published_or_final_version / Dentistry / Master / Master of Dental Surgery

Ip Oi-ching. / Thesis submitted in: October 2001. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (leaves 142-152). / Abstracts in English and Chinese. / LIST OF ABBREVIATIONS --- p.ix / LIST OF TABLES --- p.xiv / LIST OF FIGURES --- p.xviii / LIST OF APPENDICES --- p.xxii / Chapter CHAPTER ONE --- INTRODUCTION / Chapter 1.1 --- Conceptual Framework --- p.1 / Chapter 1.2 --- Objectives --- p.4 / Chapter 1.3 --- Significance --- p.5 / Chapter 1.4 --- Study Area --- p.6 / Chapter 1.5 --- Organization Of Thesis --- p.8 / Chapter CHAPTER TWO --- LITERATURE REVIEW / Chapter 2.1 --- Quality of Life and Indicators --- p.9 / Chapter 2.1.1 --- Scope of study for quality of life --- p.9 / Chapter 2.1.2 --- Development and evolution of quality of life studies --- p.13 / Chapter 2.1.3 --- Quality of life indicators --- p.14 / Chapter 2.2 --- Quality of Life Studies using Remote Sensing data --- p.17 / Chapter 2.2.1 --- Attributes derived from remote sensing --- p.17 / Chapter 2.2.2 --- Environmental changes and landuse change --- p.17 / Chapter 2.2.3 --- Housing quality --- p.18 / Chapter 2.2.4 --- Integration of remote sensing data and census data --- p.19 / Chapter 2.3 --- Quality of Life Study and Application of Remote Sensing in Hong Kong --- p.20 / Chapter 2.4 --- Summary --- p.22 / Chapter CHAPTER THREE --- METHODOLOGY / Chapter 3.1 --- Data Description --- p.24 / Chapter 3.1.1 --- Biophysical data --- p.24 / Chapter 3.1.2 --- Socioeconomic indices --- p.28 / Chapter 3.1.3 --- Data extracted at Tertiary Planning Unit --- p.30 / Chapter 3.2 --- Satellite Data Preprocessing --- p.32 / Chapter 3.2.1 --- Radiometric and atmospheric correction --- p.38 / Chapter 3.2.2 --- Image normalization --- p.43 / Chapter 3.2.3 --- Geometric correction --- p.44 / Chapter 3.3 --- Landuse and Land-cover Classification --- p.45 / Chapter 3.4 --- Spectral Data Extraction and Transformation --- p.47 / Chapter 3.5 --- Integration of Spectral and Census Data for Quality of Life Modeling --- p.49 / Chapter 3.5.1 --- Inter-relationship between biophysical data and socioeconomic data --- p.50 / Chapter 3.5.2 --- Integrated quality of life modeling --- p.50 / Chapter 3.6 --- Summary --- p.51 / Chapter CHAPTER FOUR --- DATA DESCRIPTION / Chapter 4.1 --- Socioeconomic Data --- p.53 / Chapter 4.2 --- Spectral Data --- p.62 / Chapter 4.2.1 --- Raw data --- p.62 / Chapter 4.2.2 --- Landuse and land cover --- p.63 / Chapter 4.2.3 --- Vegetation indices --- p.66 / Chapter 4.2.4 --- Tasseled cap components --- p.67 / Chapter 4.2.5 --- Surface temperature --- p.69 / Chapter 4.2.6 --- Principal components extracted from biophysical variables --- p.70 / Chapter 4.3 --- Summary --- p.79 / Chapter CHAPTER FIVE --- INTERRELATIONSHIP BETWEEN SPECTRAL VARIABLES AND SOCIOECONOMIC VARIABLES / Chapter 5.1 --- Framework of Analysis --- p.82 / Chapter 5.2 --- Correlation among Socioeconomic and Biophysical data --- p.84 / Chapter 5.3 --- Stepwise Multiple Linear Regression Models --- p.91 / Chapter 5.3.1 --- Biophysical data as dependent variable --- p.91 / Chapter 5.3.1.1 --- NDVI as dependent variable --- p.95 / Chapter 5.3.1.2 --- URBANM as dependent variable --- p.98 / Chapter 5.3.2 --- Socioeconomic data as dependent variable --- p.101 / Chapter 5.3.2.1 --- POP´ؤDEN as dependent variable --- p.101 / Chapter 5.4 --- Summary and Discussion --- p.103 / Chapter CHAPTER SIX --- QUALITY OF LIFE ANALYSIS / Chapter 6.1 --- Indictors for Quality of Life Study --- p.105 / Chapter 6.2 --- QOL Indicators --- p.110 / Chapter 6.3 --- Spatial Variation