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題名:頸椎椎間盤突出症病人生活品質相關因素之探討
書刊名:護理暨健康照護研究
作者:許庭綾鄔恒斐曾媖蘭鄭瑜蔡秀鸞
作者(外文):Hsu, Ting-lingWu, Heng-feiTseng, Ying-lanCheng, YuTsay, Shiow-luan
出版日期:2014
卷期:10:4
頁次:頁306-313
主題關鍵詞:頸椎椎間盤突出症神經病變疼痛睡眠障礙生活品質Cervical disc herniationNeuropathic painSleep disorderQuality of life
原始連結:連回原系統網址new window
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背景:頸椎椎間盤突出症伴隨神經病變疼痛且持續一段很長的時間,影響其生活品質,然國內相關的研究相當少見。目的:探討頸椎椎間盤突出症病人神經病變疼痛、睡眠障礙與生活品質之相關性。方法:採橫斷式、相關性研究設計,方便取樣,收得有效問卷共102份,問卷內容包括人口學特性與疾病特性、以「日本骨科學會評估系統」評估疾病嚴重度、神經病變疼痛量表、中文維辛氏睡眠量表及臺灣簡明版世界衛生組織生活品質問卷等五部份,以SPSS 19.0版套裝軟體進行統計分析。結果:研究結果顯示,對象有中等以上的神經病變疼痛、中等程度以上的睡眠障礙,生活品質與疾病嚴重程度(p<.01)、神經病變疼痛(p<.05)、睡眠障礙(p<.01)均達顯著相關。疾病嚴重度和睡眠障礙可有意義的預測生活品質,共可解釋26.3%的總變異量。結論/實務應用:頸椎椎間盤突出症病人生活品質受疾病嚴重度和睡眠障礙影響,建議若欲改善病人生活品質,可先由改善睡眠障礙著手,此結果亦可作為醫護人員後續照顧之參考依據。
Background: Cervical disc herniation (CDH) is associated with neuropathic pain that typically lasts for an extended period of time and significantly affects the quality of life (QOL) of CDH patients. Few studies of the effect CDH-related neuropathic pain on quality of life have been conducted in Taiwan. Purpose: This study explores the relationship among neuropathic pain, sleep disorder, and quality of life in CDH patients. Methods: This cross-sectional correlation study design used convenience sampling and collected 102 valid questionnaires. The 5 structured questionnaires used to collect data included a basic information sheet, the Japanese Orthopedic Association scoring system for disease severity survey, Neuropathic Pain Questionnaire, Verran and Snyder-Halpern Sleep Scale Chinese version, and the World Health Organization Quality of Life-BREF Taiwan version. Data were analyzed using SPSS for Windows 19.0 software. Results: Participants reported a moderate level of neuropathic pain and sleep disorder. Disease severity (p < .01), neuropathic pain (p<.05), and sleep disorder (p<.01) correlated negatively with QOL. Disease severity and sleep disorder were significant predictors of QOL and explained about 26.3% of the total variance. Conclusions/ Implications for Practice: The most important predictors of QOL are disease severity and sleep disorder. This result suggests that reducing the incidence of sleep disorder among this patient population will improve their QOL. Study results provide important information for health professionals in caring for patients with cervical disc herniation.
期刊論文
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15.Werhagen, L.、Budh, C. N.、Hultling, C.、Molander, C.(2004)。Neuropathic pain after traumatic spinal cord injury-relations to gender, spinal level, completeness, and age at the time of injury。Spinal Cord,42(12),665-673。  new window
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18.楊慎絢、黃芬芬、莊美幸、李志清(20060700)。老人之健康相關生活品質評估。北市醫學雜誌,3(7),693-701。  延伸查詢new window
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20.姚開屏(20020300)。健康相關生活品質概念與測量原理之簡介。臺灣醫學,6(2),183-192。  延伸查詢new window
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學位論文
1.黃玉雰(2008)。脊髓損傷患者之神經性疼痛、睡眠品質與生活品質之相關性研究(碩士論文)。高雄醫學大學。  延伸查詢new window
2.酈欽菁(2010)。脊髓損傷病人神經病變痛量表之發展及測試(博士論文)。國立台北護理學院。  延伸查詢new window
3.Lin, S. L.(1992)。Perception of sleep quality/quantity and fear in critically ill patients with respiratory failure using mechanical ventilation support(碩士論文)。University of Washington。  new window
其他
1.勞動部職業安全衛生署(2014)。職業性頸椎椎間盤突出之認定參考指引,http://www.tmsc.tw/ODoc/職業性頸椎椎間盤突出之認定參考指引(98年訂一版).PDF。  延伸查詢new window
 
 
 
 
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