*~;\/~li!/~\**
'
i1
i'
~~ ~~ k~
t
*
tt
~
;\
Z
~t
)t
I \
Studies on the Quality of Life of The
End-Stage-Renal-Disease Patient
Elf
n
1:
:]ittt~
(Shih-Huei Huang)
t~±
(Chung-Fu Lan)
N tional Yang-Ming Medical College
Institute of Public Health
Master Thesis
r=p
~~J\.+±f:7\~
J
f
t ..j}J
t l L lr:'
log
: : : ; _1
~~---p3-4
~n § ~---
----p5
-tm
~§~ ~1E:&
~u15 it;
Fa~1'1 - - - -
- - -
p6 9
=-
tm .
IJ:l
JiijA.
t§J---plO-13
~~
-
-~--p14-17tm
~n ~~~--- --- ---
--p18
=-
lID
WT
n
~ ~--
--- ---
--pI9
~~WWT
~~- --- --- ---
---pIg
~
lID
~ ~~ ~~
.--- ---
----pI9-24
--- ---p25
--- -
----p25-26
- ----p26-30
M42
~it;-
p30 ~+7t
~15
it; - - - - -
---- ----
---
-p31
m.
(~~)-
---
--- ---
-p75-81
~ruJ
Fpfj
=t!'
!I~ ~--- --- --- ---
--p32
m
=
M Ppfj
~ ~ ~ji f.-f
it
1fjffl
70 - - - - -
- - - -
p
3 3 -
4
3
~M ~~~~2~~1*W-------p44-47
gyRO
;f~ ~it
ifJT - - -
- - - -
- - - -
- - -
p4 8 - 5 2
~W
ljg!~s:\;aj1;t
---~ j!g!~~itifJT$----p53-61
(Stepwise regression)
:it
f§
~~ ~2
1*
- - - -
p6 2 - 6 4
1* W - - ---
-p65-57
~~M m~ffi~---p67-68
~~------
---
---p59
---
--- --
---
p70-71
jif.-f --- ---
---
--p72-74
~
1 :
=
= ==
=~
1f
~ ~ ~
*
~¥ {~ ~ ~
7t
ji~ ,~
---
p
8
~
2---Wf
n
~
Iff
m
~
---p18
~
3---
Be
it
t§
~
15
Jt
ffj
~
I A
~
---
p
41
I
4---
~&
I
~ ~
rs
~ ~ ~
---
p
4 2
~
1 -.s¥,
i!f;
gx
~
'5:
I
!±:+
0fR
~~
"
!hl
~ f~
:-t
1
,41"
{(
1..
2 S " ' . IJV
'~
151
~ 1i'9
J\
I.
{O
ml
'r~ 1m
X
'W.
i..
~ 5~
- - - -
P
if -
(
~
2---
rp]
i
~ ~ .~ ~
Jj
~
[r
0
n
0
a c
h
!S
a
{j ---
p
2 9
~ 3---rp~
i
*
7G
~
II
ffi
A
~&
871 CG
---p32
t
4---i
$1j
*
4\ A
0
~ f~
ff
2
~
1iJ
---p35
~
5---
~ ~
¥A
*
~ ~
\
B
~
271
1iJ
---p36
*
6 - - - -
~
fl
~B ~
n
it
~
D. M
.
2
~
1iJ - - - -
P
3 6
~" ~ J ~
IF
~ j t:1 h~W
:ir..1#
11.
~tf
iE
ifr
~~::H:
tt.t
F!~ ~JJ.
k.
P
I")6
t
1- - - --
-jrg
A
:rJ
d
ii~
A
R
PJ 00
,i£1
17..
IX.
15]off
fR
pj
~Ci
A
fflJ
laJ "-
Jj
llJ
J
t
8---~ ~ ~
Ii
±
j
J!
2
t~
lfJ
---P37
t
g__
x _ _ _~ ~
W
i
±
~
1m
2
tij
lfj
---pj7
t
1 0 ---
~
*
m
A
~
"
~ ~~ ~ ~ ~
f1
~
7J
1iJ - - - -
P 3 7
~
11 ---
k
~~
'5:
j.
fJ1
~ ~) f§ ~ ~~
10 - - - -
P
3
8
1( -tl'
illti
1V~\ / '\
"@ 0:4 \x
i..
tm
'1m
~
12 ---
~ ~
ff
1m
m
~J ~
II
m~ f~
ffl
~ t~
10 ---
P
j
8
t
~13 ---
k
tl
HUi
QR -}:;
"F3
1i
I~ ~h ~ ~ ~ ~ ~
i*
f:l - - - -
f)3 8
1\\\
ttJ
./J..
~ JL It....\ /I....i..
'I~ J rJr
~
T S ./
tE
qlf
B
~;,:+.
ifh
:OJ til: ~ "k.
~
14 ---
/1' IOJ
~o
7Jf,D~ ~ ~
fO
~j
H
Jx "-
7J
1IJ - - - -
P 4
v
~
1
~
---
j0
.m ;;
J§
ill
y6
tE
-t
:T
~ ~~
Jib - - - -
p
4
J
lX.!l
A
=fox
/,/'\1Dm~JJJ_\i..tm"bT! I d;$:
11 ~ - - - ~fE
*R
~~ ~r§
ill 1
6
lti
jJ-i-
:T
~ ~l;I10 __________________
P
t1h
J.;(
U
~7Jf,
1'P
!rrJ
x: /\ / \
10
11'1',J\J "-
tm
'1m
"! Jt
17---Hj
mt
n
it
w
~ ~15
£
~
2.
~~ ~
---P47
~
: 8 -- - - - -
~ ~ t~ ~ ~ ~
w
~
1%
£
~
Bj
t~ ~~
---
P
4 8
*
1
~
-21- --
A
0
~ ~ ~
\
~ ~ t~ ~ r~ ~
1
ffi
~ ~
raj
ff~ g~
1*, ----
r
4 9 -5
0
~
2 2 .. - - - - -
~
!±
~!
ffi
~ ~
raj
~
fS
~
---
P
5 2
~ 23---~?V ~ ~ ~
it
7;'~
ffi
~
(1) -
(3)
---P55
~ 24---~?V ~!W ~
it
7;
tff
~
*
(4) - (6) ---p58
::t
(15
& 11-.:JiiJ ~ill:T JJ.
±r::
vt
EB
(rl\18'
~11{
~
- - - -
~
Y
J8
im
m
..L\J
)J
'~I
:;:P /1(
!,f ) - \ ) - - - -
p
U 1
~
2 6 ---
~
,i
frg
A
~ ~ ~ j~
f¥
If
~
A
t:
Wf
Jt
,2 cb '1 ---
p
6 b
mI~Ef1if!!
tlt70t.tifiJT,
~ ~mz
fB
ie.,.
::F
1;0
~~~7:P:~
*,
lftl,N-=fffJ!!t;,:;t
~lE7t
~ n~ti:
...
0tm
~ ~m f!
~ ~ ~P] , ~ ~ ~ ~ffJ
~ ~llJ
~~ ~
ti
~Mi,
'Pit
f): ~ #(7
~x:
ff
i!&
..t
s:][~Jm,
~2.
m?:
J!~flJ
~j ;
tm
M
ax;
0 ~ , ~ ~ft:J
~:Egffi
&
~ ~x:
:£
gffi
if
~Ii
1f1,
~*
s:J
m
~&
b
I!
..t ffJ
X
1~, ~fX
~?!i
?Xii
~;
~ J$jIJt
:£
gffi
&#~ :£~. =m&~ ..tffJmM;~~tt~W.~~.~~.
~
&
~r
~ ~ J ~mt
s:J
1tL~~&
~ ~m
~ft:J
c.§
1~, ~ ~W
B:J
A W
~ f):fB
~ ,t~9J!L&
-=f
tfJ
m
PG:.
if
fX
f'F
~x:
M raj.
