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研究生:方弘昌
研究生(外文):Fang, Hung-Chang
論文名稱:退化性膝關節炎患者之症狀、健康相關的生活品質與功能性體適能之研究
論文名稱(外文):A study of the Symptom, Health-Related Quality of Life and Functional Fitness in patients with knee osteoarthritis
指導教授:李淑芳李淑芳引用關係
指導教授(外文):Li, Shuk-Fong
口試委員:劉淑燕林麗娟
口試委員(外文):Liu, SuyenLi, Linda
口試日期:2011-01-27
學位類別:碩士
校院名稱:國立中正大學
系所名稱:運動與休閒教育研究所
學門:教育學門
學類:專業科目教育學類
論文種類:學術論文
論文出版年:2011
畢業學年度:99
語文別:中文
論文頁數:92
中文關鍵詞:退化性膝關節炎WOMAC健康相關的生活品質功能性體適能
外文關鍵詞:Functional FitnessSF-36Knee OsteoarthritisWOMAC
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本研究主要目的為探討退化性膝關節炎患者的膝關節炎症狀、健康相關的生活品質與功能性體適能之間的研究關係。研究目的包括(1)瞭解退化性膝關節炎患者的人口背景因素、症狀、健康相關的生活品質與功能性體適能的現況;(2)在退化性膝關節炎患者不同的人口背景因素下,其症狀、健康相關的生活品質與功能性體適能之間的差異性;(3)了解退化性膝關節炎患者的症狀、健康相關的生活品質與功能性體適能之間的相關性。研究方法包括,受試對象爲225名退化性膝關節炎門診的患者,患者需接受功能性體適能測量,並以WOMAC檢測膝關節炎症狀程度,SF-36問卷為施測調查健康相關的生活品質;功能性體適能量測包含下肢肌力、心肺能力、上下肢柔軟度、敏捷度、平衡能力等六項其日常生活的功能性的能力;資料分析以單因子變異數分析,t檢定與皮爾森積差相關來探討患者之人口背景變項、功能性體適能各變項、膝關節炎症狀、健康相關的生活品質之間的關係。研究結果如下:
一、受試對象描述性統計:在人口變項方面大部分患者屬於年紀大、女性、教育程度低、BMI大多超重或肥胖;
二、不同的人口背景因素下,其症狀、健康相關的生活品質與功能性體適能之間的差異性:性別方面,男性比女性有更好的健康生活品質,在功能性體適能方面女性比男性有更好的上肢柔軟度。年齡方面,隨年齡增加在下肢肌力、敏捷與平衡會有明顯的下降;隨教育程度愈高,在下肢肌力、心肺能力、敏捷與平衡會愈好;
三、患者的症狀、健康相關的生活品質與功能性體適能之間的相關性:膝關節炎症狀與下肢肌力與敏捷相關,代表下肢肌力、敏捷度愈好膝關節炎症狀程度愈低。健康相關的生活品質與下肢肌力、心肺能力與敏捷度相關,代表下肢肌力、心肺能力與敏捷度愈好,健康相關的生活品質愈好。膝關節炎症狀與健康相關的生活品質相關,代表膝關節炎症狀愈低,健康相關的生活品質愈好;
結論:當功能性體適能愈好,對於退化性膝關節炎患者的病症程度與健康相關生活品質的改善具相關性。
關鍵詞:退化性膝關節炎、WOMAC、健康相關的生活品質、功能性體適能