of QOL --- p.114 / Chapter 6.4 --- Temporal Variation of QOL --- p.125 / Chapter 6.5 --- Summary and discussion --- p.131 / Chapter CHAPTER SEVEN --- CONCLUSION / Chapter 7.1 --- Summary of Findings --- p.134 / Chapter 7.1.1 --- Inter-relationship between socioeconomic and biophysical variables --- p.135 / Chapter 7.1.2 --- Quality of life indicators --- p.135 / Chapter 7.2 --- Limitations of the Study --- p.13 8 / Chapter 7.3 --- Recommendations for Further Studies --- p.140 / REFERENCES --- p.142 / APPENDIX A --- p.153 / APPENDIX B --- p.157 / APPENDIX C --- p.167

Zhang, Yin. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2013. / Includes bibliographical references (leaves 164-180). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts also in Chinese; appendix includes Chinese.

Lee Shirley. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2003. / Includes bibliographical references (leaves 178-184). / Abstracts in English and Chinese. / Abstract --- p.i / Acknowledgement --- p.iii / Chapter Chapter 1 --- Introduction --- p.1 / Chapter Chapter 2 --- Being Old and the Concept of Old Age --- p.28 / Chapter Chapter 3 --- The Pursuit of a Meaningful Life in Old Age --- p.45 / Chapter Chapter 4 --- Gender and the Pursuit of Meanings in Old Age --- p.77 / Chapter Chapter 5 --- Health and the Pursuit of Meanings in Old Age --- p.96 / Chapter Chapter 6 --- Money and the Pursuit of Meanings in Old Age --- p.118 / Chapter Chapter 7 --- Death and the Pursuit of Meanings in Old Age --- p.137 / Chapter Chapter 8 --- Conclusion --- p.156 / Appendix --- p.176 / Bibliography --- p.178

published_or_final_version / Community Medicine / Doctoral / Doctor of Philosophy

Wong, Mei Fung Florence. / Thesis (D.Nurs.)--Chinese University of Hong Kong, 2013. / Includes bibliographical references (leaves 178-208). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese.

隨著高效能抗病毒藥物治療的推出，愛滋病病患者的不良健康狀況得以逆轉。愛滋病病毒感染已不再是無藥可治的絶症，而是一種需要終生服藥的慢性疾病。但是，藥物的出現並未減輕疾病本身對病患者的心理健康打擊，例如被社會歧視，而藥物的副作用則被大量發現，藥物治療的進步並不一定能改善病患者的生活質素，而監測患者的生活質素便成為必要。但是，目前供病患者所使用的生活質素量表，均於推出高效能抗病毒藥物治療前或不久後發展而成，並在西方國家使用，因此，此項研究的目的是要發展和確認一份與本土文化和環境背景相關的生活質素量表，供香港的華藉愛滋病病毒感染者和病患者所使用。 / 此研究項目共分為三個階段。第一階段集中於項目產生，以質性研究方法探討愛滋病病毒感染者和病患者對生活質素含義和組成內容的看法。此階段共招募了36位參與者(30男、6女)進行面對面的單獨訪問。以主題分析方法，找出了10個生活質素的類別及65個項目，並以它們為藍本構成量表的項目庫。項目庫的表面效度和全面性經參與者的確認後，新的生活質素量表CHAQOL才成立。 / 第二階段集中於項目删減。此階段以統計方法為主導，删減多餘和缺乏一貫性的項目。從168位參與者的數據分析所得，保留40個項目便能使新量表達致最理想的內部結構和項目的一致性和變異性，結果並顯示香港華藉愛滋病病毒感染者和病患者的生活質素由六個因素模型構成，這包括：「生活滿意度」、「情緒健康」、「身體健康」、「羞辱和歧視」、「親密關係」和「抗病毒治療的信念」。 / 第三階段集中測試CHAQOL量表的心理計量特質，此階段新招募了239位參與者，再測試可信度的初試和複試相隔兩週進行，分析結果顯示，40個項目的加權卡帕係數為0.46至0.93，在六個範圍組內的相關係數為0.82至0.97。至於內部一致性可信度，克隆巴赫係數為0.63至0.93。這些結果皆顯露CHAQOL量表是可信的。至於效度方面，驗證性因素檢測結果支持CHAQOL量表是由六個因素模型構成的，而多項特質排列檢驗分析結果亦顯示CHAQOL量表有良好的項目會聚性，其在六個範圍組內的會聚成功率為75%至100%，與此同時，CHAQOL量表內的所有範圍組內的區分成功率為71%至100%，只有「情緒健康」範疇得到較不理想的區分成功率。CHAQOL量表在區分已知有差異組別上的表現良好，六個構成量表的範疇均能區分有不同臨床特徵的病患者的主觀感受，這包括病情、病徵和藥物治療副作用的嚴重程度。已被確認有效度的通用生活質素量表WHQOOL-BREF和HIV Stigma量表的子量表被用作檢測CHAQOL量表的同時效度，檢測結果顯示較強至中等強度的相關性只存在於CHAQOL量表的「滿意生活度」、「情緒健康」、「身體健康」的三個範疇和WHQOOL-BREF量表內的各個範疇，但不存在於CHAQOL量表內的餘下範疇，而類似的最強相關性關係也存在於HIV Stigma量表的子量表和CHAQOL量表內的「羞辱和歧視」範疇。總括來說，測試結果提供初步科學證據支持CHAQOL量表的信度和效度。 / With the introduction of highly active antiretroviral therapy (HAART), the health status of patients with acquired immune deficiency syndrome (AIDS) becomes reversible. The human immunodeficiency virus (HIV) infection is no longer an incurable fatal disease, but a chronic disease that requires lifelong treatment. However, the emergence of HAART does not lessen the detrimental impact of the disease on the psychosocial well-being of patients, such as the effect of social stigmatization. The side effects of HAART are also well documented. Therefore, the advancement in treatment not necessarily improves the quality of life (QOL) of patients and monitoring patients’ QOL becomes crucial. Nevertheless, existing QOL measures specifically for HIV/AIDS patients were developed either before or shortly after HAART, which were used in Western countries. Therefore, the aim of this study is to develop and validate a culturally and contextually relevant QOL measure for the Chinese people living with HIV/AIDS in Hong Kong (HK). / This study comprised three phases. Phase One focused on generating items for the QOL measure. Qualitative research methodology was adopted to explore the meaning and constituents of QOL from the perspective of HIV/AIDS patients. Thirty-six (30 male, 6 female) participants were recruited for face-to-face individual interviews. Using thematic analysis, 10 QOL categories were identified, and 65 items were devised to form an item pool. The face validity and comprehensiveness of the item pool was affirmed by the participants. The initial draft of new measure, named CHAQOL, was thus established. / Phase Two focused on item reduction. A statistically driven approach was adopted to eliminate any psychometrically redundant and incoherent items. Based on the data collected from 168 participants, 40 items were retained to give the optimal internal structure and item consistency and variability. This initial version suggested a six-factor model of QOL for the Chinese people living with HIV/AIDS of HK. The six factors are: "life satisfaction", "emotional well-being", "physical well-being", "stigma and discrimination", "intimate relationships", and "belief in antiretroviral therapy" (ART). / Phase Three focused on testing the psychometric properties of the CHAQOL. Another sample of 239 HIV/AIDS participants was recruited. The test and retest conducted two weeks apart. The weighted kappa values of 40 items ranged between 0.46 and 0.93 whereas the intraclass correlation coefficients of six QOL dimensions ranged between 0.82 and 0.97. For the internal consistency, Cronbach’s alpha ranged from 0.63 to 0.93. The results demonstrated CHAQOL to be reliable. In the evaluation of construct validity, the results of confirmatory factor analysis supported the six-factor model underlying CHAQOL. Multitrait scaling analysis showed that CHAQOL had good item convergent success rate ranging from 75% to 100% for the six subscales. All subscales of the CHAQOL, except the emotional well-being, had good item discriminant validity with an item discriminant success rate ranging from 71% to 100%. Known-group comparison indicated that the CHAQOL was able to distinguish the differences in all six QOL dimensions between Chinese HIV-infected people with different levels of disease severity, symptom severity and severity of ART-related side effects. The validated generic measure WHOQOL-BREF (HK) and the HIV Stigma subscale were used to examine the concurrent validity with the CHAQOL. Strong-to-moderate correlations were found only between the CHAQOL dimensions “life satisfaction, “emotional well-being, and “physical well-being, as well as the domains of WHOQOL-BREF (HK), but not for the remaining dimensions. Similarly, strongest correlations were found between the CHAQOL subscales “stigma and discrimination and the HIV stigma subscale. The results provide evidence on the reliability and validity of the CHAQOL. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Ho, Choi Fung. / "December 2012." / Thesis (Ph.D.)--Chinese University of Hong Kong, 2013. / Includes bibliographical references (leaves 244-272). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese; appendixes includes Chinese. / List of Tables --- p.xviii / List of Figures --- p.xx / List of abbreviations --- p.xxi / List of APPENDICES --- p.xxii / Chapter Chapter 1 --- Introduction / Study Background --- p.1 / Epidemiological Background of HIV Infection --- p.3 / Overview on HIV/AIDS and Its Treatment --- p.4 / Pathogenesis --- p.4 / Disease Trajectory --- p.4 / HAART --- p.6 / Effects of HIV Infection on QOL --- p.6 / Role of Nurses in Enhancing QOL of HIV/AIDS Patients in HK --- p.8 / Aim of the Study --- p.9 / Significance of the Study --- p.9 / Chapter Chapter 2 --- Literature Review / Literature Search Strategy --- p.10 / Conceptualization and Measurement of Quality of Life (QOL) --- p.12 / QOL Concept Applied to Health Care --- p.12 / Attributes of QOL --- p.13 / Subjective construct --- p.15 / Objective indicators and proxy assessment --- p.16 / Cultural-specific and dynamic in nature --- p.17 / Multidimensional --- p.19 / Definition of QOL for health care practice. . --- p.21 / QOL Dimensions of People Living with HIV/AIDS --- p.22 / Physical Dimension --- p.23 / Overview on CD4 cell count and HIV disease stage --- p.24 / CD4 cell count --- p.24 / HIV disease stage --- p.25 / HIV-related symptoms in relation to physical health --- p.25 / CD4 cell count and disease stage in relation to physical health --- p.27 / HAART-related symptoms in relation to physical health --- p.28 / Psychological Dimension --- p.30 / Identity and adjustment --- p.30 / Uncertainty in treatment and disease outcomes --- p.32 / Psychological symptoms --- p.33 / Social Dimension --- p.35 / HIV-related stigma and discrimination --- p.36 / Outcomes of HIV disclosure on social and family relationships --- p.37 / Sexual Dimension --- p.40 / Spiritual Dimension --- p.42 / Summary on QOL Dimensions of People Living with HIV/AIDS --- p.43 / Evaluation of QOL --- p.45 / Property Requirements for Quantitative QOL Measures . --- p.46 / A Review of Generic Measures --- p.48 / MOS SF-36 --- p.48 / WHOQOL-BREF --- p.49 / Critique on generic measures --- p.50 / A Review of Disease-specific Measures --- p.51 / MOS-HIV --- p.54 / HOPES --- p.55 / FAHI --- p.56 / MQOL-HIV --- p.57 / HAT-QOL --- p.58 / Critique on disease-specific measures --- p.59 / Summary of Literature Review --- p.60 / Chapter Chapter 3 --- Methods / Operational Definitions --- p.63 / Aim of the Study --- p.64 / Study Design --- p.64 / Setting --- p.64 / Inclusion and Exclusion Criteria of the Sample --- p.66 / Phase One --- p.66 / Sampling Plan and Sample Size --- p.67 / Data Collection --- p.70 / Interview guide --- p.70 / Pilot study --- p.71 / Data Analysis --- p.72 / First: Familiarizing with the data --- p.72 / Second: Extracting initial codes --- p.72 / Third: Generating themes --- p.73 / Fourth: Reviewing the themes --- p.73 / Fifth: Defining and naming themes --- p.73 / Sixth: Comparing differences and similarities between groups --- p.74 / Measures to Ensure Rigour --- p.74 / First: Truth value and applicability --- p.75 / Second: Consistency --- p.75 / Third: Neutrality --- p.76 / Initial Draft of CHAQOL --- p.76 / Phase Two --- p.78 / Sampling Plan and Sample Size --- p.78 / Data Collection --- p.81 / Data Analysis --- p.82 / Revision and Scoring Method of CHAQOL --- p.84 / Phase Three --- p.86 / Main Study --- p.87 / Sampling plan --- p.87 / Sample size for the main study --- p.89 / Data Collection --- p.92 / Translation of the HIV Stigma Subscale --- p.94 / Data Analysis --- p.95 / Retest --- p.97 / Sampling size --- p.98 / Data Analysis --- p.98 / Ethical Consideration --- p.99 / Chapter Chapter 4 --- Findings Phase One of the Study / Introduction --- p.101 / Individual Interview --- p.102 / Demographic and Clinical Characteristics of Participants --- p.102 / Categories and Subcategories Identified in Phase One --- p.105 / Category: Perceptions of HIV Infection --- p.107 / First subcategory: threat of getting an incurable disease . --- p.107 / Second subcategory: worry about transmitting the disease to other people --- p.108 / Third subcategory: losing control over many things in life. --- p.108 / Fourth subcategory: having no future --- p.108 / Fifth subcategory: becoming a patient --- p.109 / Category: Adaptation and Coping --- p.109 / First subcategory: initial negative feelings --- p.110 / Second subcategory: confidence in overcoming difficulties --- p.110 / Third subcategory: acceptance of living with HIV --- p.111 / Fourth subcategory: letting negative feelings go --- p.111 / Fifth subcategory: thinking optimistically --- p.112 / Six subcategory: maintaining a calm and peaceful state of mind --- p.112 / Category: Perceptions of Physical Health --- p.113 / First subcategory: experiences of fatigue --- p.113 / Second subcategory: decline in physical strength --- p.113 / Third subcategory: satisfaction with present health status --- p.114 / Fourth subcategory: ability to maintain physical health --- p.114 / Fifth subcategory: worry about future health --- p.115 / Category: HIV Care Services --- p.115 / First subcategory: support from health care workers --- p.115 / Second subcategory: difficulties in scheduling regular follow-up --- p.116 / Category: Experiences in Stigma and Discrimination --- p.116 / First subcategory: worry about being regarded as shameful --- p.117 / Second subcategory: worry about being discriminated against --- p.117 / Third subcategory: worry about being estranged --- p.117 / Fourth subcategory: experiences in secrecy --- p.118 / Category: Experiences of ART --- p.118 / First subcategory: improving health status --- p.119 / Second subcategory: spoiling my appearance --- p.119 / Third subcategory: readiness for lifelong ART --- p.120 / Fourth subcategory: causing inconvenience to daily life --- p.120 / Fifth subcategory: tolerability of the side effects --- p.120 / Category: Effects of HIV on Family and Social Relationships --- p.121 / First subcategory: having a warm family --- p.121 / Second subcategory: having a regular intimate partner/spouse --- p.122 / Third subcategory: ability to take care of my family --- p.122 / Fourth subcategory: ability to maintain social relationships --- p.123 / Category: Perceptions of Sexual Relationships --- p.123 / First subcategory: avoidance of sexual activities --- p.124 / Second subcategory: satisfaction with present sexual life . --- p.124 / Category: Career and Financial Concerns --- p.125 / First subcategory: effect of HIV on my career --- p.125 / Second subcategory: having enough money to maintain my living standard --- p.125 / Third subcategory: worry about my living expenses for the future --- p.126 / Category: Pleasure and Contentment --- p.126 / First subcategory: living in preferred ways --- p.127 / Second subcategory: being able to do enjoyable things --- p.127 / Third subcategory: having somebody to share the happiness and sorrow --- p.127 / Fourth subcategory: sense of contentment --- p.128 / Comparisons of Similarities and Differences of Findings Identified by Different Groups of Participants --- p.129 / Comparing the Key Descriptions --- p.130 / First: male versus female --- p.130 / Second: those aged