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題名：退化性膝關節炎患者健康相關生活品質之決定因子
書刊名：大專體育學刊
作者：李淑芳 引用關係／王秀華 引用關係
作者(外文)：Li, Gladys Shuk-fong／Wang, Hsiu-hua
出版日期：2012
卷期：14:3
頁次：頁387-398
主題關鍵詞：老化；身體功能；退化性膝關節炎量表；Aging；Physical function；Western Ontario and McMaster Universities osteoarthritis index；WOMAC
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(2) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:65
  • 點閱點閱:169
本研究旨在探討退化性膝關節炎患者在健康相關生活品質之決定因子上的差異，並進一步瞭解不同身體活動程度退化性膝關節炎患者其症狀與健康相關生活品質的差異。調查對象為207位退化性膝關節炎門診患者，以中文版退化性膝關節炎量表、健康相關生活品質量表及身體活動分類問卷為施測工具。透過逐步多元迴歸探討患者之社會人口變項、身體活動程度及退化性膝關節炎症狀各變項對於健康相關生活品質的解釋力進行探討。再以單因子變異數之資料分析，探討不同身體活動程度之病患在其退化性膝關節症狀及健康相關生活品質之差異性。研究結果顯示：「身體活動功能」、「疼痛」、「年齡」、「手術與否」及「身體活動程度達建議量」等五個變項，均為患者健康相關生活品質之顯著預測因子（predictors）；亦能有效解釋退化性膝關節炎患者健康相關生活品質30.2％之變異量。而「身體活動功能」呈現最高的預測力，其獨立的變異量為20.1％。從事身體活動程度達到健康建議的患者比活動不足夠及不活動的患者在退化性膝關節症狀及健康相關生活品質的評分均較高。本研究結論為退化性膝關節炎之運動復健處方及策略需考量病患的健康相關生活品質，協助病患建立規律身體活動行為、改善其身體活動功能及疼痛感，進而提升其健康相關生活品質。
The purpose of this study was to compare the correlates of health-related quality of life between men and women, who were outpatients of knee osteoarthritis (knee OA) with three levels of exercise groups and four distinct age groups. This study also aimed to understand the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Medical Outcome Study 36-item short-form general health survey measures (SF-36) for the different levels of physical activity (Recommended, Insufficient, and Inactive); and to explore the implications for a possible correlation of physical activity levels, and health-related quality of life (HRQoL), and WOMAC in patients with knee osteoarthritis. In this study, two hundred and seven patients with knee OA were participated. The self-response questionnaires including WOMAC, SF-36 and self-report containing sections on demographic characteristics and physical activity categories were assessed throughout one month period. In the results we found that patients with knee OA, who reported a higher level of physical activity (Recommended) showed significantly lower in some measures of WOMAC, and higher in HRQoL than their insufficient and inactive counterparts. Furthermore, "Physical Function," "Pain," "Age," "Operation" and "Recommended Physical Activity" were the significant explanatory factors of HRQoL in knee OA patients. The explained variance of these variables towards WOMAC was 30.2%. "Physical Function" which accounted for 20.1%, has the highest predictability towards HRQoL. Our results concludes that reducing pain perception, enhancing physical function through reinforcing exercise habits in patients' exercise therapy, the HRQoL of the knee OA patients might be enhanced.
期刊論文
1.Dincer, F.、Erol, O.、Atalay, A.(2006)。Effect of physical therapy on WOMAC scores and quality of life in patients with knee osteoarthritis。Journal of Musculoskeletal Research，10(1)，57-61。  new window
2.Dominick, K. L.、Ahern, F. M.、Gold, C. H.、Heller, D. A.(2004)。Health-related quality of life among older adults with arthritis。Health and quality of Life Outcomes，2(5)，1-8。  new window
3.Nunez, M.、Nunez, E.、Segur, J. M.、Macule, F.、Quinto, L.、Hernandez, M. V.、Vilalta, C.(2006)。The effect of an educational program to improve health-related quality of life in patients with osteoarthritis on waiting list for total knee replacement: A randomized study。Osteoarthritis and Cartilage，14(3)，279-285。  new window
4.Sharma, L.、Cahue, S.、Song, J.、Hayes, K.、Pai, Y.、Dunlop, D.(2003)。Physical functioning over three years in knee osteoarthritis。Arthritis & Rheumatism，48(12)，3359-3370。  new window
5.李淑芳、李麗晶(20101200)。退化性膝關節炎運動復健之策略與模式。中華體育季刊，24(4)=95，1-11。new window  延伸查詢new window
6.盧瑞芬、曾旭民、蔡益堅(20031200)。國人生活品質評量（1）：SF-36臺灣版的發展及心理計量特質分析。臺灣公共衛生雜誌，22(6)，501-511。new window  延伸查詢new window
7.Bellamy, N.(1989)。Pain assessment in osteoarthritis: Experience with the WOMAC osteoarthritis index。Seminars in Arthritis and Rheumatism，18(4)，14-17。  new window
8.Bennell, K. L.、Hinman, R. S.(2011)。A review of the clinical evidence for exercise in osteoarthritis of the hip and knee。Journal of Science and Medicine in Sport，14(1)，4-9。  new window
9.Blagojevic, M.、Jinks, C.、Jeffery, A.、Jordan, K. P.(2010)。Risk factors for onset of osteoarthritis of the knee in older adults: A systematic review and meta-analysis。Osteoarthritis and Cartilage，18(1)，24-33。  new window