The purposes of this study were: 1. to identify the symptoms, health-related quality of life, and functional fitness in patients with OA knee; 2. To examine the differences of these three variable in OA knee patients who have different demographic background; and 3. to explore the relationships of WOMAC, functional fitness, and SF-36. Methods: 225 patients with OA knee were assessed throughout a 1-month period, providing functional fitness measures and self-response questionnaires including WOMAC, SF-36 and self-report containing sections on demographic characteristics. The data were analyzed by descriptive statistics, student t test, one-way ANOVA, Pearson product Moment correlation coefficient. The conclusions were as follows: 1. For the descriptive data, the OA knee patients in this study tend to be older, female, either overweight or obese, and with lower level of educational background. 2. Male patients tend to have better health-related quality of life than their female counterparts; while female patients tend to have better upper body flexibility than males in the functional fitness test. Patients who are older tend to have worse performance in lower body muscular endurance, cardiopulmonary endurance, agility and balance than their younger counterparts. Patients who have higher level of education tend to have better lower body strength, cardiovascular function, and have better agility, and balance. 3. There are negative relationship between WOMAC, health-related quality of life and functional fitness in OA knee patients, indicating that the patients who have higher self-perception of their health-related quality of life, better performance in lower body strength, cardiovascular function, and agility, tend to have lower knee joint symptoms. Key words: Functional Fitness, SF-36, Knee Osteoarthritis, WOMAC
第壹章 前言 1
第一節 研究背景與動機 1
第二節 研究目的 3
第三節 研究問題 4
第四節 名詞操作性定義 4
第五節 研究限制 5
第六節 研究的重要性 6
第貳章 文獻回顧 7
第一節 退化性膝關節炎 7
第二節 運動治療與退化性膝關節炎 12
第三節 功能性體適能之相關文獻探討 18
第四節 與健康相關的生活品質研究理論 27
第參章 研究方法 34
第一節 研究架構 34
第二節 研究流程 35
第三節 研究對象與流程 36
第四節 研究工具 36
第五節 資料分析 41
第肆章 研究結果 42
第一節 退化性膝關節炎之人口背景因素、症狀、健康相關的生活品質與功能性體適能的描述性統計分析 42
第二節 不同人口背景因素下其症狀、健康相關的生活品質及功能性體適能之差異性 47
第三節 膝關節炎症狀、健康相關的生活品質與功能性體適能的相關性 54
第伍章 討論 57
第一節 退化性膝關節炎之人口背景因素、症狀、健康相關的生活品質與功能性體適能的現況討論 57
第二節 不同背景因素下其膝關節炎症狀、健康相關的生活品質及功能性體適能之現況討論 61
第三節 膝關節炎症狀、健康相關的生活品質與功能性體適能的相關性討論 65
第陸章 結論與建議 68
第一節 結論 68
第二節 建議 69
參考文獻 71
附錄 84
附錄一 84
附錄二 86
附錄三 90


圖目錄
圖 2 1退化性膝關節炎解剖圖 9
圖 2 2全面功能性體適能範圍 18
圖 3 1研究架構圖 34
圖 3 2研究流程 35


表目錄
表2 1 運動治療與退化性膝關節炎文獻整理 15
表2 2 功能性體適能測試項目與內容 19
表2 3 測試功能性體適能的相關文獻表 23
表2 4 以功能性體適能的運動治療文獻 25
表3 1 WOMAC量表信度相關研究 38
表4 1 受試者人口背景變數之描述性統計 42
表4 2 受試者關節炎分期程度與手術情形之描述性統計 43
表4 3 膝關節炎症狀之描述性統計 45
表4 4 健康相關的生活品質之描述性統計 46
表4 5 功能性體適能之描述性統計 47
表4 6 t檢定-性別與膝關節炎症狀、健康相關的生活品質與功能性體適能的差異 48
表4 7 單因子變異數分析-年齡與膝關節炎症狀、健康相關的生活品質與功能性體適能的差異 49
表4 8 單因子變異數分析-教育程度與膝關節炎症狀、健康相關的生活品質與功能性體適能的差異 52
表4 9 相關檢定-膝關節炎症狀程度與功能性體適能的相關性 54
表4 10 相關檢定-健康相關的生活品質與功能性體適能的相關性 55
表4 11 相關檢定-膝關節炎症狀與SF36健康相關的生活品質的相關性 56


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