社會支持在疼痛情形、工作能力預測心理困擾時的調節效果。本研究以中部職業性肌肉骨骼疾病患者為研究對象，採問卷調查法，利用「疼痛情形量表」、「工作能力指數量表」、「華人健康問卷」、「社會支持量表」為研究工具，獲有效問卷166份。以t檢定、單因子變異數分析、積差相關分析、多元迴歸分析、階層迴歸分析等統計方法進行資料分析。本研究主要結果如下：1.職業性肌肉骨骼疾病患者的不同性別、經濟狀況在心理困擾有顯著差異。2.疼痛情形與心理困擾有顯著正相關(r =.499)；工作能力與心理困擾有顯著負相關(r =-.212)；社會支持與心理困擾有顯著負相關(r = -.408)。3.控制性別、經濟狀況之後，疼痛情形、社會支持可有效解釋40.8%心理困擾的變異量。4.社會支持在疼痛情形與心理困擾、工作能力與心理困擾之間不具有調節效果。最後，研究者根據研究結果，提出相關之建議。 The purposes of the study were (1) to investigate the level of psychological distress in the patients with work-related musculoskeletal disorders and (2) to explore the predictors of psychological distress. In addition, the moderating effects of social support on the relationships between pain or work ability and psychosocial distress were evaluated. The instruments used in this study included Dallas Pain Questionnaire, Work Ability Index, Chinese Health Questionnaire-12 and Perceived Social Support Scale. In total, 166 patients with work-related musculoskeletal disorders were recruited. The data were analyzed by t-test, one-way ANOVA, Pearson product-moment correlation, multiple regression analysis and hierarchical regression analysis. The results of the study were listed as follows: 1. Gender and economic status showed significant differences on psychological distress. 2. Pain was significantly associated with psychological distress (r =.499); work ability was negatively associated with psychological distress (r =-.212); social support also showed a significantly negative relationship with psychological distress (r =-.408). 3. After controlling gender and economic status, pain and social support effectively explained 40.8% of variance of psychological distress. 4. Social support did not show any moderating effect on the relationships between pain and psychological distress and between work ability and psychological distress. Finally, the advanced discussions and further suggestions based on the result of this study were addressed.
Appears in Collections:	[Department of Counseling Psychology & Graduate Institute of Counseling Psychology ] thesis

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