less than 40 years versus those aged 40 years or above --- p.131 / Third: AIDS patient versus non-AIDS patient --- p.131 / Comparing the Categories and Subcategories --- p.132 / Initial Draft of CHAQOL --- p.133 / Forming of Item Pool --- p.133 / Face Validity and Pilot Test of CHAQOL --- p.136 / First: verification of the importance of CHAQOL Items --- p.137 / Second: pilot test of the CHAQOL --- p.140 / Third: feedback and comments on CHAQOL --- p.143 / Summary --- p.144 / Chapter Chapter 5 --- Results Phase Two of the Study / Introduction --- p.145 / Phase Two of the Study --- p.146 / Demographic and Clinical Characteristics of Participants --- p.148 / Pattern of Missing Data --- p.150 / Item Reduction --- p.153 / First: Exploratory Factor Analysis --- p.153 / Second: Internal Consistency Analysis --- p.161 / Third: Variability Analysis --- p.165 / Fourth: feedback of participants --- p.168 / Summary --- p.168 / Chapter Chapter 6 --- Results Phase Three of the Study / Introduction --- p.170 / Pilot Study --- p.171 / Phase Three of the Study --- p.173 / Demographic and Clinical Characteristics of the Participants --- p.175 / DH versus HA Participants --- p.177 / Sample versus Study Population of DH Clinic --- p.177 / Psychometric Properties of CHAQOL --- p.179 / Variation and Missing Response --- p.179 / Results of all participants --- p.179 / Results of subgroup analysis --- p.183 / Subscale Score Distributions and Internal Consistency --- p.186 / Test and Retest Reliability --- p.189 / Item Convergent and Discriminant Validities --- p.191 / Confirmatory Factor Analysis --- p.199 / Concurrent Validity --- p.202 / Known-group Comparisons --- p.204 / Summary --- p.208 / Chapter Chapter 7 --- Discussion / Introduction --- p.211 / Perception of QOL among Chinese People Living with HIV/AID --- p.211 / Dynamic Nature --- p.212 / Cultural Specificity --- p.213 / Spirituality and emotional well-being --- p.214 / Intimate relationship --- p.215 / Stigma and discrimination --- p.216 / Comparing the QOL Dimensions of CHAQOL with Existing Commonly Used QOL Measures --- p.218 / Psychometric Properties of CHAQOL --- p.221 / Adequacy of the Coverage of Items --- p.221 / Item generation --- p.221 / Item reduction --- p.222 / Evidence for Reliability --- p.223 / Test and retest stability --- p.223 / Internal Consistency --- p.224 / Evidence for Validity --- p.224 / Confirmatory Factor Analysis --- p.225 / Multitrait scaling analysis --- p.226 / Known-group comparisons --- p.227 / Concurrent validity --- p.228 / Item Variation and Missing Response --- p.229 / Item Variability --- p.229 / Missing Response --- p.230 / Representativeness of Samples --- p.231 / Limitations of the Study --- p.234 / Conclusion --- p.236 / Chapter Chapter 8 --- Introduction / Implications to the Nursing Practice --- p.237 / Recommendations for Future Studies --- p.239 / Overall Conclusion --- p.242 / Reference --- p.244 / Appendices --- p.273

published_or_final_version / Social Work / Master / Master of Social Sciences

張鳳愛. / 論文(社會工作碩士) -- 香港中文大學硏究院社會工作學部, 1996. / 參考文献 : leaves 113-121. / Zhang Feng'ai. / 鳴謝 --- p.i / 論文提要 --- p.iii / 目錄 --- p.v / 表目錄 --- p.vii / 緖論 --- p.1 / Chapter 第一章 --- 文獻探討 --- p.6 / Chapter 第一節 --- 生活滿足感 --- p.6 / Chapter 一、 --- 生活滿足感的定義 --- p.6 / Chapter 二、 --- 生活滿足感的因素 --- p.9 / Chapter 第二節 --- 閒暇 / Chapter 一、 --- 閒暇的定義 --- p.18 / Chapter 二、 --- 閒暇對老人的重要 --- p.21 / Chapter 三、 --- 閒暇活動參與與老人生活滿足感的關係 --- p.27 / Chapter 第三節 --- 健康 --- p.36 / Chapter 一、 --- 健康的定義 --- p.36 / Chapter 二、 --- 健康與老人生活滿足感的關係 --- p.39 / Chapter 第四節 --- 健康及閒暇活動與老人生活滿足感的關係 --- p.42 / Chapter 一、 --- 撤離理論 --- p.43 / Chapter 二、 --- 活躍理論 --- p.46 / Chapter 第二章 --- 理論架構 --- p.51 / 以活躍理論爲基礎探求健康及閒暇活動參與 與生活滿足感之關係 / Chapter 第三章 --- 硏究方法 --- p.58 / Chapter 第一節 --- 操作性定義 --- p.58 / Chapter 一、 --- 生活滿足感 --- p.58 / Chapter 二、 --- 健康 --- p.58 / Chapter 三、 --- 閒暇活動 --- p.60 / Chapter 四、 --- 閒暇活動參與 --- p.60 / Chapter 第二節 --- 研究問題 --- p.61 / Chapter 第三節 --- 研究對象及抽樣範疇 --- p.61 / Chapter 第四節 --- 資料搜集程序 --- p.63 / Chapter 第五節 --- 硏究工具 --- p.65 / Chapter 一、 --- 生活滿足感指標簡表 --- p.66 / Chapter 二、 --- 閒暇參與量表 --- p.66 / Chapter 三、 --- 健康量表 --- p.66 / Chapter 第四章 --- 硏究結果與討論 --- p.68 / Chapter 第一節 --- 資料分析與討論 --- p.68 / Chapter 第二節 --- 硏究結果摘要 --- p.82 / 附表樣本所得的資料分析表 --- p.86 / Chapter 第五章 --- 建議及限制 --- p.97 / 結論 --- p.109 / 註釋 --- p.112 / 參考書目 --- p.113 / 附錄問卷：老人生活滿足感與健康及閒暇活動參與之關係 --- p.122

Background. Subjective quality of life (SQOL) is increasingly gaining attention in psychiatric practice and research. To date, few studies have examined the SQOL in outpatients with schizophrenia in China. / Conclusions. Despite considerable differences between the two sites in terms of socio-cultural background, health care delivery and the economic conditions of the subjects, the SQOL did not differ significantly between HK and BJ. SQOL was more strongly related to the severity of depressive symptoms and had only weak association with socio-demographic factors. / Method. In the psychiatric outpatient services of two university-affiliated teaching hospitals in BJ and HK, 522 (264 in BI and 258 in HK) clinically stable outpatients diagnosed with schizophrenia (age: 18-60 years) were randomly selected according to the same inclusion and exclusion criteria. The two samples were matched according to age, sex, educational level, and length of illness. The diagnosis of schizophrenia was confirmed on the basis of a chart review followed by a diagnostic interview on both sites by the candidate. Socio-demographic data were collected and clinical characteristics including psychotic and depressive symptoms, drug-induced extrapyramidal side effects (EPS), and SQOL were assessed by the candidate. Analysis of covariance (ANCOVA) was used to compare the SQOL and its four domains between the two sites after controlling for the effect of the clinical condition of the subjects. Bi-variate correlation and multiple regression analyses were used to evaluate the relationship between SQOL and socio-demographic and clinical data. / Objectives of the study. This study compared SQOL in schizophrenia patients living with their families in Hong Kong (HK) and Beijing (BI) and explored the relationship between SQOL and socio-demographic and clinical factors. / Results. There was no significant difference in SQOL and its domains between the two cohorts after controlling for the effect of other confounding variables. Length of illness, history of suicide attempts, positive, negative, depressive and anxiety symptoms and EPS were all significantly correlated with SQOL. Multiple regression analysis revealed that depressive symptoms predicted all SQOL domains while positive symptoms predicted the psychological, the social relationship and environmental SQOL domains. Married status predicted the social relationship SQOL domain and length of illness predicted the environmental SQOL domain. / Xiang Yu-tao. / "October 2006." / Advisers: G. S. Ungvari; W. K. Tang. / Source: Dissertation Abstracts International, Volume: 68-08, Section: B, page: 5131. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2006. / Includes bibliographical references (p. 107-122). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in English and Chinese. / School code: 1307.