1.i
f):;~ 11\ f}g tit; 11\ u: .". ow. ~ ~~ !lit; -'? ~ .H-. r~ ~ oFf ~ '" !±:!,
-tr±
rrr.l.2:S J , i n \ ~ J ]~ 1 ~ j"~ 1* 1'X JI:~ ~d .. " .. 0 l!.:.. ,e.., ~ ~ 1""..x. -r- 3Z.. 1:1: U}~
~
fiJT M raj,
~7
~U
1~,Bl
r.il
f):ff
1ilJ
~ ~fiE
0mf&W1rsj,
~5t JffiBj f): ~fB~-=f- --=f~, ~~~~J3~ i§. ~ ~j t-~ t~
,
if
m
PG:
~ 0*
~w:
-=f
WS
~,fX
~ ~W
l!:
~-
WI 13
&l
fff
iL'
~"
fit
0m
if.
~ fj~u rm
M;
ifijfro -
~ ~JmI
i£
~
$/J
tfJ
7
0 f!;.yWl Wl
l j , ~ ~ ~raj
Sg
px
-&,
~x:
%t
;q
~m
-=f
~ ~
ml
j£lFtr
ft:J
:lj7
{l: ,mr
s:J
~,Wi
a:J
~ 'j\ 0m
~:£
~ffiifJ
tfJ
::F
{i ~ #jSg
1£1
, t t
~ jlj ~ ~ffJ
?~
,
ttU - -
1~tJ \
13 IlJJ Sg
'ffl fljl
0 ~gffi
H
a:J
M
1fT,
~*
tJl
t~ ~\
1it
~, iff) ~Fm
U&
51 A ;
ft'i
~ffJ
~.:::.
a5,
%t
m
tl:l Jt
1f1
a:J m ;
~x:rt:J~ ~~mfXffJ ~ fE~n~*ft:J~~ff:mo
~Wf~fiJT
m1F,
~fXA~i=f:1sg~W!~,M
rsj
fX
j51
7
f!;tIT
1f.
*,
EE
n~ ~ ~it
~sj
2~g,
9
~f4
}~sj
~ ~.if
{~ SjZi'=J
~ fp ~1f.
m
1m,
fflj1:
@ ~ {i ~r
ii
J ,H
~r
~ J ,FTr
t).r
1:§~~J
(The Quality of Life)
~fflGA§1fi11t~Sj~~o1 9891f. Good i nsonft
ftt
sj:>c
~r:p
t§'tfj
19771f. Sto II
m
A
Q/L~11'l
{H
8jffu 15
±:
~ ~ ~ ~~m:
~ ~tEl
~18
~11
~ frgGoo din son
tE
tfj
1:
§
~ ~tJj
~H:it
~m
*
~,3U -
{I ~ frg, ~ [Q]7El
0
~
15
:rt
tJj
~ilJ;k
1M ;
i1l
IJ:i:
tEl
~1&
Bjfr.J!
,3IJ2.
Q /L
PJ
f1=
A
~=*
f~3t
tEl
~sj
1ID
~-
~ ~. # r
4
1 ± ttR E? ~ >F;= EI _ ~ ~ J,Lt- ~ E R ~ ,b, ~ --t:-'*'
-t=;-=
Hi •""" ~ J 0 ~ 7';Ij Il)'.. re 7iE ::<:E 'G 1"5<: I.:t. :13;: 1f":i , t::l fJl.J ~ 0 7JT.. .J.J ?'... .F3 - ~ •
1 .
~if
~Hi (Tx),
2.
Jtrr
Wi
~;tiT(1fr
Wi
bt
~,
M
Wi
HD) , 3.
~ ~ Ji§;f}f (:;$:
UJf
9E
t~ 31 ~t1 PJ
13
!lJ
tt
1m
~ ~ ;f}f,FJJ
m
CAP
D)
0 - ~tfJ
~El~15$~~~~~, ~1:~~~~~~ft?*m~~~~~~oo
{iff j'E
15
f13. (cross-sect
i
ona
1
study)
*
@].~1'":7U
Fp~ ~:
( - )
~ ~ ~l:b
tQ:
HD,
CAP
D
&.
T
x
frgA 2. A
0
~ t~Ji
(f71J
YO :
-4
~..
'Ii
53!J,
~j N ~Sf ... )
&.
~ tff,f§
~~ t~ ~ (fj"J :1:
1't
ffi,{, ~A
?M
tY
~A
~aj
~2
oc ... )
2.
~ ~?
(=)l:b '1
-=
1iI
~El ~15
it
~A
(H D /CAP
D / T
x )
~76
~'m:
(§tE :
~IL'
&.
f± rtf 2.
m
til:,
1:
ii;
i~2:
J!i,
±
%" "Fi !.±: ;= 0 &r ) --'7 *: FR?
(-=
t'ft'*IU
-=
S:R ~ I --'7)0
m
,.~ fJE:, -fr lEX ---'- {C; p;:j ~ • • • ~ E:: : 7 « . , - ) J.I CJ1' - ,,~ Wi I\, ~ \. -"f- 1if .F.l.
&
~1ff
:t§
1m
t~'m:,
*
~ ~El ~15
it
18
1~A
~1:
7[5
~'m:
sj
~W,
slE
~*tfj~.~76~~tJj.~m~~lJi?
*
{iff ~ffi *
lt8
~tE
~ ~ ~A
~&.
~A
ft
~ti.
~El ~ }j i\; ~f1=
-
~ ~; n
ft -
®
~it fl,
~f±
~ ~ttr%
~ji& 'fN. fft,
iL&
*
miJ
n
~,
1f~~~~~~~~~=~offi*~m:( - ), (1).
T x
~A
SjZi'=J
1f.
~IJ\
ll~H
D
frgA
IJ\
jj~CAP D
W3 ),," (
2) .
T
x
W3 A
sj m
*
Jj]tlE
j( :fj~CAP
D
~A
*
E~H D
~A
Q (3) •
~J3
[/:!(
A
~ t~:::t
H D
~IfJz
~, ~*-
~CAP
D
%,
iffi
t).T
x~
A
~ }§t&
A
ti"$j
0 (4).m
A
~G
Mf
A
~ej
~ ~J!i
~CAPD:§-
~iff
,
~*-~Tx~A, ~1~T~HDW3A0 (5).E8iZ15&~16'8 tr.n R=l ,¥, ) ~.." '-"'" $ P, t>'9: ""'" +R ~l'I =. TI"i /,.'-0 - r 8 -iii;; 'U- Ph ~[.,.
{.;;:)' j;LJ ~ 1f;j \. 0 ~ ~ ...R IX 01 ~ 1'!::l tm ?Z ':R oj -1' IOJ B J,7' :=;t. <0 Jfl:
15
i\;Er'J
::f
[Q] 0 ~~:$:&f
1i
tJj
fF:I
~ (1) {~l1,
~1!f
0(= ),
*
m
9E
fF:I
~(2)
@fi
::f
[Q] ~El ~15
:it,
fff
~ ~ ~ti:
t3
g
ffiil:
0~&f9Effi* (~ 17)tt.BHii[~;s'o
(-=. ), ~ 1lJiJ ]"
W3
i7lJ
fr.J!
IS'
([IJ :A
0 ~ t~11
&.
~ ~tS
&~ t~ti ) 2.
{~,
-=
~::f
[OJ ~6m:
15
it
2.
~ i ] ~A 2.
1:
is
a6
'm
ffi *
~ [Q] 0(E:9 ),
ti
1tfJ ]"
~'t:
~lJ1 2.
{~ riEl
N
15
Jt
~. ;-
ttz
A
~,
ifm
J7j(~
itt
gy:lG
1977XF 5Jj
~.g. ~tit
W
m
M
~*-
WI
3m!f§i
AIm a A
ta
§,:ffl
~ft
~:lG
2000
XF
tm
ii
$IJ
r
~iiI
!,it. (
H
e a1
th
for
aI 1 )
J2.
a
8S
~,i1l
Em
~ ~ ffjW
{ti,
~*
ffl!
iilima;
ffiJ~;l![:a& 1*~(quality assurance);
ffiJ~~ ~~8S7Jf?P(resource
distribution)
~UO&111
mt
81
~8S
a
~1: .
5
r
Ii
1&
a;
;3
fo
~,m
;l![:
A
~ ~a8S,
$
~7 m~ma&
o~r~a&
J~R
A -
ft
E!
8S
:tJ
[OJ ,Itt
tt
ffl!
it!! ft
1m
Lt
~ ~f ,~rn
-!1i1r
89j~[1,2Jo
!iF
*,
EB
1i~§ M
tX
8S
ill;
?$,
SjZ ~fil
~,.L if;']8S~~ ,~
§)!1mB9i&
,~ ~tt Wg1:m,
l!it~ ~elf
it!!
