The Relationships between Disability Level, Health-Promoting Lifestyle, and Quality of Life in Outpatients with Systemic Lupus Erythematosus_

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題名：	The Relationships between Disability Level, Health-Promoting Lifestyle, and Quality of Life in Outpatients with Systemic Lupus Erythematosus
書刊名：	The Journal of Nursing Research
作者：	黃惠娟／周昌德／林寬佳／邱艷芬
作者(外文)：	Huang, Hui-chuan／Chou, Chung-tei／Lin, Kuan-chia／Chao, C. Yann-fen
出版日期：	2007
卷期：	15:1
頁次：	頁21-32
主題關鍵詞：	全身性紅斑狼瘡；失能狀況；健康促進生活型態；生活品質；Systemic lupus erythematosus；Disability；Health-promoting lifestyle；Quality of life
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:2 共同引用:49 點閱:39

本研究目的主探討門診紅斑性狼瘡患者失能狀況、健康促進生活型態與生活品質之相關性。採橫斷性研究設計，以立意取樣方式，選取北部某醫學中心129位門診全身性紅斑狼瘡患者(systemic lupus erythematosus, SLE)為研究對象。測量工具包含以視覺類比量表(Visual Analogue Scale)、匹茲堡睡眠品質量表(Pittsburgh Sleep Quality Index)及醫院焦慮及憂鬱量表(The Hospital Anxiety and Depression Scale)評估疼痛、疲倦、睡眠品質、焦慮和憂慮等失能狀況；以健康促進生活型態量表(Health-Promoting Lifestyle Profile)測量其健康促進生活型態；及採Short-Form 36評估生活品質。主要採用之統計方法為Hierarchical regression及Sobel test。研究結果顯示，於失能狀況方面，SLE患者疾病相關之自覺疼痛及疲倦情形為27.7±26.2及37.4±26.6，72% SLE患者顯著睡眠品質不佳，而約20%-32% SLE患者具嚴重焦慮及憂鬱問題；在健康促進生活型態部份，SLE患者健康促進生活型態得分為61.5±17.2；在生活品質方面，整體生理健康構面得分為45.3±9.1，整體心理健康構面得分為43.8±9.7。經Hierarchical regression 及Sobel test分析顯示，健康促進生活型態對生活品質之整體生理健康構面無顯著影響(p>.05)，疲倦為其主要影響因子且具中介效應；健康促進生活型態對整體心理健康構面則具顯著影響作用(p<.05)；因此促進門診SLE患者健康生活型態，需藉由疲倦狀況的改善，才有助於提昇生活品質之整體生理健康構面，然而執行健康促進生活型態對整體心理健康構面則具直接影響效果。

以文找文

The purpose of this study was to explore the relationships between disability, health-promoting lifestyle and quality of life in SLE outpatients. Cross-sectional research design and purposive sampling were used in this study. One hundred and twenty-nine SLE outpatients from a medical center were sampled. Questionnaires, including the Visual Analogue Scale, Pittsburgh Sleep Quality Index, and The Hospital Anxiety and Depression Scale, were adopted in order to survey subject disabilities in terms of pain, fatigue, quality of sleep, anxiety, and depression. Health-promoting lifestyle was measured using the Health-Promoting Lifestyle Profile, while quality of life data were collected using Short-Form 36. Hierarchical regressions and a Sobel test were the major statistical procedures employed. Study results indicated that SLE patient self-reported pain and fatigue related to the SLE disease to be 27.7 +/- 26.2 and 37.4 +/- 26.6, respectively. Seventy-two percent of SLE patients were reported to be troubled by poor sleep quality, while 20%-32% suffered from severe anxiety and depression. The Health-Promoting Lifestyle Profile total score for SLE patients was 61.5 +/- 17.2. In terms of SLE patient quality of life (QOL), physical component summary (PCS) and mental component summary (MCS) scores were 45.3 +/- 9.1 and 43.8 +/- 9.7, respectively. Based on the hierarchical regressions and Sobel test, it was revealed that the health-promoting lifestyle has no significant effect on the physical component summary (p > .05). Fatigue was the mediator factor of health-promoting lifestyle to physical component summary of quality of life. Nevertheless, health-promoting lifestyle has a significant effect on the mental component summary (p <.05). Interestingly, the results showed facilitating health- promoting lifestyle in SLE patient could not enhance physical component summary of quality of life directly without an improvement in fatigue disability; however, facilitating health-promoting lifestyle had a direct and positive effect on the mental component summary of quality of life.

以文找文

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