10.Brown, D. W.、Balluz, L. S.、Heath, G. W.、Moriarty, D. G.、Ford, E. S.、Giles, W. H.(2003)。Associations between recommended levels of physical activity and health-related quality of life: Finding from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey。Preventive Medicine，37(5)，520-528。  new window
11.Chen, C.-H.、Yen, M.、Fetzer, S.、Lo, L.-H.、Lam, P.(2008)。The effects of Tai Chi exercise on elders with osteoarthritis: A longitudinal study。Asian Nursing Research，2(4)，235-241。  new window
12.Escobar, A.、Quintana, J. M.、Bilbao, A.、Brostegui, I.、Lafuente, I.、Vidaurreta, I.(2007)。Responsiveness and clinically important differences for the WOMAC and SF-36 after total knee replacement。Osteoarthritis and Cartilage，15(3)，273-280。  new window
13.Fuh, J. L.(2002)。New trend in neurology of health- related quality of life research。Acta Neurologica Taiwanica，11(1)，33-39。  new window
14.Hunt, M. A.、McManus, F. J.、Hinman, R. S.、Bennell, K. I.(2010)。Predictors of single-leg standing balance in individuals with medial knee osteoarthritis。Arthritis Care & Research，62(4)，496-500。  new window
15.Jamtvedt, G.、Dahm, K. T.、Christie, A.、Moe, R. H.、Haavardsliolm, E.、Holm, I.(2008)。Physical therapy interventions for patients with osteoarthritis of the knee: An overview of systematic reviews。Physical Therapy，88(1)，123-136。  new window
16.Jan, M. H.、Lin J. J.、Liau, J. J.、Lin, Y. F.、Lin, D. H.(2008)。Investigation of clinical effects of high- and low-resistance training for patients with knee osteoarthritis: A randomized controlled trial。Physical Therapy，88(4)，427-436。  new window
17.Jinks, C.、Jordan, K.、Croft, P.(2002)。Measuring the population impact of knee pain and disability with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)。Pain，100(1/2)，55-64。  new window
18.Muraki, S.、Akune, T.、Oka, H.、Enyo, Y.、Yoshida, M.、Saika, A.(2010)。Association of radiographic and symptomatic knee osteoarthritis with health-related quality of life in a population- based cohort study in Japan: The ROAD study。Osteoarthritis and Cartilage，18(9)，1227-1234。  new window
19.Parazzini, F.(2003)。Menopausal status, hormone replacement therapy use and risk of self-reported physician-diagnosed osteoarthritis in women attending menopause clinics in Italy。Maturitas，46(3)，207-212。  new window
20.Rejeski, W. J.、Shumaker, S.(1994)。Knee osteoarthritis and health-related quality of life。Medicine & Science in Sports and Exercise，26(12)，1441-1445。  new window
21.Riddle, D. L.、Kong, X.、Jiranek, W. A.(2009)。Two-year incidence and predictors of future knee arthroplasty in persons with symptomatic knee osteoarthritis: Preliminary analysis of longitudinal data from the osteoarthritis initiative。The Knee，16(6)，494-500。  new window
22.Woon, P. S.、Chia, M. Y.、Chan, W. Y.、Sim, K.(2010)。Neurocognitive, clinical and functional correlates of subjective quality of life in Asian outpatients with schizophrenia。Progress in Neuro-Psychopharmacology and Biological Psychiatry，34(3)，463-468。  new window
23.Xie, F.、Li, S. C.、Fong, K. Y.、Lo, N. N.、Yeo, S. J.、Yang, K. Y.(2006)。What health domains and items are important to patients with knee osteoarthritis? A focus group study in a multiethnic urban Asian population。Osteoarthritis and Cartilage，14(3)，224-230。  new window
24.Xie, F.、Li, S. C.、Goeree, R.、Tarride, J. E.、O'Reilly, D.、Lo, N. N.(2008)。Validation of Chinese Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in patients, scheduled for total knee replacement。Quality of Life Research，17(4)，595-601。  new window
會議論文
1.李丞華(2009)。退化性膝關節炎健康照護之現況--健保局觀點。臺北市。  延伸查詢new window
學位論文
1.鄭舜平(2005)。健走訓練對社區老人健康生活品質與成本效用影響之探討(碩士論文)。國立臺灣大學。  延伸查詢new window
2.林尹霈(2005)。應用常識模式探討罹患退化性關節炎老人的疾病認知及其因應策略(碩士論文)。中國醫藥大學。  延伸查詢new window
3.王淑美(2002)。全膝關節置換術論病例計酬醫療資源耗用分析--以北部某醫學中心為例(碩士論文)。國立陽明大學。  延伸查詢new window
圖書
1.Ware, J. E.(2000)。SF-36 health survey: Manual and interpretation guide。Lincoln, RI：Quality Metric。  new window
2.American College of Sports Medicine(2010)。ACSM's guidelines for exercise testing and prescription。Philadelphia：Lippincott Williams & Wilkins：Wolters Kluwer。  new window
3.李淑芳、劉淑燕(2008)。老年人功能性體適能。臺北市：華都文化事業有限公司。  延伸查詢new window
4.行政院經濟建設委員會(2008)。中華民國臺灣地區民國97年至145年人口推計。臺北市。  延伸查詢new window
 
 
 
 
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