1:
0 ~Jlt,
[J ~ ~'§ ~,gJt:I,
G
~fi
tt
~g
~Et:J
tt
#i,
&.
¢r;1I
8S
~Pff
~J ~, ~*-,
[0] ~tt
~ffl!
jfum
W
$IJ "
A
tt
~ ~ ~25, ffi] ~R
~ff" ;
~tt
:ffl
~ j;iJW9
A.
rn:
ill!
8S.*-~mo~~.~tt~A.2.~~a&., W~~~8S~b
,*
5JIJ -
~ ~,~?5
~A
as
11
~Jli,
#'i
*
~ H~~
89
~-
fl
~[3, 4 , 5 , 6
~,
~A
tm
f~ ~ ~WI
1~?25
89
.l!
&.
Ie.,
~1:
8j
~ ~,£J.m -
®
E8
#
Ie.,
@3 ~ ~ ,~i ~
£\
t£
0l3
j1~. {it ,FJX :;;$:8S ;]
lUi
*
, 1
99
0
S i
IDm
0n s
fo
A b res s
:bE
fIl
ft
~Me die are
2.""f
8S
"*
M
rr1
Jjij ~ ~tIII
"Pff
~ ~E8
rn
::$: ~ ~1itt
~ ~~M:
~a&
~E8 W
{ti
0 1E1tt!.t
~1m
M:
'a} ~ftl ,
I1?i
~ ~ill
l'0
~8S U:1
~:tJ
A.
fffi
::t
A
~ ~HI
~1&
~5J!J
~,m
*-$ffig~m ~~8S: ~~~ ~m~~A.-XF~~m ~£$
~75% ;
m
~ ~g
~Hi
XF
89
~Ui
~ ~90
0ffi:,w
g
~ f~
tN
~Fm
~sj,
tt
~m,
SjZ*
~,'M
f$
HI
Ji1
ti~ ~j:::f
89
fl
15
c ~:Q:: ~.5X
::$:8S
lJlJ,
0
fB
!1!
~ ~ ~ ~:
Hi
~itt
nX:
:;$:fB
tf:';
~(filJ
taJ : '!f
tH )
~
l:b m
:;$:t1
B:J
tf:';
~(f7lJ
taJ:
rtn.
f&
~;iff )
ti iff ,
~WJ
A
~
~,~&~ ~g.~;ifffB1: {fu~:fJff~~~o~Jlt,
y.
if:;
1!-Ji; ~O ~ ~,
x
~iii
~ i§ ~1:
ffu,
G
1: ,
A
fa
il&
ffilJ
~ ~ ~*
l:b
~ :;frm
tf:;
1!i;
15
:tt
~re'
fi§{fu
fB
~ [7
j§ JTIj
1£ g.
r.i,
t!i
m
J:.
~ ~ ~B
~iW
~ ~!J ~ ~,1Jt
'!f
A~tt~m~~, ji;f1i~ ~
tf[
tX
m tt
Ii -
lEt
l:b
~Ii
ws
A
:;frm H:;
~15
:tt
~1:
lib
:R
-
~ &;\fB
~1¥
01:
fi§lib
fB
mu
fi
ffl
*
1.
~ ~ ]jB
~J:t
fit
1'1
A
('@:ffl 1lI
I1t[ ) PJfM
~Et;
~ (~
if:';
)
s:J
m.
~(
seq u e1
a ) ,2.
s1E
E.
PI
11=
~7t
§c
~ ~- 1W
~,3.
Jj~ m~ @ ~f:'; ~PI
*
f8
~ ;$: ~±if
11= -
1W
~J ~ 0~ J'~
:fJ
~~15 lID
f8
Wf
n ,
~ ~ ~ ~.
Btr
l:b
tQ
1:
fi§Jl.:fJ
[t-:Jl;b
~ ~rm
~ ~if:';
~ ~1:
{fu
:R
0(-)
U.~~~~~mfi. • • tt
~ttg mfi:&g~m~A.
A.
0
~ f~ (~J:Po:
tt,;"\
tt
YJU"\ !it;.
if
~. . . )
:&
II
~t§
~m f~Ji
(~J: {tJi.
~A.
Jt
C
~A.
. . . )
S'j o (=)tb
~::::.. 11
ttl
~15
Jt
~A.
(H D / CAP D / T
x )
1:
l3
Ji
(§fr5:
~. f.)\
~.:f±z
m;
til: ,
l3
~ ~,:E,
~ ~1:
l3
~.) z
~ 0 (~) ~$IJ ::::..
m
A.
Z A
0
t{fJi
:& 9
~t§
~m f{f I*
ttl
~15
51';
B9
11-
A
Jt
l3
~Ji
B9
FJ
W,
sift
;.1(
I±U1J
W
r§ ~Jl
B9
II
~
ffi
i!i1J ~J1i
0o
1'@
*l Jt
~ {Pi:f±
~ Jj~ ~rf
i&
m
1il:.
jfJ:m:
#JIJr1:~6id~J
f&jJ f§
'ffi
fflJ
*
8:;
~ ~ ~ 6']i1!
~f§
~J[
~. ~ ~ ~t8~~,1:76
tB~;e, JE~it.
~z
ex
~(;
H:
~otib
ffit
s'!J
JE
ttl]?if
tJ
~,
t:t~~ElIDtm:!&A,
M~, ~*m:w J~ ?± ~I'tt,
§Ij5;J:
&~m
7$
E
rni
t8
@] H~, ~:
~ J~ ~ ,A
:fo1±
~ i§ ~JJtBSWo -MAtBM
~mm~~~ ~ill
s'!J
~~ ~ ~~ .~1~ ft7T ~ ~ I ~, ~.~. ~~.~~~m~~ I~ t:i'J ,L:,." ~ 0 L
8
J
~mr
~tiii
J ~\ ~Ji ~ rft
t8
):[gPF ,
j ajJE~tm( 1) 1 9 7 3
if-
D a
1
key fD R0
u r k e : -
~A
(
'IIell - b e
i
n
g )89
~ ~.
{it
7§fl':J
~ ,~/
T>
~iH
JJR,
76 lJJ,
I~n,
1:
~ § ,~fX
~ ~"' ~f1!i,:f±
:fD
*
~x
fl
rPJl1!Jf¥
t8iiiJm/~iiiJ~ (happinessor
unhappiness) 0 (2 ) jt7t~
976
~~:f±~Cam
pbel
1
~!J ~!.::!A
o ./'Tl'C89
,
ffij -OOA~A:g.
~fIJJ
~ ~8:;
~ =~,
.=.=
~1:
7§,
ijJjhz
~~ ~,1:~*
, M
~,*!jJ.
0 [9
J
liS, -t=E( 3 )
1980
S z a 1a
i8j
fE
~ ~IJ ~ ~"
aj"(overall)
1i~A
~;J ~"'
¥~~~ ~ ~{b
0(4) 1981
Fay 0 s:fOBel
andaj
JE
~Jl:U
~"f&jJA"(indivi
Jl:1J
( 5 ) 1 98 2lf. De H a e s fa van Knip pen be r
g : ~~~W{tJD
(6)
1982lf. Hornquista:J
R:
-fmA.Jj1i~~a:J,
1±
*
a9 ,
~
fJ]
,m m
1tfi ~ ~a:J
o(7)
198 3lf. You
n
d.fD Lon
gm
an
~~;fi;;
tm
*
1: $
&6
'*
'ffi
nx
U3
~ ~ ~fD
13
~ ~ J.ji!
ag
~ ~~mft1:$~ma:J~ ~. t~ffi:~A.
a9
.fa
~1li
a:J
-m
M
0o
'ff-Wf
13
~11.
fa
1±
t'i'.'i'
•
9
ft
W
{b
:f±
*
fO
ag
-m
til: ,
~~~~~~m ~~9~~~rn~a:Jm~ ~
a9
~ ~EEl
m:
¥J;:
f[J
~ ~1]-
~m
11E
{F~ag
III EX
fr
A
a:J
{fj f$ (im
pac t ) a:J
fffl
~fffi
tJ( ~nx
o~$&6
m
B • •
m*~mrnMagaa.
