視覺障礙者之復原力狀態正念態度與其生活品質關係探索

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Title:	視覺障礙者之復原力狀態正念態度與其生活品質關係探索
Authors:	洪敬雅
Contributors:	心理學系
Keywords:	視覺障礙、復原力、正念、生活品質、Visual Impairment、Resilience、Mindfulness、Quality of life
Date:	2018
Issue Date:	2018-08-02 01:21:09 (UTC+0)
Publisher:	亞洲大學
Abstract:	本研究旨在透過對視障者復原力狀態和正念態度的調查，以及對他們的生活品質的了解，設法探究這三者與視障者生活經驗之間的關聯。在研究設計上將視障者分為先天與後天兩種類別，並同時納入正常視力者為控制組，藉此了解三組間在復原力、正念與生活品質方面的差異。研究一共收取57名「先天失明組」、42名「後天失明組」以及96名「非視障組」受試者，每位受試者皆須依序填寫中文版Connor-Davidson復原力量表（Connor-Davidson Resilience Scale-25, CD-RISC-25）、台灣版五因素正念量表（Taiwan-Five Facet Mindfulness Questionnaire, T-FFMQ）、台灣簡明版世界衛生組織生活品質問卷（Taiwan-World Health Organization Quality of Life –Brief, T-WHOQOL-BREF）。研究結果發現（1）復原力：「視障組」與「非視障組」無顯著差異，但在三組間且未控制背景變項以及只單獨排除「教育年數」的影響力時，三組存在顯著差異，且後天失明者的復原力表現優於先天失明者。（2）正念：無論是否排除背景變項的影響力，組別不同不影響正念的展現。（3）生活品質：生理健康和環境範疇在未控制背景變項以及只單獨排除「年齡」的影響力時，皆為「非視障組」優於「視障組」；分成三組時，生理健康範疇無論是否排除背景變項的影響力，「非視障組」、「先天失明組」皆優於「後天失明組」，而環境範疇只有在未控制背景變項的狀態下有顯著差異，其中「非視障組」優於「後天失明組」。心理與社會關係範疇無論是否排除背景變項的影響力，不同組別的生活品質心理與社會關係範疇皆無顯著差異。（4）「復原力」與「正念」存在顯著正相關，即使進行淨相關分析後關聯性仍然顯著（5）「復原力」與「生活品質」各範疇存在顯著正相關，即使在進行淨相關分析後復原力與生活品質心理範疇間仍有高度關聯。（6）「正念」與「生活品質」各範疇存在顯著正相關，即使是在進行淨相關分析後，仍顯示正念態度與生活品質心理範疇間的高度相關性。本研究針對視障者有關復原力、正念、生活品質提供初步探索性資料，期待能引起更多研究者對於該族群的心理層面進行探討，並為未來相關主題者做為文獻參考。 The purpose of study was to explore the visually impaired people’s life through the relationships between the state of Resilience, Mindfulness Attitude and understand their quality of life. This study design was divided into two categories which are congenital blindness and adventitious blindness, moreover normal vision people also involved in the control group at the same time, by understanding the differences among these three categories which in the state of Resilience, Mindfulness Attitude and quality of life. This study collected total 57 subjects of “congenital blindness group”, 42 subjects of “adventitious blindness group” and 96 subjects of “non-visually impaired group”. All of them must take the tests of The Chinese Version of Connor-Davidson Resilience Scale-25 (CD-RISC-25), Taiwan-Five Facet Mindfulness Questionnaire (T-FFMQ), and Taiwan-World Health Organization Quality of Life –Brief (T-WHOQOL-BREF). Research result found that (1) Resilience: “visually impaired group” and “non-visually impaired group” doesn’t have any significant difference, but when there is no control over the background variables between the three groups and only excludes the influence of “years of education”, there are significant differences among the three groups, and adventitious blindness people were outperforms than the congenital blindness people. (2) Mindfulness: Whether or not to exclude the influence of background variables, different groups do not affect the display of “mindfulness”. (3) Quality of Life: When physical health and environmental domains do not control background variables and exclude only the influence of “age”, all "non-visually impaired group” are better than "visually impaired group" ; But when divided into three groups, physical health influences whether or not to exclude the background variables , "non-visually impaired group” and “congenital blind group” are better than the “adventitious blind group” ; The environmental domain has significant differences only if it does not control the background variables, where the "non-visually impaired group" is better than “adventitious blind group”. Psychological and social relationship domains of whether or not to exclude the influence of background variables, different groups of psychological and social relationship domains are no significant differences. (4) There is a significant positive correlation in “resilience” and “mindfulness”, it still significant even after making partial correlation. (5) The presence of “resilience” and “the domains of quality of life” have significant correlation, it’s still highly relevant with “resilience” and “psychological domain of quality of life” even after the partial correlation. (6) There is a significant positive correlation between “mindfulness” and “ the domains of quality of life”, even after making partial correlation, it shows a high correlation between “mindfulness” and “psychological domain of quality of life”. This study provides preliminary exploration data for visually impaired people on resilience, mindfulness, and quality of life. It is expected that more researchers will be interest the psychological aspects of this group and as a references for related-topic researchers in the future.
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