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研究生:林雅宣
研究生(外文):Lin Ya-Hsuan
論文名稱:高雄市國小高年級學童下背痛之調查研究
論文名稱(外文):Non-Specific Low Back Pain among Elementary School Students in Kaohsiung City
指導教授:洪玉珠洪玉珠引用關係
指導教授(外文):Hong Yu-Jue
學位類別:碩士
校院名稱:高雄醫學大學
系所名稱:公共衛生學研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2001
畢業學年度:89
語文別:中文
論文頁數:106
中文關鍵詞:盛行率下背痛國小學童學校書包
外文關鍵詞:PrevalenceLow Back painElementary school studentsSchoolbags
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摘要
■背景與目的
台灣有關下背痛(low back pain)的研究,大多針對成人;至於小孩或青少年的相關研究則較少見。然而,根據國外學者的研究顯示,學童下背痛的盛行率卻達11.6∼58.9%,可見其重要性。本研究目的除了調查國小學童背痛的盛行率外,並探討人口學變項與非特異性學童背痛(non-specific low back pain, NSLBP)的發生之相關,以及學生書包重量與NSLBP發生經驗的關係。
■方法與材料
本橫斷性研究,針對高雄市88所國小進行隨機抽樣,共抽出15所,於每校的五、六年級,各抽一班為研究對象,共得1063個樣本。資料收集以問卷及學生書包量測為主,而書包重量量測儀之精密度為0.01kg。
■分析結果
1.本調查共計有效問卷1011份,回應率(response rate)為95.1%。高雄市國小高年級學童下背痛的總盛行率為31.1%,其中以非特異性下背痛(non-specific low back pain)居多,佔63.0%(分率為19.2%)。
2.經由相關分析得知性別(男vs.女)(r=0.088)、每日看電視的時間(分鐘,r=0.119)、覺得自己駝背(r=0.149)、書包背負時的感覺(r=0.144) 以及學童背書包上學的時間長短(r=-0.101)等等變項,均與學童該學期有下背痛之經驗有顯著相關(p<0.05)。
3.以logistic regression analysis 所得之結果,「覺得自己有駝背」者其相對危險性是「很少或沒有駝背」者的1.95至3.16倍。「感覺書包非常重」者,其下背痛的相對危險性(AOR)「感覺書包輕」者的3.05倍。此外,學童「背書包時間的長短」(AOR=0.98)與「學童每日看電視的時間」(AOR=1.00)也是其曾有或現有下背痛經驗之重要相關因子。
■研究結論
就高雄市高年級學童而言,下背痛並不罕見,尤其以NSLBP居多(19.2%)。雖然女生(22.1%)的NSLBP發生雖較男生(16.5%)高,但於多變項分析中卻未呈顯著。此外,學童對書包重量的感受,間接顯現背部負重位於其下背痛發生經驗的重要影響;而且,學童的駝背與NSLBP之間,其因果關係也值得更進一步探討。
Abstract
■Background
There are many studies on low back pain among adults or workers in Taiwan, but few on children or adolescents. According to reports from other countries, the prevalence of children’s low back pain is about 11.6% to 50.4%, higher than predicted. For prevention, it is important to assess the prevalence of low back pain of the children in Taiwan.
■Objectives
In this cross-sectional study, the elementary school students’ prevalence of low back pain and the association with the demographic characters were investigated. Then, to estimate the correlation between the school bags’ weights and their non-specifics low back pain is interested.
■Methods and Materials
There are 88 elementary schools in Kaohsiung and 15 are selected randomly. One class is selected by cluster sampling in grade 5 and grade 6 from each sampled school. 1063 samples are collected. Platform scales are used to evaluate the weights of students’ school packs, and their accurate is 0.01 kg.
■Results
Response rate in this study is 95.1% (1011/1063). The students’ total prevalence of low back pain is 31.1% and 19.2% for their non-specifics low back pain (NSLBP). In the results, female (r=.088), TV viewing time (TVTIME) (r=.119) and schoolbags carrying time (r=-.101), feeling trunk hump (r=.149), and feeling their schoolbags heavy (r=.144) are the significant factors for NSLBP. After logistics regression analysis, feeling their schoolbags heavy (AOR=3.05) and feeling trunk hump (AOR=1.95∼3.16), are the effectual factors for the elementary school students’ NSLBP. TVTIME and schoolbags carrying time are also significant slightly.
■Discussion
The results show that the prevalence of low back pain for our younger children is popular. Gender is not a significant predicted factor in this study, but the feeling about their schoolbags’ weight and their trunk hump have strongly associations with students’ non-specific low back pain.
高雄市國小高年級學童下背痛之調查研究
論文目錄
中文摘要………………………………………………………………………4
英文摘要………………………………………………………………………5
第一章緒論
第一節研究背景………………………………………………………… 6
第二節研究動機………………………………………………………… 8
第三節研究目的………………………………………………………… 9
第二章文獻探討
第一節一般人下背痛成因及學童下背痛作用機制的探討……………10
第二節各國學童下背痛盛行率之探討…………………………………14
第三節學生書包重量建議值之探討……………………………………15
第四節學童下背痛流行病學研究之相關因子探討……………………17
第三章研究材料與方法
第一節研究流程與架構…………………………………………………22
第二節操作型定義………………………………………………………24
第三節研究對象…………………………………………………………29
第四節問卷設計…………………………………………………………30
第五節訪員訓練…………………………………………………………33
第六節資料處理與分析方法……………………………………………35
第四章研究分析結果
第一節描述性分析………………………………………………………37
第二節相關性分析………………………………………………………44
第三節高年級學童NSLBP相關因子相對危險性評估………………… 48
第五章討論與建議
第一節結果討論…………………………………………………………54
第二節研究限制…………………………………………………………63
第三節研究建議…………………………………………………………65
第六章結語………………………………………………………………69
參考文獻…………………………………………………………………… 71
附錄一 問卷……………………………………………………………102
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