~¥U
fm A.,
tm :
B 1
a u
a9
~ Jt) ~1'Je
~ ~a
~Il:it
*
w
{b 73
a9~1J
(l986,Robert) [10Jo 1987
HcdovellfO NeweIlif
~
Heasur
i
ng
hea
1
th
ag
~9
tt
m
iU
1980lf. Sp
i
tzed-2
~$
&6
~m
~Ijt! t1
~wg wg
A.
a'0
fN
til:
(well - b e
i
n
g). ~§
S'0
~ ~{b 73
~a9
~1J
fa
~ !r(j ( p aI I
i
a ti
v ecar e )
~5 ~a'0
N i l ]
0 [3
J
~
17 a'0
rPJ 00
(m u1
t i - dim ens ion s )&.
7Ji
f--U
o jJk
ro
JE
PJT
ag.
~ ~ ?)j-r:.
o.§.1&
Ji
~ttl
~$
a'0
rPJ 00
(di
men sion)
*
W
~itt.
~fi
ag
~••
tt
1& 17
J.jffi
'*
f'f
~ijA BJ
/:t~ ~DiUf ~ ~~W .~~ A~~~~.~? ~:f*m ~~
~ ~
tt:J Wf
M 15
?
1f/J
~ {ticc
ft<
~i }f*BJ
{ti
9!
*
i~!5-
@?
~1ft
:$'~,!1! ~ ~PJf
m
I ~ ~ ~, ~~1m
o.IJ.
lIJ
~lE<
i91J :~1960~ ,~~ ~?!,!!Jfi~j!m{fm ±¥J!B:Jf§'~
,sIE
fI
.GJ
~ ~Wf
J'E
1:,
51
~ttf .ref
0J;J
'fj~ ~11
m
A fD
A,S
~.~ ~mrr ~~~~.m, ~~ ~~Um, • •
~n~~~~ .~M ,~SW~ ~
£:
}j( ~ ~IJfi .
~off
J'E
11
If?
, { i f ,Iff
~~ ~~
*
II
~ ~ ~ ~til:
0 [11 • 1 2
!1 3
J
Goo din
S 0 0n:tiE
3§1J1 9 8 1
:$
Cam
pbel
1
~ ~. ~ ~ill
il?J
A
~
cib
~ ~ ~, &;\ ~134
~A
J;J
~ $ ~ ~ ~[4]
01 9 8 1
~S pit
z edr,
~?!'!U
~ lJ{if;
'EI
fi5
!it
~,ie.,8J ,
fD
t~ ~ ~ Jj] ~~ ,JJf.',
il?J
A
BJ
~ ~ ~A
~B
ns
('EI
:
*
M
~fJJ fD
~BJ
JJX
),
Jj~A
~ ~$;5iIDfOjoo:
$tiJ,B
~$,~, !illdtt:
7
}:E[1 4 J ,
@ ~IJ15
it
,~ ~i1
83
07 -
@m
*
M
1iii1
~ ~fo
Ifj ~ (1), mi~ ~~n
•
.GJ~ ~*~~~~~m~&~~
1WI A
~ Jj~ 1~"\
~ ~ ~ ~ ~fD
~ ~ isj ~r&
~tt:J
111
}if-1m
o ~fljjtml'"
:'
( 1 )
frfg:
[ZJ
~ ~ ~ ~M1
tB
~:!li
~frfg,?JT
W.
1i7.
1£ If'
Ii:) 0(2)
~tBwijl:: §ffi
§
fJ:~iJLOJ
it
(mobility),
~ ~?2i
ih
0( 3 )
IL'
tB
m
ffil /
1;:
$ :
tt
~ ~IL'
f!
1iI
Lt
0(4) ffi1if~8j~~:
§fJ:t¥
i1fI:!~5G(self-rating),
§ffi~~frfgtB
7f3.
~~t8It\.
II)f!
a~ ~ ~ 0( 5 )
f±
fi.!
E
JjJ ~ §ffi
iE
j\;tB
11=,
~tQ:
f1j I f f ,
~)Z tJj$
0[15J
1985
Edlund,Tancredi[16]; 19851f: De Haes et
al. [17]; 19871f:Feinstein
[18J~~~f1~Xl:ttt1ffl[!t'fff-tm
fri1
~tiit
m
~Ji
1~•
fl -
~tB
~ 0 *m~B7
~ *~~~m~, rr~.A
OJ
~5§
ffl
fl
~Z
~ ~&
~ 0r
H~V~~~ffl+~.*~;-~OO .*~.~*ffi, -~OO.~*~~~g&~R.~*ffim.~o~~ ~w ~~~VR~~, m~••
~*~~~=~,~~=~_
J:fiI
:g
*
51
~
*
=
m
~
0 Pj(=
~ ~
if
ft:J -
1m
m:
~
IWI
fiX.
1f:
J::I:ttl!m
VmtfB,
VmtfB95%~~ffi¥ (tt~~Vmfm~flJ
5%)
gt
W
If}i£
m
tfB
~R
JdJ.
i;t
1:
P1l,
~ffi¥
iff)OJ
fm
~!:Efit
~ If'l'
V
~fH
*
E':X •
Ml!
Jtn.
?&
~ 0#T tf1
mi
0JdJ.
1'"
M Ii!
fr
m
~ ~l:t :
~2 1 , 2 3 , 2 4 ]
(-)
Jtn.?&~;tff ~(Hemodialysis;MWiHD):
J:fiI
If)':
l!
;tff
~IMt
Jtn.
51
~ ~ ~A.
I ~ ~ (~Wi
~tfT
)
ffi¥ ,
J:fiI
*
~ri
~fD
3§
m
S~ ~iff
~ ~ff.J
0RU
rm
it
1r~ ~Ii2
~, A.IVjij*tt::§~f£'!~3§iti.m~~,
fti
*~rffl tB~~,
ffi1
m
~::f
'mj s~ ,~ ~ ~016 ,
~ 'mjfF 2 4
~,:m
4 -
5IJ\ ffi¥, 1& M
~fili
IWI
~W
$fJ
m
~tB B
ffi !:E
?3 ,
X.
1m
iZ
H
JIJG&
w
ttt
~ s~is',
~=f
If
~UtB
B
$
0ffl
:m-
J::I ft
4
~
$1J
5
~
2. is'.
~
7E •
:~
:§"&
*
sa
7£
A.
g
~~* ~Mi&
ho
7£~~f'l'~tfTili ~-~ ~,m
ttttOJft
~~~m,~., ~., ~~ ~E~~9MA. ~M~tBm~,
~WI~ m~ ~~B~ ~ft:J~~M~o iff)~ ~~
ffi
~r&
13
~ B~&.
~,-
B j~7
itt mi tB
'if
~.13
~WI
?~o ~
1t
11
tt
~!jillz
@ ~m
.~!:E
Jtt
m sj
~'11 ,
1I •
a~ ~ 7.~$1'"*.
*g&
~~~f'l'-~~ ft:J~~ ~ ~1iiIJ
0 ~,OJ
_ rJt = , ~ ~vIJ,:A
~Eh
B~-10
(=) 3i~1iPJ it;ttg.Si~~,fff
(Continuous Ambulatory Periton
-ea1
Dialysis;1k~:mCAPD):1 9 7 8
fF
~ ~ t~fH
7\.
~fFJ
ft
~I
~ffi POP vich
liJf
~ ~ ~11=
m
7
~PJ
it; tt
ljj
~ ~ iffTi*
0CAP D
-
~T-..
2 4
Ii'
~,
~7
T-..:;rIT,
Elit;E8~,fff~1¥o A~~~~"&~$;:1(ffifFJJj;~m,~ ~
fiI
~~WID,
ljj
~ ~It
tb.
~ ~,2.
{~ ~~ ~,fff
?&
~A
Jjl
1m
~,s1fz
~ ftl:tf
~ 4 - 6ffiif IJ\
~,
~fX
1r~J!?J
1§
~~ ~M
~tH
~,s1fz
flti
~1iJ..
A
~E8
m
g~?&,
1ij.::j(fo.a
2000c. c.
E8
~,fff
mi,
~ fj ~,fff
~ 0 1ij. ::j( ~tH
~ ~A
89
~OW -
.. M
<( pas s).
