第六章 綜合討論
第七節 未來研究方向
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實是有價值的，值得未來反應轉移研究採用並進一步驗證。
第七節 未來研究方向
雖然個人化生活品質的概念越來越受到重視，但 SEIQoL-DW 做為個人化生 活品質量表，過去的分析卻顯示，對不同疾病或嚴重程度的病人所做的評估，
似乎在總分或結果上未能呈現出什麼樣的不同，或兩個時間點間的評估也不見 得有所差異，反應轉移旨在說明，受試在不同的時間點進行生活品質的自我評 估時，也會因為他們對於所評估生活品質認識的改變，而影響了評估的結果，
Sprangers and Schwartz (1999)將反應轉移更細分成重新構念、重新校準、重新權 重，本研究主要在探索，SEIQoL-DW 是否能以反應轉移的概念來進行分析，初 步結果顯示，慢性腎臟病、血液透析、腹膜透析三組最明顯的差別仍然在重新 校準上，進一步以自我調節的概念來分析重新校準的結果發現，轉換重要的生 活領域可以提升生活品質，但兩次提名未改變的生活領域，卻沒有如理論預 期，會降低對這些重要領域的期待，這究竟是因為測量期待的工具不理想，或 是文化差異所導致，值得進一步研究。另一方面，受試轉換的生活領域是相對 權重較低的，而轉換過後的新領域，在滿意程度、期待、和相對權重都顯著提 高，過去認為權重對生活品質的評估不具獨特影響性，但從本研究的結果來 看，權重在轉換領域的過程中似乎扮演著重要角色，未來也值得進一步釐清。
在反應轉移指標方面，重新構念的兩次提名差異數、重新校準的兩次提名 領域期待平均差、then test 重新權重平均值，這些反應轉移指標或計算方式，
都是本研究第一次提出來，而兩次提名領域期待平均差和 then test 重新權重平 均值都在本研究中達顯著，值得後續進一步檢驗。另外，本研究發現，重新構 念、重新校準、和重新權重之間似乎有緊密的關聯，究竟是用一個指標來代
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表，或者仍分成三個指標合適，仍待未來研究探索。
重大事件是反應轉移的刺激因素，本研究僅檢驗三個月內無健康相關重大 事件影響的受試，發現反應轉移會因為時間的推移而發生，若再加入重大事 件，在隨著時間推移的過程中是如何影響個人的生活品質，反應轉移是如何變 化，重大事件的性質（正向或負向）、程度（對個人影響幅度的大小）的關係又 為何？在研究反應轉移指標的時候，實在無法避免要先釐清這個部分，而這 些，都有待未來有興趣研究者的持續投入。
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