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研究生:黃貞惠
研究生(外文):Chen-Hui Huang
論文名稱:慢性腎臟病患身體活動、腎功能與生活品質:緃貫性研究
論文名稱(外文):Physical Activity, Renal Function and Quality of Life among Patients with Chronic Kidney Disease: A Longitudinal Study
指導教授:顏妙芬顏妙芬引用關係
指導教授(外文):Miaofen Yen
學位類別:碩士
校院名稱:國立成功大學
系所名稱:護理學系碩博士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:中文
論文頁數:58
中文關鍵詞:身體活動慢性腎臟病生活品質
外文關鍵詞:physical activityquality of lifechronic kidney disease
相關次數:
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  • 下載下載:121
  • 收藏至我的研究室書目清單書目收藏:5
缺乏身體活動是全球性的健康問題,也是造成慢性腎臟病之危險因子。慢性腎臟病患對於個人健康造成威脅,也致使生活品質下降。美國運動醫學會、美國疾病管制局及世界衛生組織指出規律的身體活動可以改善生活品質,但過去研究多著重於末期腎臟病患運動介入的短期成效,故本研究之目的乃探討慢性腎臟病患之身體活動、腎功能與生活品質之關係。
本研究為回溯性、相關性設計,採次級資料分析。分析「早期慢性腎臟病患者生活型態相關因素探討」之計畫資料,共有慢性腎臟病患105人。身體活動之評估乃以MESA-TWPAS身體活動評估量表之結構性問卷進行訪談以評估身體活動狀況及每天坐式行為之時數,並依世界衛生組織於身體活動之建議區分規律及不規律身體活動者。腎功能評估乃以MDRD(Modification of Diet in Renal Disease)公式計算腎絲球過濾率。生活品質評估以世界衛生組織生活品質問卷-台灣簡明版之問卷(WHOQOL-BREF Taiwan Version)進行施測。此外,收集生理指標包含:血色素及白蛋白,並運用身體水分脂肪百分比測定儀(InBody 3.0 Biospace)檢測腰臀比、身體質量指數及身體組成:肌肉重、脂肪重等。使用描述性統計及推論性統計:重複測量之線性混合模式分析法進行分析。
研究結果顯示:(1)慢性腎臟病患之坐式行為時間每天小於1小時者腎功能較佳。(2)規律身體活動者生活品質較佳,坐式行為時間每天少於1小時者生活品質之一般健康狀態較佳。因此,對於慢性腎臟病患減緩腎功能惡化及促進生活品質的提升,除鼓勵規律身體活動外,對於坐式行為時間亦需減少至每天少於1小時。
Physical inactivity is not only a global health problem, but also one of the factors which lead to chronic kidney disease (CKD). CKD poses a threat to personal health and contributes to decrease of the quality of life as well. According to the American College of Sports Medicine (ACSM), Centers for Disease Control and Prevention (CDC), and World Health Organization (WHO), the quality of life is likely to be improved through regular physical activity. In the past, some studies focused mainly on empirical short-term effects that exercise had on patients in the end stage renal disease (ESRD), but rarely on the relationships between physical activity, renal function and quality of life among patients with CKD.
This study was retrospective, correlation design, and secondary data analysis. The original data was from the project entitled “Investigating the Lifestyle and its Related Factors among Patients with Chronic Kidney Disease in the Early Stages”. The participants from this project were 105 patients with CKD.
The structural questionnaire based on MESA-TWPAS was used to assess physical activities and hours of daily sedentary behavior. According to the suggestion proposed by WHO, the patients were divided into two groups with regular and irregular physical activities respectively. Renal function was evaluated with Modification of Diet in Renal Disease Formula. The assessment on quality of life was conducted via WHOQOL-BREF Taiwan Version.
Physical indicators, including blood pressure, hemoglobin, albumin, were collected. Body weight, waist to hip ratio (WHR), BMI (Body Mass Index), and body composition were measured by InBody 3.0 Body composition analyzer (InBody 3.0 Biospace). Body composition includes muscle weight and body fat weight. Descriptive and inferential statistics, including linear mixed model of repeated measures analysis of variance, will be used to analyze the data.
The results of the study indicated that: (1) the patients with CKD exhibiting daily sedentary behavior less than 1 hour had better renal functions. (2) The patients with regular physical activities had better quality of life. The patients with daily sedentary behavior less than 1 hour had better health conditions reflected from quality of life. Therefore, it is suggested that the patients with CKD should be encouraged to reduce their daily sedentary behavior to less than 1 hour in addition to regular physical activities for the purpose of mitigating the deterioration of renal functions and enhance quality of life.
第一章 緒論 1
第一節 研究動機及背景 1
第二節 研究目的 3
第三節 研究問題 3
第二章 文獻查證 4
第一節 身體活動之定義及益處 4
第二節 慢性腎臟病患身體活動與腎功能 6
第三節 慢性腎臟病患腎功能與生活品質 9
第四節 慢性腎臟病患身體活動、腎功能與生活品質 10
第三章 研究架構及假設 12
第一節 名詞解譯 12
第二節 研究架構 13
第三節 研究假設 13
第四章 研究方法 14
第一節 研究設計 14
第二節 研究樣本 14
第三節 研究過程 15
第四節 研究工具 16
第五節 倫理考量 21
第六節 資料分析 22
第五章 研究結果 25
第一節 慢性腎臟病患之人口屬性、身體活動、腎功能及生活品質狀況 25
第二節 慢性腎臟病患身體活動與腎功能、身體活動與生活品質之關係 29
第六章 討論 38
第一節 慢性腎臟病患基本資料、身體活動、腎功能及生活品質之現況 38
第二節 慢性腎臟病患身體活動與腎功能之關係 42
第三節 慢性腎臟病患身體活動與生活品質之關係 44
第七章 結論 46
第一節 研究結果應用及建議 47
第二節 研究限制 48
參考文獻 49
中文部份 49
英文部份 51
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