4ftfl'
4;1z
I,-;1z
{f ~1m - :}(
EF
~ ~ ~.53
~rm
*-
{fB
Ii
ff
0 4ft::j(fo.a
Jf
~4 5
7I
£i
0$
t~E8
;:1(
ill
f[J
~ ~ff1
~83ljjm~89lfrr ~~t±L*, A~,fff{&~, 2.~ ~~,fffmi~ W~~1¥~ ~*mtH. ~~ ~,m,fff~ ~{f~iffT~~ftl
o
~
CAP D,
m
A
&;\ ~ ~:tf
~tt ID
,if.ff
{gf1lT
E8
Ia
.tIT
~ m~.~~ ,~~mfj~~~ .~ ~- ~~.~
o!m
,!f!
n
*
1r
j~!tiIJ
A
~ iffT l~ ~89
~ ~.116
~ ~tPJ
~ ~~ ~
"&
~m,
ffij ~ljj
~ ~ ~ 053
~~, ~;fffmi
1£
j:" ~1¥
j~
:tf
T
~,n
~5E
~ ~ ~ 0T
f[J
:g
T
~ ~iff
~,tb.
~m ~m ~~~mg, ~.~m~ A~PJ, ~n~APJnM~ ~~ =~
.•
~flm.fFJ•
~ ~~1§
{!?;J ~89
m
~.
7\.
E8
1m
m
:tf
fj~ ~ill
,fiI
fj$:fl
B
~1£
E8
Jj;
ti~, [lItt
~ ~ ~E8 -
IN
ffii
iii:
fJ
~ ~IJ\
7.
~IiA
~~~OO, PJmmf!<$89rzr~o ~tt, 1*~ !lrE8~t;Ii
3t,
~[J ~fFJ
~tt
~j &;\ •E8
0CAP D
~53 -
Jfjit
~
,fff
ffij24
IJ\ tflf,
*
~7
lm
tj:::F
~, ffijX :::F
~$J
tis
it; ,
~ ~~~3*B9-~1Ji*ott
lff;fff~{¥:tf ,~,iin1£m
B9
T§I
11'
~7G
m,
~tt
PJ
~tJu
W9
I~~El
fiI
E8
~"&
j!{E8 tflf
~,~ n~~~A ~. ~~~~o
(.:::.) 1M 00
ij;tH
(K
i
d
n e yT
ran spIa
ntat
ion,T x) :
~-.*M~lli. ~~.~ ~nT-.em~ ~,n
tH
~J @ ~fHI ~i]:tffl
iQ
w
~~ ~wLA..
~ it:]20
50tif. •
~It
tf
f7lJ
7~ 0Y
i:£
~*
~: Jj,*
0§
lin
tJt :m
Hi} ,
~~~~.~M~MAH.ADmm om~.~m~~m
~
m
.§iin
Hi,
n
&.
~te;
n
fi
[22
J
0 ~ $; ~ ~ ~ •'at
§ijn
f~ ~g~MAWn ~~@g~,
®
~m~~ m~~mm~~
tFJ
1fn
~&;\
~1i.
*§
~"15- (m ateh)
0§
7~."A
~lin
f*
m
~-
A, B,
DR" (H L A A, B, DR)
It
&\
'iffi
&W
, # j •A
m
tf
~00
A,
~.B,
~00
DR
1ft
~. ~"15-t!J
~•
~fi
m
w
~1m
Jii,t
~*
0 ~II
~B9
1lJ,
Ii
IJ
~hll
tt
&\
tt
2:
~Uilt!!
m
~-g
~1tiJ
mt
&.
fifij£!
m:
t~B9~ om~:MA.~~ffi~ftr .J~~
atJtA
iliH
~B9~ .~ ;~~~. ~hll.~"I5-~tJt~®~.:mili ~n~,#:tJtA(t:J
• .
m®:tffl~1.mn. Ml~&' f!Bjffi~[25]
0t}!Jij
n
fi
~m
w
*,
W
~Ett
G
~t
PiG
~,
if
~ti
M
f1C
gt.
~n
fi
~-
w. w
?"$B
;f.i1
9 4 % •
®
~te;
n -
If.
JJX
W
fIB
~82
%[22
J
0 ~ ~foi
w.
W,
Jii,t
~&'
¥}1fn
lW:
~1fT,
tt
~ ~m
iIlIi ;1<.
ffi
fa
~, g
w
f!~tt
OJ
~Ui
ffi .
~UiE
1f;
aj
fF
~fIT
03t
11 W3 A
1£
n m
1~,
OJ
t~ @[J3
~i!!l
M,
it
OJ n
m
~fiW3A~m~, 11w~*$8OJ~Ui 0
7~
fit
ffj -
fR ffl
ajte;
~t£
n
ti
~ #jIt
~ 0 ~j n~ ~ti
1~ ~g
ii~i§ ~~Wf!~. &~A n1*~, 1t&~A J;l.ffi~n m.(t:Jg.~.OJJ;l. ~~o
§*.
m~~mmynm.*~ ~HI. ~m
t#
~fi.
!I!
ffl
Jj&ffl
~ ~!f3.1
it
~1&
if
~mU
fF
ffl
0§
7~.
Jft
~lf.i
~is
~:a:
1&
0 (~~ § ~ ~ ~1*
[!& ~ •EB
G~1± ~mWT
(Renel C.
Fox)~Ii~/IJG~J.~'Mtf4~~M
if
~ (Jubi
th P. S
w
a z e
Y ):tE
itt
11"PJf
*
r
iID
1tf
~l&
tB
~ J (The Courage to Fail)
-~'i'~. JJ.9~1±fI ~1)7t;f1T ~if
n
tf[
tB
fnli
f!:II
rnJ
0 ~W3 A.
ffij :fit:
11" {[Oii
g
~ftj87]
fiji
tY:,
~ ~ ~~~~mJJ.~~m~. ~~~ ;JJ.H~~~ffij :~7~~h~~W3A.tB ~*. ~M .~m~W3A.m~
$tB.
o
r
~J.1J
J • 1~ ~7
Ii
~ {jJffF
tB
Ii mi.
&.
A.
~ ~ ~ ~ ±~~R., tt~ 7H~N~A.. *~~~,:tEA. H.~
1:
ts
?~7
ill JrL
tB
13
0(a::tE
n
~ ~ ~, ~ ~ jil&flJ
$!;
~ ~Fr
px
Jj] J ,B
J§
~®
Jj ~ ~ ~r! ~,tv
*
~ ~tB
tJl.
~m:
ff;
fF ff.!
&.
itt
tJllJ
11=
ff.!,
15
f})
?t
i1f
~tt
~r
~ Jj] JS7]
il?J
~o )
~7~~~Jj], G~~W3A~MlliW.~f!:II
W1±
~ ~Rm?iIDfi l&tB~~~~~~Jj]matBlliB1)o
iii
¥1
H
~f4
T>
OJ
m
~W
~JJ.
~Js'0
8'0
~ ~ ~,fit:
fr~ iWJ ~~iii¥Mlz;]rOiJjW~iL' f!:II
~S7]
tB
~ ~ 0~(g§ffiW3A.
i5
p:J,
!W:tE~ B:J~-gnri1OO~~,{I
'i'
$
~itf
m
,~
T>
~,W3 A.
8'0
Jj
tt
raJ
.~ ~:tf51
~~) PJftlE:mE~ ~7
~W
2.
~~, ~ 'g ~Hi OJ
~:tEJ§fl~$tB
NNE!;
~, ~E8
Ii
~iIif[]
W3
}~t ~15
*
:1t:
.-~ffiI.ftB:Jolli
tv
tt,
itt
fr~ ~•
¥M
[Z;JT>
OJ
m
~B:J
iffi Wi
*
s'0
g
~ ~1::
~ (m e die a 1 and bi
0 logi
cal ) ~ fpijf!:II
m
t~-h E~, ~ ?6- r
2 5 "
W-W~OJC.~t8H {rj.
f71lt1lJ:
~m tl!E$, Iffimf';l.,,~~,m,
mruD%
~~.~)Jj~ t5a~. :J§;t ~,fD
1±IDI~twell being), ~fI , 9~~~J.jf ~~:f~o ~~, TxmA...~1311 ~t(]5::~£jt')2481
i~M 1.~A" 2.iE~{~ 458{~rmi :
lID. CAPD.
Ix.
2.~(CAPD) ~1 1.Gutman. Stead.
Robinson
(l98l) [26J2. Johnoson JP..
ruuley CR .•
Copley J8.
(1982) [27J3.Si!llJlX)ns.Anderson
, Kamstra
(1984) [28] l.:;r.~rn~fti. 2.19791f.6f.l-12f.l~~ M.,~Jq.JC.~!t.W.
Social worker/Cl-lRf
rB,~q.Jc.-.utto 3 . .0S}@f',,~,,~A. ~ q.ta~:
I11:M
bil,
~7~lIJt~.W.
K.a:r'nofsky
::RtllUo
2.
7t;WJf'1~fJA1@@! f*(*~!fHI}~:Jto 3. : (i) Ageftl8 (ji)£~ ,~~l£~~ r~ (iii)::St~1i £~~1i (iv).
~AfHfAiZ:
=:lmf.l
r:JW
6tl'fttll~ 1.1983-19841f:.
~Pl ~, PP~f.M;fflr'litc 3. §rma1?~-:q::w. f. - ' - 0 1.~foD~~t5f)Jt~ '2D~!iT. Elff~ 2.~foD}{fr'SA~ ~:JAOJIt»A*,
iIDDHW3.Aq:.
R
tijAIfFo 3.t~IOJt8. D~M1Y~ W~Tf-'F, fffi13.~ R.tt%~cbf71Jttl::rgfoDM%lYo
1. FWJa~'M-%ll'f~~ l::~nWtfTWJAtm a':Jm[;f[Jlf~l~111"
2. ~1ict~~~at!l:iJ:• JHJPfF13tOO1o
3.$t~M~tf:}1::~ ~~o 1.~: Ix~1CflPD9-J,CflPDflHD9-1.
2. ffi!~wmit8well-being :Ix
>
CAPD
>
lID
3 . .f±~II-being :Ix
>
CAPD
>
lID
4. §)'~, Ixfp;jA~~*,iJHao
I::t£APDf~• mi~18@Jj.
4.~~ ~(CAPD) -15 2.:1:~~&§ffi:
--Mat
Im,
~,:1:m,
~~~o 3.iN~~~f{5 :.0
GHQ (General Health Ouestion naire)~M!lio 4.~~~. fttl~T~Hf~tt:x~Jtf:5i1!o
1. 79.1% ~HW9Jvl5lEm 1.f±~AD~~.859
1~~. l.~.fftllOO
§Fa:~,ruu
4.Evans et al. ~iMJJ, lWTW3Jv~ fftll~~tl)lO ~~Ao ~47.5%~9.1~~jo (1985) [29J ,fml~ffi:
~o ~~~/C.-f~Jo § 2.~Ii1P'll~ot~ 2.tmI~, 'MmmA~ 2.~~:§ffi~ 75%. ~~::m4.7% ~g.3%o ~,1#~ 3.::f~~m1£.
mi5~::~~rJ 3.?':E±mlj:ir~~, ~~][l.HHD
2f37A
1I~::f~P1o 2.DID 347A
4.18~)J:o3.CAPD 81 A
5.~~~ba~l*Jl15 W3)d:~W3A~f8
4.Tx. 144
A
o 3.~6Ma.§ ~::f~Uf'F, f;t ~~t;lHfiDG(
4.~mm~~ ~mllJtW) fGA~§J:"-F. ~ A~~n1:ft§~tll:,
bf!lE,~, :1: 4.±~~: ::f~.ill
f"F1r"JJm::f&
---ffltAo
l.I1~,
§iW
l.RS~Jfrr~(pgA...~9rn
1~,A1.l§.'lt'£
(fa11
ow-up)1i/Wi:.
7~&. iWiitm§~~
5.Kutner N.G .•
2. ]}~hll:g.{~1800Jj . 2.::tJ]]jiE~~. ~~. Brogan D•• -~Jl~1~~. 3.~~~~. I 2.~fIW3Am1iWiI8Iff~Kutner.
H.H.
1.
'fI~][(Tx)
§Fa:Tx.
Home lID.2.,f5~tJ1rr~ in-center lID. ~150
(19&)) [30J
4.~~'J
ffi]=+=il'BiS
I
§mm.
(Home lID) ~A.
5. ~%4:r.5iii
3.1.t*C.~w.M 3.§-~~iL~
1fT
mx~~. &r±~:L'l'ai ~.(in-center lID) ~APD.
(roJ-fttA.
~5,
i9lWO:
3.~, Jfrr~(pgA 1t~, ~l~~ ~~][tfJ~~ B~~&, §ltn.im~1fT~AP~t<=f. ~&, ~t~113A. §~~~ *~im~rn)J1. TxniHHD~APDfO
1.F",m~§2;AD160
1~ 1.~",EJ~. ~ ~§. i9l~, 6Jbrri~OJonesCH1){tl;, CAPDW3AWt;(
A
::k.
itH~{l}.0-~ i£1BI~o (1988)[31J
rulJ,
~&, t1~~o2. CHDfOCAPDW3A
flli~tfJ ~~ifno ~Dt, 1. ~~HW9A(Tx) 2.ltWdm.¥'~~§1*!fflo
51F~::?~o 3.7~a~~.~~ 2.,f5r~(HHD) 3.r±~b{mum CAP~o1fT
(DID) ~,fF
~~*~*
(
~ ~If.
ft )
7'volcott and
1.
~21llCAPDW3A, 16H17JIDmA,
Nissenson
(988) [32] §~Jrn~oBf
:IE
~1.
cross-sectional
study.
2.~Xf20-55~8j. 3.~1£§rlj~J.3.
4.!;€~~o 5.m~[qJ~.p,i)stC.'..PD
&Jll)W3Ao6.
fJ~§1J31ThJfl1lf~ ~,lX-e, tittfflt'iWS
.pm,
m,
:7~~I
~Ao7 .
iJGJt~§--§t!:t5JU, ~ ,~~, tff~ ~4t:JlR¥raj(:;:P§;f?; ~0 A~~OJtm¥fno
<rr*
~iJit
I ~=
1.
CAPM.Jll:bHJ)?:Jl~m l.AD~~:~ F"m~§;f?;: 5~,'~~,t!:t5JIJ,
~~ 1J,~~~ ,,At\I,
m~ ~o ~, fftf~o 2.CAPOOJl~±~ 2.~~~~:m ~i$, f[Jg'-t=~ )J'8j~~, t!:J~HDAiifJramr,
*!E.K
~,~{t mAfFm~oliL
mI3@J.3a~~ ~o3.
i()~:Simmons
1 1Self-Esteem scale
LS~].Profi Ie of
Mood
States [PO!-tSJ
, quality of life
[QL],Multidimen
sional Health
Locus of Control
CMHLC~,dialysis
Modality Specific
Stress(!{SS) scale
~ . . . '"fTO 4.f±~itt~: ~I@, m~,~ ~i*r~, 1±~~ mJr:;:l~~mA, M,
~-tl~ ~:rw9A~(pat
ient-reportl CDia
-lysis Relationsh
ip Quality Scale
,DRQS], f±~ ~~J§t(Socia!
Support Satisfac
tion [SSSJ Scale)
cI
8.Roberta G
.•
SiflllOOns.Linda Abress
(199:» [7 ] 1.7~~.~ -nrJi~: WHO
(i i)CAPD
(i i i)Wfrx
o 2.~Y.~~~~91A.
~Ei:MmmBt1JZ'..
'§Jl~[lJJ~ ~l!;mcyclos-perine/predisone 1. ~-~hort studytE 19'70'So l:ty£*1l7~ ~Q/L~o 2.~hort study~ 1980-840 l:Gfkyclos pOrine/predisonef~f1tB':J5t'.f"t:.:dtlJiiiI
~;1io 3.~~~19-56~0 4.?~i7.R.1mo l.rpm~t3'7!1Mit.
tff~ ~o2.
~IJ:Ii~vans eta
I.*Wolmson et al.~.12
ffi:
f~ ~~, f±~.!l:, ~~,~ ~,PWWL
~~&~1i:anti IYlllPhocyteglobul in/prednisone/azathioprine)
1.~Y.N7f~tB)t I'<Mi~fjOOit
2*lL
~~~o 2.~'gmJ~, cyclospOr in~'~;L'l£,
f±~ ~~~ljji(~75!5t±B~ ~[lD ffi;f-:iEI~o 3.B~cyclospOrin~ ~FfFB~*, ~~±~,,[)I!mtil:
oit<
l'
~S:J X
~ ~E, Y
il
A
:f rPJ
ifi
~ ~Jt
8j
.m
Jl
ru~ ~D.8j~HoR~~~~=~~m~~ W~
1j! ~
Jt
N~ ~sj
7iJf
y'E
~ gij ~ ~ ~,D
~J:
8j
7iJf
~,ffij1M
;pigA,
1::
~ fE~8j
IE
~f§
~ ~[33
J,
§
m
::q::
~)i1
J]~) ~*
~fJJ, fJ
~,!fXA)
~II
til
{r1if-f,
1fi
m
15
j\; 0lit
1:
7iJf
J-'Gi*
§~8jY§ij~AQJ.Jt
~ ~:f rPJ
tfi
Jt
2-
il'!j,mA,8j
.mJi~BifMJiitBf¥
~o, s1E
~1i
tll PI
ti8W
~t5
~1jJf
Yi:::
~ T~7t
t:Ff
2
/
..c'(2) . o
D~""
( )
ft<
~1::
r:m 5E , ~ : (l)Jl7'fE
~,
72i
JJJ
11:1::
(2)It\
:£! '\
m~W-l5G (3):f±tN~~~,....,
(4)
1:: i?i
~2 t¥
(5 )i?i-Hi
~ (6)±ill!1::i?i6Q~ (7)~il
i?i6Q
0(=)
§
3¥
J]i:1.
13
15
it : lfIl
llii
~tIT,
'@ti
n-s
JJJ
11:
Jm
~,fF,
'M~ 02 .
g
~t8
~~ ~IJt :
~ ~ ~m,
!&
Qi
1't.
H~, ~~ft;~VT (~~~Hl)~
wgA
H~A 8j~JJto
3 •
A
0
~J1i:
1f.
~,11:
73IJ ,
t@ ~15G,
~JB,
~J!t¥JJt,
4~A, i*~o(t)*rn
~7t~ r~mAJ r~*AJAJ"\ rWiiliAJ tmJJio
20
( - ) 4
In
f-t
~liX.
f~ ~ I~71
1f:
n~Iii
r
2 0 - 2 9
~ J "\r
30-39~ J " \r
40-49~ J ~r
50-59~"\
r60-70~JIili.
~WU:j~~tf.¥M'20
-29~J llim1f:~1ii Jt~@oJ3 -71
it.
71
~r
20-39~ J"\ r 40-70~ J m@, ttf{lj~~tf.¥M '40-70~Jm1m4
~Ii jJlm@o )lfrr.~5j-'AJ
' B J
r
A B
r:;r::
5J]ill
JIi
0 (tm)~M!nlA3t: 7t~ r*~J...
r8:MlJ"\
r~ptJ " \
r
~ J1m
lJi ,
Ji,;
n~J:::
ff
[g J]E~
flU !m A
ftt:
0 (Ii)!ffli~mm: ~~~~,:1t71r
IfF
J"\ r:ff
I11=
•
~{1=
as
A
~ f;I @: ~ J!ij JEX
r
~ ~ j 0 jfr4
t&
~ ,$
1ll );),
B
jH
~11:
B
fx
"1fct
twtt~ 0•
j( f~ ~,
~fll
.L;J,
r ~ J it"+
.
~ ~tt
~ J~ 0 ~IfF~£f< ~ rr
~ j "\ ~j"\rfJjq.:tj"\
r
q.:tJ"\
r-J\.
J"\r
Wf
n
FJT );),
J:
JW t
~f:.&
~ ~ 0jt
f-t
~ ~, ~m
m
tzifijA
~ ~y,
E~ -g.ifr~ r::fm*EX~ j " \r--J\.2f.
M
-',
~~Ii ~mo,
... i1t)
j ...r
~~J (fL) jJ~~ti2A::B-~ r2~7CJJ.J , 12
~47CJ,
r4~JJ.J:fU6m;:7GJr
6
~tl.
f1J
8
~:7G
J , r8
~JJ.
J:.
ffJ
r
10
7C
j ...r
10~:7GJJ.
J:.
jT-:m
J7
o J 0 )~fi~ nm~~~~M~ .~~. {U; ~r
jJ
J 0 i Iff J1i
lJ'i
0( + \ '''
L..) i.fJ J 0(J \.)
fa
~ ,~ ~J!1!! &
~ ~J:m
~89
~JJf.:
5t;f.o
ffi~2J, r~J,
r~J!1!!Jr
~ ~ J ,r
~Fffi
~ ~ JJi
~ 0(11) ~a
Ii
A
~89
~~1* :
m;
~r
~Fffi iff
J )1t<T
,
r
~J!1!!
J ,r
~iff
J ,r
'IF
ffi
~t<T
Jo
1 .
A
fl 9
~A
89
~ ~J3f.
9'
~ *~ ~~ ~I:&
m
5 , 6 , 8 ,
9
,~ 1)0 ~ ~ ~51 .
;f.o
~ ~ ~l1i
0 ~t5t7J$:
'IF ffi
~t<T
5
5t
~iff4
71
t:lfh!
3
71
~2
71
~F1
71
~7J
i* :
~:§5
5t
f.~Y
4
5t
:§ffif~3
5t
ffif
2
5t
f§iffi :
1
5t
3 .
Ie..,
!!
~: ~4 , 8 , 1 2 , 1 6
~:i:E
iii
.IE
ffij B~rm
§ ,ta
~t51
~ ~{fIJ
~3R: •
!*
j lrm
§ . ~ fij- 11',
51
~f§
1m
~tJt
~51
o:i:E
~ ftj ~1"&
0Q
4 •
~m
HX, M
1i.
:!€
W3 -
*-
J;),5
51
~®Jj1f
ruJ,
-
~3
51
~i!J
*(~::t
~) :2
51
t:f~tt3R:1
5 .
:j::(1-751)
~ t<~:J;>
3
51
~M:2
51
~-m1
51
~0
51
tt tf
ID_ :
l¥f
-
IJ\
;m
51 f< f§ 1m
W
~51o ~ :}( J;),1:
4
51
~W1"&o51
~~151
~Fff~251
~~:351(Index of General Affect. IGA):
8
;m
(~~m
tB
$) ~ -IJ\
~51
~6.~$fB 1§~~
(Overall Life Satisfaction,
OLS) : 1
(1-751)
7 .
~tm:
:}~ ~(I n
d
e
x
0f
~lell -
B
e
i
n
g): ~14. 7
51
;!'E ~m~J.&o
1.0 IGA
+
1.1 OLS
=IWB
( 1 . 0
m
tB
:j:: - ~ ~ ~ SjZ ~51
~[J1 . 1
~fB
iii) ~OC
E~ill!
tm:
fEr
~)
[34'
f,ffj
1 0
7.t
0 o(0-2)
9 .
~1f.;
1: it.
{ j :0 - 2
7.t,
~.IEiE
7.t
f(. ~y,
1ft
§
~
][f~
tJ;-
~
IN:; .
OY.
7.t 15
it
~ D~
r..
5
1:
(5l
~# ~
- ) 0
Ifff
W
IJ\
m
51
~
:f§
tJa
~+ ~ ~
~
lfi!
fii
~
oI()~, H~mffl:
(well-being)&.
?i§-IN~~, 1:fr§~±
ill,
~;m1:
ri§6b
~ ~;
s1ft
Ii - :?V 7
m
~A
!fJ
115
® t~t1
VI
~tEl
~15
it;
::z..
B
, I i
ffij ~ ~;!=.t
1:
7i§ 6b
01.
1f:
~2 0 7 0
t1Y.
S:J
~J....
02.~t1
t'Tl3..siW
.fJTi0it;f~~6fIE.L.:J,J:(13-6{OO
)"
3 .
1:£
rm -
liS
t1
::z..
~piG
*
0 ( : ,Ii;t1:
g pJG
~,W9A
t~4.tJF~
Stroke Syndrome
~Dementia, acute
sx
Chronic
Psychosis,ftiW3{OO
glRfi0it;a~, *g~ffim~m(m
§~
£Ji!
1~
::f
~ ~
*
* ),
~ ~
tJl
lliJ
~ ~
::f
§E
j1J
*
~ ~
)
0:$:
M JE
,t;J,
*
Ii
IlJG
1990lf: 9J111i;:z.
g~
ffi
~
ii
m A;g
~:=.
S
~
A
(rlf5:
.rfrr?&~.ffi, ~~~.ffi, ~~f1i),
m1i$:
Iilf~8SPJ
fttt,~~.n_*n §1lJG;:z.M~B~.~;:z.g~mA~~
309 A,
~~%PX278Ao ~~ltijPJ73j}Jtt~g~~.tITS9A~
1.& :$:
~
:J>,
¥j:tm
1m
M
?iff
5-'E •
~ ~ ~
y,
PJf JdJ.
It
§
n
Ii
~
1'J
1&
M
-fr
n _
1:*
~
;:z.
CAP D
,~, ~
1 0
A
0m;f;
1i l:t
t~
m
*
g
IlJG
~
11
(11lJ~ ~
G
~
9 ,(),
wg
A
69
1F
il$,
tt 5511
5}1P )
to
{Jd~ 1~ J~
ffi:
;2
0:$:
M
~ ~ ~ t~
g
jijm.~
288 A,
~
l:b
-f9l1
~
.rfrr~~.tIT:~mPJ73j}Jtt~~~~:~~rn
: 90
(lUI
{v: :A )
:::
159
39
§19901F11Jll'{iJ
1991
IJl
{iJl/::.
m
liJf
n
~ §
JdJ. -
ji;f -00
~
15 it
~
i':r,
JdJ.
g p5£
ffl~&~fi ,g~~.ffi~~, ~~m~~)
~ jJr.,~~o
:go
m
A
ie
~ ~ m~!,t.
l'!U
1*
l' -
iiL
m
A
~
Wf
~ ~
&
0Parfrey~ ~ ~
4~
Wf
JE
PJf
~ ~
I.±\
~ ~
1b B'.Em,
~
:&
~ ~ ~
J.l
13.
~ F~ ~
*=
WJ
~
if
Wi]A
mlJ
1i
ii5
rfu
;:z.
rp~ ~ ~
3 5
J
:
~ ~
1m
~
10
.F.!
ffi
~ ~
Hea 1th serv
i
ce research
~
,
Denistoni¥f~~'PlT01PBj:ffi~ [33J~FiXfJJ~o ~~tElm~~r&
~~
1£J19S81F1Jolcott
~PJf~ S9WfJE~E
[32],
ffij
Fp~ ~
9
mlJ
ii
iL'
f:E
~ ~
SJ
g~
lli,
m
jc~
1ffi H
~ ~
:tc
g
gill
PJf
~
,~
te
~
1;3
JJt,
;&
J.fi;:z. C
E S -
D
(c e n t e r for E
pide m
i
0log
i
c s t u
- die s - D e
pre s s ion)
]I~
[3 6 , 3 7 ]
it
~,~
Ii!i
E
~
~fflo~~.*m~§~&m~~m~~~~o
-26
,
~.~ AO~
fi
ts ;f8mJ
~t2t
Fo5 cff r*J
~t5
~Jfn
~~
ftI
tl
lt*
6l ,
II) ~ ~~ ~B r .. , ~ -ffi~~&&5
:
.
~~~~~\. ~
m
~res
7:f
0sJJ
rm
T
1.
m
11i X tL¥U
l±p:iJ
§E
W
~
fii
A
F~
1m,
f71Jrm :
4
~
,
11 JJtl ,
tfi:.,
~ ~, ~~
N
8t,
*
~~
0f£!.
[Z;Jif
~ ~
.atfi:.~~~~, ~~r*gJ*~
a.o
2.X~X~1*~ ~,fJ.K wg*~JtLl~I~1J-:a -MF",~
s.
~ifoo.~m.~~.m~&g. m~*~o
1 .
A s:J
J~wg,
~W3 lt*
fill
&.
:;p
m
ft
~ ~m
~1 9 8 8
4
II!
ole
0t t
~m
;@ @;1S
~ ~B:J *8
~~ [Z;J " r~
J~~,
*
~Jf ~
•
w.J
,{£!.
~
$
7:f
s;;
~H~-_T~ *~s W ~ ~I'r1I'j i>.t:. iiL liI'x'fW /1' / ~ "'; iM. ;;:E .R A () )j,)-/,
r
ffu
J ; f.(j1m
m
~-ion bias
t'&slt
~JA 1*
!1!
0ffiJ
r
lE
~ft
fi
J11:
Cronbach's
a {i~O.43,,.'E.
~
*
1~
r*J
~D~'21tt~-~ 0
1.
r~ ~
tiE lt*
J~ ~ ~
19894
Parfreyif
Elf
J'E
!=p~
te
~
1JT
wgAtIElt*~ ~>20%B:J-
tiElt*,
{fi!~
, !ffi;,~ffi;
A~~F",~~ -®tiElt*iffl~ r~mtzoLttJ
(
tw
iii
, 1
7:f)
$IJ
r
&:
J(tw:::f
~ :§Ltt
~.5
7:f)
,~12:rno
A
*~~7:f~607:f.
ru
$1~r*J$-~tt
Cronba ch 's
a ~O.74o0
KarnofskY activity category~~
~,~* 5~,
fE!
lk~- §£3
1- ~ttF>Jt;W
~ ~JE
J ~iOO
E~Wf
1i:
2.
Wf
*,
~i1f
ffD
4;m
3.
r
t1
t5
~~ ~ J , ~:>c
1iX
~ ~m
r
t1
Jtt:m
J§:
~A
~-.~
,
~*Wf~~6~~ ~m ~~mo~
~iru
:>c
~j ~f'F
~ ~'li
,§[ 0 ~m.~ ~g~ AD~~ ~., .~-:l;iXm
~ ~tEE
m,
rn
CESDi!
•
~~~ ~it!!
15
91.0
%.
tfJ
rc
f5'11,
i!tli
~F.,EJ
~~JJt92.0%.
rJ!l
§t
a':] ~t1 i!tlJf~ ,67.7%0
Wf~~ ~,mYE r*1$-~t1Cronbach'sa
fj~0.89. o;ffi ~
M
W
~, ,~axw
Bf
n
[3 8
J
"E'
~1ffl
rP
ifu
m;
~~&
~AD2.~~&tl ffl.~~N~.tl
~~~M~ffi~
wm~,
00&,
~ ,~¥
~* ~
Xtt
tIE
JJt 0
.£A
5.51
Ii[2 Like r
t
l!!ll it
l!!!j iii
(:fiJ
M -
:J;.
Jj ~5.51
-iJE::ftt*
1.51)0
~ ~ruYEr*1$-f)(t1Cronbach'sa
11i
0 . 5 1 0
55 E8
Wf
~H
3.51
J1i
Like r
t
l!!IJ iii
?!
aw
~Xtt
~~ll (::f~~~1
.51--~ ~3
ft); ~~1i:YE r*1 $
:a::
t1 C ron
b
a c h 's a
f1
£3
O. 6 5
0Campbe
11tI':]
r 1=:
IN.
~¥i
J(Index
ofGenera
1Affect), r~ffi51=: ~~ J (Overall Life Satisfacti
on),
& '"
~ ~ ~ J(I
n d e x
0f
~ell - B e
i
n
g )w:fO
iii
E!
~
itS
6b
~.51
8':]
l!!IJ
11
it.
~IJIi: ,
~ ~1=:
fN.
~ ~m,
.51
~ttt
1.51
~U7
ft.f5'11
tID:
r
~8':]
J£3 -
.51.
1-& f¥
oc
~U
itrutl::tI':].;
~7.51, J1.ttt~*o$1i:
YE:ArJ
~t1C
ronb
a ch .
sa
fi
~O. 9 3
01l!
~ ~ E~1 . 1
15 S':]
€ffi
3=:
~~~1.m1.0
8':]
7§-fN.:~jio'34j
(IWB~1.1 OLS +
1.0
IGA)
-28
~Spitzer
QL-index
71~5~ tmjl]"
fi!
~"
~:tD J¥J;
~•
JJ{ ~ff
3
0 - 2
71 ,
~ ~1071
• :;$:?iff ~ 1~ ~}E!*J